AME negotiates and enforces equitable contracts for its membership and helps ensure a skilled, dedicated, and educated workforce for Suffolk County. Executive Board members work full time handling the day-to-day operation of the union and serve as liaisons to one or more of the many individual units and several standing committees.

Each individual unit is led by a Unit President. The Unit Presidents, along with the 8-member Executive Board, make up the Board of Directors. The Board of Directors is the governing body of AME and meets about once a month. Its job is to establish policy for the Association, enforce the members' bill of rights, approve the fiscal budget, and vote on all matters presented to it. AME holds an annual convention attended by elected officers and delegates, which is open to the membership at large. Issues about the Constitution and Bylaws are addressed at this open forum, which invites direct participation. A variety of workshops and seminars are held during conventions to educate the membership and keep it informed