Provides training and oversight of staff, including hiring, assigning work, evaluating performance, coaching, and administering discipline; Supervises management employees in the assigned division which includes creating goals, objectives, and accountability, developing individual Personal Development Plans and conducting performance appraisals for each staff member in their division; Directs and manages EMS performance contracts, including, but not limited to, the ambulance service contract, first responder, and Office of Medical Director (OMD) in a fiscally responsible and operationally sound manner; serves as primary point of contract management and accountability for the ambulance contractor; Manages the working relationship with the Office of the Medical Director (OMD), ambulance contractor, first responder contractors, and other outside health care agencies coordinating medical oversight, protocol development, and quality/CME functions in support of the EMS system and OMD; Develops an annual plan of work for the assigned area, monitoring it for results, and reporting accomplishments to County leadership; Coordinates with the Fire Director on county-wide projects, system improvements, and contracts affecting both EMS and Fire operations, ensuring alignment of shared initiatives, joint response planning, and cross-divisional contract matters; Aligns the planning, stakeholder coordination, and system-wide rollout of new clinical and operational directives and initiatives, including new protocols, equipment, or program launches, and manages high-level interagency relationships and represents the Division with stakeholder groups; Directs QA/QI functions across the EMS system, continuing Medical Education (CME) programming and new-employee academy onboarding oversight in conjunction with the OMD, and credentialing oversight for EMS system personnel to ensure compliance with certification and licensure requirements; Provides regulatory oversight of Certificate of Public Convenience and Necessity (COPCN) issuance and compliance for EMS providers operating within Pinellas County; Develops general policies, in consultation with County leadership and other Directors, for maximum utilization of available financial resources through appropriate allocation of staffing and equipment services; Prepares, reviews, approves, and submits the Division's operating budget, coordinating jointly with the Fire Director on shared budget items and preparation given the combined EMS/Fire budget structure. Knowledge of the principles, practices, and procedures of public and business administration, as applied in a large organization; Knowledge of budget and accounting principles, practices, and procedures, as applied in a large organization; Skill in advanced leadership techniques and practices to evaluate and determine organizational goals and objectives, maximizing effectiveness of organizational work units through staff selection and assignments; Knowledge of County budgeting procedures and ability to apply this knowledge to administer and coordinate administrative and operational budgets; Knowledge of principles and techniques of effective communication; Knowledge of public administration principles and practices; Ability to apply computer applications and software; Ability to apply independent judgment and discretion based on knowledge of the County functional and structural organization; Ability to communicate clearly and concisely, both orally and in writing; Ability to establish and maintain effective working relationships with governmental agencies, public officials, private officials, and the general public; Ability to exercise sound independent judgment and tact in working with people and applying and interpreting departmental policies and procedures; Ability to make decisions in accordance with county ordinances and practices; Ability to plan, organize, direct, coordinate, and supervise the work of professional, supervisory, and clerical employees; Ability to present programs and ideas clearly and concisely, in writing and orally, to small and large groups; Ability to work independently on complex and confidential tasks; Knowledge of Advanced Life Support (ALS) EMS system operations, protocols, and Florida EMS statutes/regulations; Knowledge of contract negotiation, administration, and performance-based contract management as applied to ambulance service and medical direction contracts; Knowledge of EMS quality assurance/quality improvement methodologies and clinical outcome measures (e.g., cardiac arrest, STEMI, stroke care); Knowledge of EMS data and reporting platforms (e.g., CAD, ImageTrend, Target Solutions, Hexagon); Ability to interpret and apply EMS certification, licensure, and credentialing requirements; Ability to build and maintain effective working relationships with municipal fire department leadership, hospital systems, and EMS Advisory Councils in matters relating to EMS service delivery.