PACS Support Specialist

At Real Radiology we are on a mission to improve patient outcomes by ensuring our clients and radiologists have the tools, resources, and support they need to succeed. We are a physician-owned teleradiology company that is committed to seamless operations, innovative technology, and exceptional services.

Be part of a team that’s transforming healthcare through meaningful impact. Here, collaboration, passion, and adaptability drive everything we do!

The PACS Support Specialist ensures reliable, secure, and efficient Picture Archiving and Communication System (PACS) operations for radiologists, clients, and internal teams. This role serves as first-line support for imaging workflow issues, safeguards data integrity, and collaborates closely with Endpoint Services and Systems Engineering to keep reading environments stable and performant.

• Monitor PACS health, queues, and storage daily to ensure availability and performance
• Support integrations with RIS/EHR and imaging modalities; administer and troubleshoot HL7 (ORM/ORU) and DICOM routing under the direction of the PACS Administrator
• Provide first‑level PACS troubleshooting for radiologists and technologists; document steps and outcomes; elevate complex cases to the PACS Administrator and vendors
• Ensure secure, accurate storage/retrieval and transfer of imaging data; perform routine data integrity and retention audits and remediate discrepancies
• Collaborate with Endpoint Services to resolve workstation, network, and access issues impacting PACS usage; coordinate multi‑team responses when required
• Maintain and expand SOPs, runbooks, and user guidance in the knowledge base (Confluence) to drive first‑contact resolution and reduce MTTR
• Assist with PACS user training (best practices, image workflow, viewer features); provide cross‑training to IT Service Desk on PACS basics
• Contribute feedback on system performance and enhancement opportunities; participate in vendor coordination to meet SLAs
• Uphold HIPAA, security, and privacy policies; enforce least‑privilege access and secure handling of PHI across all activities
• This role participates in the organization’s 24x7x365 on‑call rotation

• Experience supporting PACS platforms (e.g., One Pacs, Intelerad) with strong troubleshooting discipline and customer service
• Understanding of imaging workflows (CT, MRI, X‑ray), DICOM standards, HL7 messaging, and worklist behavior
• Familiarity with Windows Server, SQL/Postgre
  
  SQL databases, networking concepts (VPNs, firewalls), and certificate management relevant to imaging systems
• Ability to write clear, reusable documentation and to communicate effectively with clinical and non‑technical users
• Certifications such as PACS Fundamentals or vendor credentials; ITIL Foundation a plus

• Associate’s degree in IT/Healthcare IT or equivalent experience
• 5+ years in healthcare IT with exposure to PACS or radiology systems

• Comprehensive benefits package, including retirement and profit sharing
• Paid time off and flexibility to support your personal life