Technical Lead

Cardiology and Hemodynamics Imaging Subject Matter Expert (SME)

We are seeking a Cardiology and Hemodynamics Imaging Subject Matter Expert (SME) to serve as the clinical and functional anchor for end-to-end Cardiology PACS / CVIS and Hemodynamics implementations. This is a clinically grounded, workflow-first role. The SME translates how cardiologists, Cath lab teams, sonographers, EP technologists, and nursing work into system design, structured report builds, and validated, testable workflows. The SME owns the clinical and functional thread across the full implementation lifecycle requirements gathering, current- and future-state workflow design, functional configuration, structured report building, measurement and quantification mapping, test scenario and test script authoring, clinical validation, UAT facilitation, go-live, and hypercare. While the emphasis is clinical and functional, the SME is also expected to be technically conversant: comfortable enough with DICOM, HL7, integration flows, and PACS/CVIS architecture to collaborate effectively with technical engineers, troubleshoot intelligently, and explain how the system behaves to both clinical and technical audiences. Travel is required to Texas as needed.

Key Responsibilities

• Function as the clinical and functional SME across the cardiovascular imaging portfolio: echocardiography (TTE, TEE, stress echo, strain), cardiac catheterization / angiography (XA), electrophysiology (EP), vascular ultrasound, nuclear cardiology, cardiac CT/MR, and ECG/EKG management.
• Capture, document, and validate the cardiology order-to-report lifecycle ordering, scheduling, modality worklist, acquisition, reconciliation, measurement, structured reporting, sign-off, and results delivery to the EMR.
• Lead current-state and future-state workflow design sessions with cardiologists, Cath lab staff, sonographers, EP and Cath techs, and nursing, surfacing clinical requirements and edge cases that purely technical analysis tends to miss.
• Serve as the bridge between the clinical community and the technical / integration team, ensuring functional design reflects real clinical practice and protects patient safety and clinical quality.
• Provide functional expertise on hemodynamic monitoring systems (e.g., GE Mac-Lab, Philips Xper, Siemens Sensis), including procedure logs, pressure and waveform capture, and case documentation.
• Map hemodynamic data flow into the CVIS and downstream reporting and EMR, ensuring procedure data, measurements, and reports reconcile cleanly across systems.
• Validate Cath lab and EP lab workflows from patient arrival through procedure documentation, structured report, and results finalization.
• Design and build structured reporting templates, measurement packages, macros, auto-text, normal value ranges, and auto-population logic for cardiology reports.
• Configure worklists, procedure logs, reconciliation rules, and results routing, ensuring functional alignment with clinical workflow.
• Validate measurement and quantification mapping (including DICOM SR) from modalities into the structured report so values flow accurately and consistently.
• Support functional configuration of EMR-to-CVIS integration points (e.g., Epic Cupid, Cerner Cardiology), focused on clinical correctness of orders, results, and reports.
• Author clinical and functional test scenarios and detailed test scripts covering end-to-end cardiovascular workflows, including expected clinical outcomes and edge cases.
• Lead functional, integration, and regression testing, document results, log defects, and drive triage and resolution with the technical team and vendors.
• Plan, coordinate, and facilitate User Acceptance Testing (UAT) with clinical end users building test plans, training participants, managing execution, and tracking sign-off.
• Perform clinical validation and parallel testing to confirm the accuracy of measurements, structured reports, and results before go-live.
• Build and deliver super-user and clinical end-user training tailored to cardiology and hemodynamics workflows.
• Provide firsthand go-live and hypercare support, rapidly diagnosing clinical workflow issues and coordinating fixes.
• Drive clinical adoption and change management, partnering with clinical leadership to embed new workflows and address resistance.
• Produce clear functional and workflow documentation design specs, workflow narratives, test artifacts, and training material throughout the engagement.

Technical Fluency to Support the Above (Supporting Focus)

The SME is not the lead integration engineer, but is expected to understand the technical underpinnings well enough to collaborate, troubleshoot, and translate between clinical and technical teams:

• Working knowledge of DICOM (including DICOM SR / structured reporting, modality worklist, storage commitment) and how images and measurements move from modality to PACS/CVIS to report.
• Understanding HL7 messaging (ORM, ORU, ADT, SIU) and how orders, results, and reports flow between the EMR and the cardiology system are enough to interpret an interface issue and describe it clearly to engineers.
• Familiarity with IHE Cardiology profiles (e.g., Cardiac Cath Workflow, Echocardiography Workflow, Stress Testing, Displayable Reports) and how they shape system behavior.
• General awareness of PACS / CVIS / VNA architecture, image migration concepts, and integration patterns, sufficient to participate in technical design discussions and triage.

Required Qualifications

• Clinical background in cardiovascular imaging or cardiology e.g., Registered Cardiovascular Invasive Specialist (RCIS), Registered Cardiac Sonographer (RCS/RDCS), Registered Vascular Technologist (RVT), cardiac/Cath lab RN, or equivalent firsthand cardiology clinical experience or strong cardiology informatics / functional analyst experience with deep clinical workflow knowledge.
• Proven experience supporting Cardiology PACS / CVIS or Hemodynamics implementations in a clinical, functional, or applications analyst capacity.
• Firsthand experience with structured reporting, measurement/quantification packages, and report-template configuration.
• Demonstrated experience authoring test scenarios and test scripts and leading or facilitating clinical UAT.
• Solid understanding of cardiovascular modalities, procedures, and the order-to-report clinical workflow.
• Working technical fluency in DICOM and HL7 concepts sufficient to collaborate with integration teams and troubleshoot workflow issues.

Preferred Qualifications

• Experience with cardiology CVIS / PACS platforms (GE Centricity Cardio / CardioVascular, Philips IntelliSpace Cardiovascular, Change Healthcare / McKesson Cardiology, Fujifilm Synapse Cardiovascular, Siemens syngo Dynamics, Sectra, etc.)
• Functional familiarity with hemodynamic monitoring systems (GE Mac-Lab, Philips Xper, Siemens Sensis)
• Experience with Epic (Cupid), Cerner, or other EMR integration with cardiology systems, from a clinical/functional standpoint
• Understanding of IHE (Integrating the Healthcare Enterprise) Cardiology profiles
• Familiarity with cardiology workflow optimization, lean processes, and quality improvement methodologies
• Active clinical credential (RCIS, RCS, RDCS, RVT, RN) or comparable cardiology certification
• Experience with change management and clinical adoption strategies
• Project management experience or PMP certification
• Working familiarity with VNA architecture, image migration, and basic scripting/query skills (SQL, PowerShell, or Python) to support investigation and PACS administration tasks

Key Competencies

• Strong clinical and functional analysis skills, with the ability to diagnose complex cardiovascular workflow and reporting issues not just technical ones.
• Excellent communication skills, with the ability to translate clinical needs into functional design and technical concepts back to clinical audiences.
• Meticulous, with strong documentation and organizational skills across workflow specs, test artifacts, and training material.
• Ability to work independently and manage multiple priorities in a fast-paced implementation environment.
• Customer-service mindset with a focus on clinical user satisfaction, adoption, and support.
• Collaborative collaborator who works effectively across clinical, technical, vendor, and project stakeholders.
• Adaptable and comfortable with ambiguity in evolving project environments.
• Deep commitment to patient safety and clinical quality throughout every configuration, report build, and test cycle.