Senior PACS Administrator​/Imaging Informaticist​/Enterprise Imaging Architect

Senior PACS Administrator / Imaging Informaticist / Enterprise Imaging Architect - Full time POSITION SUMMARY

The Senior PACS Administrator / Imaging Informaticist / Enterprise Imaging Architect (the "Senior Architect") owns the design, integrity, and evolution of the health system's enterprise imaging environment. This is a senior individual contributor role that combines hands-on system architecture with clinical workflow expertise. The Senior Architect designs and maintains the radiology (Visage) and cardiology (Fuji Synapse) imaging platforms, engineers’ integrations with the Cerner EHR and the modality fleet, and manages the cross-organization data flow that lets the contracted radiology group read our studies through Medicalis.

Near term, the architect is a key contributor to the Visage PACS and VNA migration. This role is the technical authority for imaging systems, and the escalation point above day-to-day PACS administration.

EHR:
Oracle Health (Cerner) Millennium. Radiology: migrating from the incumbent PACS to Visage 7 for PACS, enterprise viewing, and VNA. Cardiology:
Fujifilm Synapse for cardiovascular PACS and VNA. Service lines supported include inpatient and outpatient radiology, cardiology, interventional radiology (IR), and a cardiac cath lab, across the hospital and the medical office building (MOB). Study volume is high, driven by a busy emergency department and the imaging needs of underserved communities, so imaging systems are effectively always in use and downtime tolerance is low.

Reading workflow adds real complexity. Diagnostic radiology is provided by a contracted radiology group from another health system. That partner operates its own network segment, its own reading workstations, and its own instance of the reading and worklist tools (Visage and Medicalis) inside our facilities. Study routing, worklist orchestration, and report return therefore cross an organizational boundary this role does not fully control.

When the partner changes its desktop image, its Visage instance, or its Medicalis configuration, the effect can surface as a problem on our side, and resolution requires coordinated troubleshooting across two organizations and across our own network, desktop, and application teams. Supporting the Visage radiology migration through cutover and stabilization is a near-term priority.

This role does not operate a self-contained system. Because the imaging environment spans two organizations and several internal teams, the architect must be a strong collaborator, not just a strong engineer. Success depends on working smoothly with the contracted radiology group and with our own network, desktop/endpoint, and applications teams to isolate and resolve problems that cross those lines. The architect is expected to lead calm, structured cross-team troubleshooting during incidents, keep clear ownership of the demarcation between our systems and the partner's, and build the working relationships that let a fix happen quickly when no single team owns the whole problem.

This collaboration expectation is central to the role and is weighted accordingly in hiring.

• Administer, maintain, optimize, and support the enterprise imaging architecture across the Visage radiology platform (PACS, enterprise viewer, VNA) and the Fujifilm Synapse cardiovascular platform, including modality configuration, AE titles, routing rules, hanging protocols, worklists, user access, image lifecycle management, system monitoring, image sharing, and disaster recovery for imaging data.
• Support enterprise imaging across inpatient and outpatient radiology, cardiology, nuclear medicine, interventional radiology, visible light imaging where applicable, and the cardiac cath lab, including procedural, hemodynamic, archive, image exchange, image sharing, and long-term retention workflows.
• Support the migration to Visage 7 PACS and VNA through data migration validation, interface build, software upgrade and patch coordination, testing, system validation, cutover planning, rollback criteria, archive consolidation, and post-go-live stabilization.
• Engineer and support integrations between imaging platforms, Cerner Millennium, RIS/worklist tools, modalities, VNA, image exchange platforms, third-party viewers, cloud or hybrid imaging platforms, and AI imaging applications, including DICOM storage SCP/SCU, query/retrieve, modality…