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Home/Hire/Paramedic/Roanoke, VA

Hire · Roanoke, VA

Hire a Paramedic in Roanoke, VA

The fire department is hiring for the same certification you are. A paramedic who runs a truck as lead belongs at this metro's upper quarter. In Roanoke, the May 2025 median is about $59.0K, within 3 percent of the Virginia median.

What to offer

An ambulance service that copies a national midpoint will lose paramedics to the fire department. Use this metro's median for someone new, and the 75th for someone who can run a truck as lead.

PercentileMetroVAU.S.
25th$50,750$49,960$49,660
Median$59,020$60,480$60,600
75th$64,650$67,030$73,470

Source: BLS Occupational Employment and Wage Statistics, May 2025.

How hard this is to fill

Hiring difficulty
5.8
Metro employment
100
National growth, 2025 to 2035
5.7%
National openings a year
4.3 thousand

This is the same score as the free check.

For one manager

Say the shift pattern, the call volume, and the protocols the crew works under. Ask how long the person has worked as the lead medic on a truck.

License and training

Every state licenses or certifies paramedics. Most use the National Registry paramedic exam as part of the path. Confirm your state EMS office's rules before you hire or start.

Sources: BLS Occupational Outlook Handbook, EMTs and paramedics

Nearby metros

Related roles

Job seekers: Paramedic jobs in Roanoke.

Paramedics hiring pages

Get the local report

Questions

What do paramedics earn in Roanoke, VA?

In Roanoke, the May 2025 median for paramedics is about $59.0K, within 3 percent of the U.S. median. The middle half runs from $50.8K to $64.7K.

Who hires paramedics in Roanoke?

Ambulance services, fire departments, and hospitals hire paramedics in Roanoke. Organizations on file in the provider extract include Botetourt County Board of Supervisors, Carilion Clinic Patient Transportation, Carilion Patient Transportation Services.

How do I get licensed as a paramedic in Virginia?

Start with the Virginia EMS office. Most states use the National Registry exam as part of the path.

What should an ambulance service in Roanoke weigh when hiring?

Ask about lead experience and shift fit. Roanoke has about as many of these workers as a typical metro. This metro is within 3 percent of the Virginia median.