Deputy Director, Finance


Mecklenburg Emergency Medical Services (EMS) Agency (Medic) began 20 years ago, when a unique partnership was formed between Mecklenburg County (NC), Carolinas Healthcare System, and Novant Health. Medic’s relationship with these partners allows the Agency to flourish as an integral part of the healthcare system in Charlotte and Mecklenburg County. Overall stewardship of the Agency is guided by a Board of Commissioners who appoints representatives from the health care systems and the County to counsel financial and clinical operations. Medic’s strong relationship with these partners continues to position the Agency as a leader in the healthcare industry with a vibrant future based on innovation and evidence based improvements.

Medic serves Mecklenburg County, the sixth largest urban area in the US, encompassing 546 square miles and a population over 1,000,000. Charlotte, the capital and largest city, is considered the “International Gateway to the South,” with its multicultural and international community adding to its reputation as an exciting and vibrant place to live and work. Charlotte continues to build on its status as a world class city through arts, science, historical, educational, recreational, and sports opportunities and attractions. Charlotte allows easy road trips to the majestic Great Smoky Mountains to the west and the beautiful white sandy beaches along the coast to the east.

Medic operates the busiest 911 EMS agency in the state of North Carolina and ranks among the nation’s top 1% of EMS agencies in terms of positive outcomes for our patients utilizing high quality medical research, industry leading prehospital medical training, and the latest in EMS related equipment.

To save a life, hold a hand, and be prepared to respond in our community when and where our patients need us. Medic’s employee-created mission captures the Agency’s passion for the impact they have on the lives of Mecklenburg County residents and visitors. In pursuing this mission, employees rely on a vision of making Medic an adaptable patient-centered system of care, an excellent place for people to work, and a fiscally sustainable organization. Medic focuses on a handful of essential values – advocacy, integrity, compassion, and respect – to recruit and retain an engaged workforce.

For more detailed information about Medic, please visit their website at


The newly created position of Deputy Director, Finance will report directly to the Executive Director. Other positions reporting to the Executive Director (the senior leadership team) are: Deputy Director, Operations; Deputy, Director, Support Services; Deputy, Director, Professional Services; and an Executive Assistant.

Positions which will report directly to the Deputy Director, Finance are: Finance Manager; and Revenue Cycle Manager. The total department consists of 24 employees.


As a member of the senior leadership team, the Deputy Director, Finance will play a critical role in strategic decision making and operations as Mecklenburg EMS Agency continues to enhance its quality patient care and improves capacity. As such, the Deputy Director, Finance will be a strategic thought-partner and hands-on participative leader with the ability to provide financial modeling and cost accounting specific to improvement efforts. Specifically, this individual will be responsible for the administration and operation of the Finance Department, including oversight of budgeting, accounting, forecasting, financial reporting, investment of funds, capital funds management, billing and collection, procurement, and financial risk management and compliance. The total budget for Medic is currently $55 – $60 million.

Other responsibilities include, but are not necessarily limited to, the following:

  • Develop, set, and execute strategic goals in alignment with Medic’s vision.
  • Develop and lead staff engagement in support of established goals through performance management, leadership, and team building.
  • Oversee and lead annual budgeting and planning process in conjunction with the Executive Director; administer and review all financial plans and budgets; monitor progress and changes; keep the senior leadership team abreast of the organization’s financial status.
  • Direct organizational revenue cycle activities, including cash flow and forecasting.
  • Compile, analyze, synthesize, and communicate appropriate financial (revenue and cost) data necessary to assist in the facilitation of more informed and efficient operating and strategic decisions.
  • Effectively communicate and present the critical financial matters to Agency board members and other stakeholders.
  • Ensure managers create and maintain necessary processes to achieve departmental success and process linkage in support of Agency mission and purpose.
  • Keep the accounts of the Mecklenburg EMS Agency in accordance with generally accepted principles of governmental accounting and the rules and regulations.
  • Ensure compliance with all applicable standards to maintain the Agency in good standing under all North Carolina General Statutes.
  • Ensure maintenance of all records concerning contractual and other obligations of the Agency; determine the amount of money that will be required for the payment of other obligations during each fiscal year.


  • Strong preference for a minimum of five (5) years of supervisory experience in financial administration.
  • Knowledge of complex, highly technical accounting and finance concepts.
  • Demonstrated leadership ability to recruit, develop, and manage staff.
  • Ability to exercise analytical skills and independent judgment involving complex issues.
  • Excellent written and verbal communication skills.
  • Able to work in excess of standard 40-hour week to complete certain tasks.
  • Bachelor’s degree in accounting, business, public administration or related field with a strong preference for ten (10) years of progressively responsible experience in governmental accounting and finance.
  • CPA preferred.

Mecklenburg EMS is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to disability, race, color, veteran status, religion, sex, or national origin.

For additional information contact