This study sought to examine the landscape for library positions supporting health sciences research and teaching. We investigated whether emerging research practices in health-related research at college and research universities are being accompanied by job opportunities for health sciences librarians at college and university libraries (C&ULs). We collected position advertisements posted to relevant job boards and mailing lists between September 1, 2018 and March 1, 2019 to compare job opportunities at C&ULs with similar opportunities at Association of Academic Health Sciences Libraries (AAHSL). We found that C&ULs across the United States are interested in hiring librarians that are capable of supporting health and life sciences teaching and research. A qualitative content analysis of these position advertisements revealed substantial overlap in the desired qualifications and the roles and responsibilities listed for health sciences librarian positions at both types of institutions. Qualifications at both types of institutions placed a greater emphasis on traditional librarian competencies (e.g., reference services, collection management, literature searching) rather than emerging areas of expertise, such as data science skills, grant experience, and research impact assessment.