Jobs · Roanoke, VA

Paramedic Jobs in Roanoke, VA: Pay and Who's Hiring

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.

Pay

The median is the middle of paramedics already employed, not a starting wage. The 25th is the lower quarter of that group. The 75th is what the upper quarter already earns.

Percentile	Metro	VA	U.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.

Hiring difficulty and demand

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.

Who's hiring

Botetourt County Board of Supervisors, 1 campuses
Carilion Clinic Patient Transportation, 1 campuses
Carilion Patient Transportation Services, 1 campuses
City of Roanoke, 1 campuses
City of Roanoke EMS, 1 campuses
City of Salem, 1 campuses

Campuses on file in the provider extract, not live job ads.

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

The work

You check the truck and its drugs, answer calls, treat the patient, and transport them to the right hospital. Then you write the report and restock before the next call comes in.

Shifts can be 12 or 24 hours long, depending on the service and the county. The work is physical, and some calls stay with you long after the shift ends.

Nearby metros

Blacksburg, VA · 26 miles
Greensboro, NC · 82 miles
Winston-Salem, NC · 83 miles
Charlottesville, VA · 96 miles

Related roles

One manager hiring: Hire a Paramedic in Roanoke.

Paramedics hiring pages

Upload your resume, see your match score, and let local employers find you

Questions

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.