Open positions · Regional Hub positions · Subject matter expert bench

Careers at The Paramedic Foundation

The Paramedic Foundation builds the systems that keep emergency care within reach of rural communities. Its people design regional EMS governance, community paramedicine, and the workforce and payment arrangements that let rural services last, working with state agencies and regional partners across four continents. TPF is a Minnesota nonprofit corporation and a tax-exempt charity under Section 501(c)(3) of the Internal Revenue Code. It engages people as employees, as officers, and as independent contractors, alongside a global bench of subject matter experts.

Current openings

Each posting links to the full position description. Applications are reviewed on a rolling basis unless a closing date is stated, and are received by email at the address stated in each posting.

Positions at The Paramedic Foundation and the Nebraska regional Hubs
PositionEngagement typeLocationStatus
Finance Director
Nonprofit finance and federal award administration, organization-wide
Independent contractorRemote, United States, with travel a few times a yearOpen, rolling review
Regional Executive Director
Chief executive of a Regional EMS Technical Assistance Hub, Nebraska
Employed by the regional HubResident in the region served, NebraskaPosting soon
Program Coordinator
Day-to-day program delivery for a Regional EMS Technical Assistance Hub, Nebraska
Employed by the regional HubResident in the region served, NebraskaPosting soon
Project Manager
Rural EMS transformation and TPF projects
Independent contractorRemote, with travel to NebraskaFilled, September 2026
Communications Director
Organization-wide communications and TPF projects
Independent contractorRemote, United StatesFilled, September 2026

Nebraska is forming six Regional EMS Technical Assistance Hubs, each giving the EMS agencies of its region a shared base for planning, training, equipment, and community paramedicine. Each Hub will employ a Regional Executive Director and a Program Coordinator. TPF supports each search: applications come to TPF on the Hub’s behalf, and the hiring decision rests with the Hub’s board.

Employees, contractors, Hub positions, and the expert bench

01

Employees and officers

Positions within the corporation, including its officers. Officer compensation is established by the Board of Directors. Fair Labor Standards Act classification is determined at hire and confirmed against the salary basis and duties tests. These roles are posted individually.

02

Independent contractors

Engaged under TPF’s standard independent contractor agreement, with a scope of work stating services, deliverables, schedule, fees, and availability. TPF provides a Microsoft 365 account, and all engagement work product is created and stored in TPF’s environment.

03

Positions at regional Hubs

Employed by the regional entity the position serves, on terms its board sets. TPF supports the formation of the Hubs and their searches, receives applications on each Hub’s behalf, and leaves the hiring decision with the Hub.

04

Subject matter expert bench

TPF assembles teams around what an engagement requires. Experts can receive work through TPF or bring their own projects under its operational umbrella, which includes liability coverage and financial administration.

If none of the open positions fits and the work does, the expression of interest page describes the knowledge domains TPF is building and how to make contact.

What working with TPF is like

The Paramedic Foundation builds the systems that keep emergency care within reach of rural communities: regional governance that lets small agencies plan and share resources, community paramedicine that treats people close to home, and workforce and payment arrangements that let those services last. The people who do that work are practicing professionals, and TPF assembles each team around what an engagement requires.

Most of TPF’s clients are state agencies and other governmental entities working to deadlines set by others, and the working standard follows from that. Communications are answered within one business day. Schedule risks are raised early enough for them to be managed, and work product is documented so that a reviewer a year later can see what was done, by whom, and how it was accepted. In federally funded work, that documentation is the evidence that the work happened.

Most TPF roles are remote and distributed across time zones, with travel a few times a year to the states TPF serves. A position at a regional entity TPF helps to form is based in the region it serves. TPF works in Microsoft 365, and each engagement’s work product is created and stored in TPF’s environment. TPF uses Claude, an artificial intelligence platform, under its AI use policy. A posting for a TPF position asks applicants to describe how they used AI in preparing an application.

TPF works with the same people across projects and across years, because the trust of the agencies and communities it serves is built over time.

Equal opportunity

The Paramedic Foundation is an equal opportunity organization. TPF does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by law in its employment, contracting, engagement, or program activities.

If a disability makes any part of the application process inaccessible, write to [email protected] and TPF will arrange an alternative.

Straight answers about applying

Do I need an EMS background to work with TPF?

Not for most roles. TPF’s work sits where paramedicine meets governance, finance, federal grant compliance, data, and state policy. Its roles draw on people from county administration, public health, nonprofit finance, project management, and research as well as from EMS. Where the duties are not clinical, EMS or rural health knowledge is an advantage rather than a requirement. The posting asks for a demonstrated ability to learn the operational context. Where the duties rest on practitioner credibility, the posting says so and states how a candidate can show it.

Does The Paramedic Foundation hire paramedics?

Yes. Paramedics and other EMS clinicians bring field credibility that much of TPF’s work depends on. A posting marks EMS experience as highly desired where the work calls for it.

Are TPF positions remote?

Most are remote within the United States, with travel a few times a year to the state a project serves. Positions at the Nebraska regional Hubs are based in the region each Hub serves. TPF’s registered address in Duluth, Minnesota is a mail address, and its people work from across the United States, Canada, and beyond.

What is the difference between an employee role, a contractor role, and a Hub position?

An employee or officer role is a position within the corporation, with Fair Labor Standards Act classification determined at hire and, for officers, compensation established by the Board of Directors. A contractor role is engaged under TPF's standard independent contractor agreement, with a scope of work that states the services, deliverables, schedule, fees, and availability commitments. A Hub position is employed by the regional entity it serves. TPF supports the search and the hiring decision rests with the Hub’s board. Each posting states which it is.

What systems will I work in?

TPF works in Microsoft 365, and each engagement’s work product is created and stored in TPF’s environment. Contractors receive a TPF account at no cost. TPF uses Claude, an artificial intelligence platform, under its AI use policy. Systems particular to a role, such as the accounting and spend management platforms the Finance Director works in, are named in its posting.

Can I use AI to prepare my application?

Yes. A posting for a TPF position asks applicants to describe in the letter of interest how artificial intelligence was used and to include the prompts. TPF reads that as work product: how well the tool was directed and checked, and whether the applicant stayed responsible for the result. An application prepared without AI says so.

How are applications reviewed?

Applications go to the email address stated in the posting, with the position title in the subject line. Reviews are rolling unless a posting states a closing date. Finalists for some roles are asked for a writing sample, because a large share of TPF’s work product is written and the standard it is held to is stated in TPF’s style guide.

Does TPF pay its board members?

Board directors are not paid for board service. Where a director is separately engaged and paid as a TPF consultant, that engagement rests on an independent contractor agreement and a scope of work and is not a term of board service.

Not seeing your role?

TPF adds to its expert bench as engagements call for new knowledge. If you bring deep expertise on a hard problem in rural EMS, tell TPF what it is.