After a short period playing football in the Cymru Premier, Ramsay began his career as a youth coach at Swansea City before moving to Shrewsbury Town's academy in 2017.
[3][2][4] After leaving the youth academy at The New Saints, Ramsay made 14 appearances as a player in the Cymru Premier for Welshpool Town, before deciding to attend university and focus on coaching.
[12] On 22 February 2024, Ramsay was hired as the head coach of Major League Soccer club Minnesota United shortly after the start of the regular season.
[16] Ramsay returned Minnesota United to the Major League Soccer playoffs with a 6th placed finish in the Western Conference (MLS) in his first season in charge, breaking club records for goals scored, away points and consecutive clean sheets.
[17] Minnesota United finished in ninth place in the overall Supporters' Shield standings and reached the Western Conference (MLS) semi-final in Ramsay's debut season as head coach.