Physician Assistant - Fluoroscopy

TRA is hiring for a full time (1.0 FTE) Certified Physician Assistant to directly support our team. In this specialized role the Physician Assistant will join a dedicated team of providers who are committed to keeping patient care as its central focus. As a member of TRA Medical Imaging you will embody our core values; Compassionate Care, Accountability & Integrity, Respect and Excellent Service. Please continue reading below to learn more specifics of this role and what you would bring to the team. Key Clinical Responsibilities Primary Focus – Diagnostic Fluoroscopy (~75%)

• Perform a high volume of fluoroscopic studies, including but not limited to:
• Upper GI studies
• Esophagrams
• Small bowel follow-through exams
• Fluoroscopic urologic studies
• Ensure accurate image acquisition, patient safety, and efficient exam throughput
• Collaborate closely with radiologists and technologists to maintain high-quality diagnostic standards

Secondary Focus – Image-Guided Procedures (~25%)

• Perform and assist with arthrograms and thyroid biopsies as core procedural responsibilities
• Support additional needle-based procedures as needed, based on departmental growth and provider competency
• Maintain procedural excellence in patient preparation, sterile technique, and post-procedure care

Location: Multiple sites across Pierce and South King County with mileage reimbursement for qualified travel between facilities Schedule: Two shifts available Wednesday - Saturday, 7:00 am to 5:00 pm Sunday - Wednesday, 7:00 am to 5:00 pm Pay: $131,362 - $160,487 per year based on relevant experience, skills, and abilities. This role is also eligible for additional annual bonuses based on performance and reviews. Benefits Highlights:

• Generous PTO: Up to 176 hours for new employees + 9 holidays + rollover
• 401(k): 3% automatic employer contribution + 3% match
• Annual pay increases
• Fully employer paid medical and vision benefits for the employee and dependents
• Consistent compensation growth path, profit sharing, paid continuing education reimbursement, and more!
• For more detailed benefits synopsis visit tranow.com/about/careers

About TRA Medical Imaging TRA Medical Imaging is a premier, physician-owned and physician-led radiology practice with a 100+ year history of serving the communities of the South Puget Sound region. Centered in Tacoma, WA, TRA has a geographic presence extending from Seattle to Olympia. TRA takes pride in diversity and inclusion, a philosophy that aligns well with our Pacific Northwest values. We are led by a progressive group of approximately 100 sub-specialized radiologists who take pride in delivering high-quality, patient-centered care while fostering a practice culture intended to feel more like a family than a corporation. Why Choose TRA Medical Imaging TRA is an independent, stable, and diversified practice with a broad clinical and geographic footprint. Our governance structure is transparent, democratic and equitable with an unwavering commitment to physician leadership and autonomy. As part of that promise, TRA welcomes employee participation and collaboration and is committed to providing personalized professional development opportunities. Our commitment to culture is evidenced by our certification as a great workplace by the independent analysts at Great Place to Work and embodied by our mission statement: Trust our family to care for yours. TRA has been the respected provider of excellence in medical imaging in the South Sound since 1918. Join our team as we write the next 100 years of the TRA story. Want to learn more about TRA’s commitment to patients, employees and our community? Visit and explore your future with us today! Job Summary: The Physician Associate will provide high-quality procedural and patient care services under the supervision of a radiologist in both outpatient and inpatient settings. This position includes both weekdays and at least one weekend day and may require reimbursed same-day travel between TRA and Diagnostic Imaging NW sites as well as local hospitals, including but not limited to King, Pierce, and Thurston counties. The Physician Associate will perform image-guided needle procedures (e.g., arthrograms) and barium fluoroscopy exams (e.g., upper GI studies, esophagrams, etc.), as well as assist with related patient management tasks. Will also complete a low volume of pre and post-procedure visits for IR patients. The role requires flexibility, professionalism, and strong procedural competence to support smooth operations across multiple facilities. Essential Job Functions:

• Establishes and maintains strong, productive relationships with patients, families, and colleagues.
• Works collaboratively with a multidisciplinary team member to coordinate patient care.
• Performs comprehensive physical examinations; diagnoses and treats patients; develops and carries out treatment plans under the supervision of a physician.
• Conducts pre-procedure evaluations, obtains informed consents, and provides post-procedure follow-up care as appropriate.
• Performs and assists with fluoroscopic and needle-based procedures, which may include but not limited to arthrograms, upper and lower fluoroscopic GI studies, fluoroscopic urologic studies, biopsies, drain manipulations and exchanges, feeding tube exchanges, and ultrasound-guided procedures. Responsibilities in this area may expand over time based on departmental needs and the provider’s demonstrated skills and competencies.
• Supports radiologists in ensuring safe, efficient, and patient-centered procedural workflows.
• Provides essential tasks to ensure a steady workflow, including consultations, follow-up visits, and coordination of outpatient care.
• Participates in procedural scheduling coordination across multiple sites, maintaining communication with radiologists and support staff.
• Documents and completes procedure-related notes accurately and in compliance with industry, TRA and hospital standards.
• Actively participates in the growth, development, and optimization of the clinic-based practice.
• Expected to work a schedule that includes at least one weekend day coverage and additional weekday shifts, generally totaling four 10-hour days per week. Reimbursed travel between TRA and DINW sites and hospitals may be necessary to support daily coverage, with regular time scheduled in Olympia.
• May assist and support physicians in surgical or interventional procedures within the clinic setting.
• May order and interpret diagnostic tests, including laboratory work, as appropriate.
• Participates in APP and departmental meetings, contributing to continuous quality improvement initiatives.
• Checks work email daily and responds promptly to ensure effective communication and continuity of care.
• Performs other duties as assigned.

Qualifications: Education/Work Experience:

• Master’s or Bachelor’s degree in Physician Assistant studies from an accredited institution
• Current Washington licensure as a Physician Assistant. This position requires a licensure to practice in the state of Washington
• Current BLS & ACLS certification required

Job Knowledge/Skills:

• Experience with radiologic or procedural medicine preferred (e.g., interventional radiology, fluoroscopy, or orthopedics).
• Strong procedural competence and interest in performing needle-based and fluoroscopic studies.
• Excellent interpersonal skills and ability to collaborate with radiologists, technologists, and nursing staff.
• Strong organizational skills and ability to manage a dynamic, multi-site schedule.
• Demonstrated ability to provide compassionate and patient-centered care.

Physical Requirements Work is classified as moderate in physical requirements. Must be able to assist in supporting patients of varying weight. Ability to stand, walk or sit for extended periods of time. Reaching by extending hand(s) or arm(s) in any direction. Also requires manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment as necessary. Mental Requirements Work requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required. Working/Environmental Conditions Work environment consists of normal clinical inpatient and outpatient working conditions. There may be exposure to communicable diseases. There will be limited exposure to ionizing radiation. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.