In January of 2006, Knox became the first Manager of the Division of Emergency Medical Services within the Department of Emergency Services for Allegheny County.  In that capacity he is directly involved with 70 licensed EMS agencies, 130 municipalities and 214 fire departments within the county.  Additionally, Knox works directly with the Allegheny County 9-1-1 Center and the other divisions of Emergency Services.  Additionally, he serves as the Chief Administrative Officer/Secretary for the Allegheny County EMS Council and Commander of the Disaster Medical Assistance Team (DMAT) PA-1.

In addition to his day-to-day responsibilities, Knox has been active with the PA Region 13 Task Force since its inception.  Knox has previously served as the chairperson of the PA Region 13 WMD Working Group Medical and Health Committee, the Technology Integration Group and Co-Chair of the Metropolitan Medical Response System Planning effort. 

Prior to starting his career with Allegheny County, Knox spent more that 18 years in various positions with the Community College of Allegheny County (CCAC).  Most recently, Knox was responsible for the expansion of public safety educational programs throughout Western PA.  While at CCAC, Knox served in various administrative positions, including the Director of the Community College of Allegheny County Public Safety Institute and EMS Coordinator for Allegheny County. 
 
While serving as the EMS Coordinator of Allegheny County, Knox was actively involved with the Allegheny County EMS Council, County Government, various municipalities and municipal authorities and the development and implementation of the 9-1-1 systems.  Knox has represented the EMS Agencies from Allegheny County at the Regional and State levels. 

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