Technical Lead

PACS Clinical Specialist

Radiology & Diagnostic Imaging - PACS Consolidation & Migration Project

Position Overview

We are seeking an experienced PACS Clinical Specialist with comprehensive expertise in Radiology and Diagnostic Imaging to support a large-scale enterprise PACS consolidation and migration project. This role is essential to ensuring seamless transition of radiology workflows, multi-modality DICOM connectivity, and clinical validation throughout the migration process across multiple facilities.

Location: Austin, Texas (Primary)

Travel Requirements: 30-40% (primarily within Texas, occasional out-of-state)

Employment Type: Full-Time (Contract or Permanent)

Primary Responsibilities

• Serve as the primary clinical subject matter expert for diagnostic radiology modalities including CT, MRI, General Radiography (X-Ray), Fluoroscopy, Mammography, Ultrasound, Nuclear Medicine, and PET/CT
• Validate radiology workflows including image acquisition, physician worklists, technologist protocols, and reporting workflows during PACS migration
• Configure and validate DICOM connectivity for all radiology modalities, ensuring proper image send/receive, query/retrieve, and MPPS (Modality Performed Procedure Step) functionality
• Ensure proper DICOM tag mapping, hanging protocols, advanced visualization tools (3D/MPR), and specialty applications (CAD, mammo workstations) are properly configured
• Work with radiologists, radiology technologists, and referring physicians to validate image quality, diagnostic tools, and clinical workflow efficiency post-migration
• Support specialty radiology areas including interventional radiology, breast imaging, neuroradiology, and musculoskeletal imaging

• Support multi-site PACS consolidation efforts across enterprise healthcare facilities throughout Texas and surrounding states
• Conduct pre-migration assessments of existing radiology PACS/RIS environments, documenting current state workflows, integration points, modality inventory, and technical dependencies
• Develop and execute comprehensive test plans for radiology migration, including all modality types, exam protocols, and clinical use cases
• Coordinate with modality vendors (GE, Philips, Siemens, Canon, Hologic, etc.) to ensure DICOM conformance and connectivity to new PACS platform
• Configure and test RIS/PACS integration, including order entry, exam scheduling, technologist worklists, and results distribution
• Troubleshoot radiology imaging integration issues, DICOM send/receive failures, modality connectivity problems, and workflow disruptions
• Participate in go-live support, providing on-site clinical and technical assistance to radiology departments, imaging centers, and remote facilities
• Support VNA (Vendor Neutral Archive) integration and historical image migration from legacy PACS systems

• Develop radiology-specific training materials and documentation for diverse end user groups (radiologists, technologists, radiologists' assistants, schedulers, referring physicians)
• Conduct role-based hands-on training sessions covering diagnostic workstations, advanced visualization tools, hanging protocols, and workflow optimization
• Provide hypercare support during transition period, addressing clinical questions, workflow optimization, and efficiency improvements
• Create quick reference guides, video tutorials, job aids, and troubleshooting documentation specific to radiology imaging workflows
• Train super-users and PACS administrators on system configuration, user management, and ongoing support procedures

• Collaborate with project management, radiology leadership, IT teams, biomedical engineering, and vendor partners to ensure successful migration outcomes
• Participate in regular project status meetings, providing updates on radiology readiness, technical issues, risks, and mitigation strategies
• Serve as primary liaison between radiology departments and technical implementation teams
• Document lessons learned, best practices, configuration standards, and operational procedures for radiology PACS implementations
• Support change management activities including communication campaigns, stakeholder engagement, and user adoption tracking

Required Qualifications

• 10+ years of hands-on experience with radiology PACS, RIS (Radiology Information Systems), or diagnostic imaging systems
• Comprehensive knowledge of radiology imaging modalities: CT, MRI, X-Ray, Fluoroscopy, Mammography, Ultrasound, Nuclear Medicine, PET/CT
• Strong understanding of DICOM standards, HL7 interfaces, IHE profiles, and radiology-specific DICOM tags
• Experience with major radiology PACS platforms, Merge PACS (Mandatory) (e.g., GE Centricity, Philips IntelliSpace, Change Healthcare, Sectra, Fujifilm Synapse, Agfa, Carestream)
• Proven experience with PACS migration, upgrade, or implementation projects in hospital, health system, or imaging center environments
• Understanding of radiology workflows including order entry, exam scheduling, technologist protocols, image interpretation, and reporting

• Clinical background strongly preferred: Registered Radiologic Technologist (RT-R), Registered MRI Technologist (RT-MR), Registered CT Technologist (RT-CT), Nuclear Medicine Technologist (CNMT), Radiologist Assistant (RA), or equivalent clinical credentials
• PACS Administrator certification (CIIP, PARCA) or equivalent IT healthcare experience strongly preferred
• Bachelor's degree in Radiologic Sciences, Healthcare IT, Biomedical Engineering, or related field (or equivalent experience)

• Must be based in or willing to relocate to the Austin, Texas metropolitan area
• Ability to travel 30-40% of the time, primarily within Texas and occasional travel to facilities in other states (Indianapolis and Illinois) as needed
• Valid driver's license and reliable transportation
• Flexibility for occasional weekend or after-hours work during critical migration go-live events and scheduled maintenance windows

Preferred Qualifications

• Experience with enterprise PACS platforms and multi-vendor environments
• Knowledge of VNA (Vendor Neutral Archive) architectures, image migration tools, and DICOM data normalization
• Familiarity with advanced visualization tools (3D/MPR, fusion imaging, dose tracking, AI-powered post-processing)
• Experience with specialty PACS applications: mammography workstations, orthopedic templating, radiation oncology, dental imaging
• Experience with Epic Radiant, Cerner, or other EMR/EHR integration with radiology systems
• Understanding of dose management systems, radiation exposure tracking, and regulatory compliance (ACR, FDA)
• Familiarity with IHE (Integrating the Healthcare Enterprise) profiles for radiology including XDS-I, PIX, PDQ
• Project management experience or PMP certification
• Experience with change management, clinical adoption strategies, and training program development
• Scripting or automation skills (Python, PowerShell, SQL, DICOM scripting) for PACS administration and data migration tasks
• Knowledge of radiology quality improvement methodologies (Lean, Six Sigma, value stream mapping)
• Understanding of AI/ML applications in radiology and integration with PACS workflows

Key Competencies

• Strong analytical and troubleshooting skills with ability to diagnose complex technical, clinical workflow, and integration issues
• Excellent communication skills with ability to translate technical concepts to clinical audiences and clinical requirements to technical teams
• Detail-oriented with strong documentation, configuration management, and organizational skills
• Ability to work independently and manage multiple concurrent priorities in fast-paced, multi-site project environment
• Customer service mindset with focus on clinical user satisfaction, workflow efficiency, and operational excellence
• Team player with collaborative approach to problem-solving and cross-functional coordination
• Adaptable and comfortable with ambiguity in evolving project environments and changing priorities
• Strong commitment to patient safety, diagnostic quality, and clinical excellence throughout all technical implementations
• Proactive problem-solver with ability to anticipate issues and develop mitigation strategies
• Results-driven with focus on meeting project milestones, deliverables, and quality standards

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