Job Title	Division Manager
Location	Ludowici, GA
Department	Operations
Status	Exempt/Salaried
Reports to	Vice President of Operations

Summary:

The Division Manager is responsible for the overall operational, financial, and strategic leadership of an assigned EMS division. This position provides executive oversight of emergency (911) and non-emergency ambulance operations while ensuring exceptional patient care, operational readiness, regulatory compliance, employee engagement, customer satisfaction, and fiscal responsibility.

Serving as the senior on-site operational leader, the Division Manager directs division operations, develops leadership teams, manages resources, and implements organizational initiatives to achieve strategic objectives and operational excellence.

Essential Functions:

The essential functions listed below are representative of the knowledge, skills, and abilities required to successfully perform this position. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Executive leadership reserves the right to modify this job description at any time to meet business needs.

Strategic Leadership:

Provide executive leadership for assigned EMS division.
Execute strategic initiatives established by executive leadership.
Develop division goals aligned with company objectives.
Recommend operational improvements based on data and industry best practices.
Support growth initiatives, new contracts, and service expansions.

Operations Management:

Direct all daily emergency and non-emergency ambulance operations.
Ensure contractual compliance for response times and service levels.
Monitor operational performance, customer service, contractual compliance, and key performance indicators (KPIs), implementing corrective actions as necessary.
Optimize deployment, staffing, scheduling, and unit hour utilization.
Ensure operational readiness of fleet, facilities, equipment, and personnel.
Coordinate responses to disasters, mass casualty incidents, and severe weather.
Ensure fleet readiness, preventive maintenance, medical equipment inspections, supply inventory, narcotic accountability, and protection of company assets.

Financial Management:

Develop and manage the division operating budget while monitoring labor, fleet, fuel, supply, and purchasing expenses.
Forecast staffing needs and analyze operational, financial, and workforce trends to support strategic decision-making.
Ensure payroll accuracy through review of payroll discrepancies and timely resolution.

Leadership & Human Resources:

Recruit, hire, onboard, mentor, and a high-performing workforce.
Evaluate employee performance through coaching, performance management, and corrective action.
Monitor attendance, productivity, certifications, and training compliance.
Support succession planning.
Partner with Human Resources on investigations, employee relations, leave administration, and policy interpretation.

Compliance & Quality:

Lead quality improvement initiatives, operational audits, and accreditation activities.
Ensure division-wide compliance with all applicable federal, state, local, contractual, and company requirements.
Monitor ePCR quality and support billing compliance.
Investigate patient complaints and operational incidents.
Ensure HIPAA, OSHA, CMS, DEA, and EMS regulatory compliance.

Safety & Risk Management:

Foster and maintain a culture of safety throughout the division.
Investigate workplace injuries, vehicle accidents, and other safety incidents while implementing corrective and preventive actions.
Monitor Workers' Compensation cases.
Conduct safety meetings.
Ensure compliance with infection control and PPE requirements.
Identify operational risks and implement corrective actions.

Customer Relations & Business Development:

Maintain positive relationships with hospitals, municipalities, healthcare facilities, fire departments, and community stakeholders.
Resolve customer concerns promptly.
Support contract implementation and renewals.
Identify opportunities for operational expansion.
Represent the organization professionally within the community.

General Support & Administrative:

Foster a professional, collaborative, and high-performing work environment.
Resolve complex operational, personnel, customer service, and resource allocation issues.
Collaborate with executive leadership, managers, supervisors, and field leaders to achieve organizational priorities.
Provide operational analysis, recommendations, and support to the Vice President of Operations.
Attend leadership meetings and facilitate communication of company issues or initiatives.
Monitor operational and financial performance metrics and prepare executive reports and recommendations.
Approve payroll, review staffing metrics, and maintain required operational documentation.
Present division performance updates to executive leadership.
Complete assigned projects and strategic initiatives within established deadlines.

Minimum Qualifications:

Minimum three (3) years of progressively responsible supervisory or management experience.
Associate's degree in EMS, Healthcare Administration, Business Administration, Public Administration, or a related field; equivalent combinations of education and relevant management experience may be considered.
Strong knowledge of EMS operations, strategic planning, staffing, scheduling, budgeting, regulatory compliance, and resource management.
Demonstrate success leading high-performing teams while improving operational performance, service quality, employee engagement, customer satisfaction, and financial results.
Demonstrate executive leadership, strategic planning, financial management, organizational development, and decision-making skills.
Thorough knowledge of applicable federal, state, and local laws, regulations, company policies, and operational procedures.
Proficient in Microsoft Office Suite, including advanced Excel, Microsoft Teams, and other business software applications.
Ability to effectively collaborate with executive leadership, department directors, managers, supervisors, employees, customers, and community stakeholders.
Ability to manage multiple priorities and perform effectively in a fast-paced, high-pressure environment.
Valid driver's license meeting company MVR standards.
Ability to successfully meet company drug screening requirements.

Preferred Qualifications:

Minimum five (5) years of progressive EMS experience.
Bachelor's degree in EMS, Healthcare Administration, Business Administration, Public Administration, or a related field. Equivalent relevant experience may be considered in lieu of a degree.
Experience with strategic planning, budgeting, operational performance management, and regulatory compliance within an EMS environment.
Proficiency with business intelligence and analytics tools, such as Power BI, SQL-based reporting, or similar platforms.
Experience with electronic patient care reporting (ePCR) systems, computer-aided dispatch (CAD) systems, and other EMS operational technologies.
Knowledge of fleet maintenance, risk management, and loss prevention principles.
Advanced knowledge of EMS administration, financial management, and applicable federal, state, and local laws, regulations, standards, and industry best practices.

Work Environment:

Work is performed on-site in Ludowici, Georgia an office environment with a minimum 40-hour workweek.
Occasional travel for continuing education or company-wide conferences.
Work may require evenings, weekends, holidays, and extended hours based on operational needs, emergencies, disaster response, or other business requirements.

Physical Demands:

Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

Sit, stand, and walk for extended periods.
Bend, stoop, kneel, climb stairs, and reach overhead.
Use hands to operate computers and office equipment.
Occasionally lift, carry, push, or pull up to 50 pounds.
Operate company vehicles as required.
Inspect ambulances, facilities, and equipment.

Equal Employment Opportunity

Excelsior Ambulance is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, pregnancy, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.