Mix the green onions into the cream cheese. Evenly spread about a half tablespoon of the cream cheese mixture over the ham, making sure to reach the edges.
Place a halved dill pickle spear on one short end of the ham slice.
Tightly roll the ham slice around the pickle. Secure with a toothpick if desired. Repeat with all slices.
Serve immediately, or chill in the refrigerator before serving if you prefer a firmer bite. Optionally, slice rolls into bite-sized portions.