Technical Lead
PACS Clinical SpecialistRadiology & Diagnostic Imaging - PACS Consolidation & Migration ProjectPosition OverviewWe 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 ResponsibilitiesServe 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/CTValidate radiology workflows including image acquisition, physician worklists, technologist protocols, and reporting workflows during PACS migrationConfigure and validate DICOM connectivity for all radiology modalities, ensuring proper image send/receive, query/retrieve, and MPPS (Modality Performed Procedure Step) functionalityEnsure proper DICOM tag mapping, hanging protocols, advanced visualization tools (3D/MPR), and specialty applications (CAD, mammo workstations) are properly configuredWork with radiologists, radiology technologists, and referring physicians to validate image quality, diagnostic tools, and clinical workflow efficiency post-migrationSupport specialty radiology areas including interventional radiology, breast imaging, neuroradiology, and musculoskeletal imagingSupport multi-site PACS consolidation efforts across enterprise healthcare facilities throughout Texas and surrounding statesConduct pre-migration assessments of existing radiology PACS/RIS environments, documenting current state workflows, integration points, modality inventory, and technical dependenciesDevelop and execute comprehensive test plans for radiology migration, including all modality types, exam protocols, and clinical use casesCoordinate with modality vendors (GE, Philips, Siemens, Canon, Hologic, etc.) to ensure DICOM conformance and connectivity to new PACS platformConfigure and test RIS/PACS integration, including order entry, exam scheduling, technologist worklists, and results distributionTroubleshoot radiology imaging integration issues, DICOM send/receive failures, modality connectivity problems, and workflow disruptionsParticipate in go-live support, providing on-site clinical and technical assistance to radiology departments, imaging centers, and remote facilitiesSupport VNA (Vendor Neutral Archive) integration and historical image migration from legacy PACS systemsDevelop 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 optimizationProvide hypercare support during transition period, addressing clinical questions, workflow optimization, and efficiency improvementsCreate quick reference guides, video tutorials, job aids, and troubleshooting documentation specific to radiology imaging workflowsTrain super-users and PACS administrators on system configuration, user management, and ongoing support proceduresCollaborate with project management, radiology leadership, IT teams, biomedical engineering, and vendor partners to ensure successful migration outcomesParticipate in regular project status meetings, providing updates on radiology readiness, technical issues, risks, and mitigation strategiesServe as primary liaison between radiology departments and technical implementation teamsDocument lessons learned, best practices, configuration standards, and operational procedures for radiology PACS implementationsSupport change management activities including communication campaigns, stakeholder engagement, and user adoption trackingRequired Qualifications10+ years of hands-on experience with radiology PACS, RIS (Radiology Information Systems), or diagnostic imaging systemsComprehensive knowledge of radiology imaging modalities: CT, MRI, X-Ray, Fluoroscopy, Mammography, Ultrasound, Nuclear Medicine, PET/CTStrong understanding of DICOM standards, HL7 interfaces, IHE profiles, and radiology-specific DICOM tagsExperience 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 environmentsUnderstanding of radiology workflows including order entry, exam scheduling, technologist protocols, image interpretation, and reportingClinical 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 credentialsPACS Administrator certification (CIIP, PARCA) or equivalent IT healthcare experience strongly preferredBachelor'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 areaAbility to travel 30-40% of the time, primarily within Texas and occasional travel to facilities in other states (Indianapolis and Illinois) as neededValid driver's license and reliable transportationFlexibility for occasional weekend or after-hours work during critical migration go-live events and scheduled maintenance windowsPreferred QualificationsExperience with enterprise PACS platforms and multi-vendor environmentsKnowledge of VNA (Vendor Neutral Archive) architectures, image migration tools, and DICOM data normalizationFamiliarity 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 imagingExperience with Epic Radiant, Cerner, or other EMR/EHR integration with radiology systemsUnderstanding 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, PDQProject management experience or PMP certificationExperience with change management, clinical adoption strategies, and training program developmentScripting or automation skills (Python, PowerShell, SQL, DICOM scripting) for PACS administration and data migration tasksKnowledge of radiology quality improvement methodologies (Lean, Six Sigma, value stream mapping)Understanding of AI/ML applications in radiology and integration with PACS workflowsKey CompetenciesStrong analytical and troubleshooting skills with ability to diagnose complex technical, clinical workflow, and integration issuesExcellent communication skills with ability to translate technical concepts to clinical audiences and clinical requirements to technical teamsDetail-oriented with strong documentation, configuration management, and organizational skillsAbility to work independently and manage multiple concurrent priorities in fast-paced, multi-site project environmentCustomer service mindset with focus on clinical user satisfaction, workflow efficiency, and operational excellenceTeam player with collaborative approach to problem-solving and cross-functional coordinationAdaptable and comfortable with ambiguity in evolving project environments and changing prioritiesStrong commitment to patient safety, diagnostic quality, and clinical excellence throughout all technical implementationsProactive problem-solver with ability to anticipate issues and develop mitigation strategiesResults-driven with focus on meeting project milestones, deliverables, and quality standards