PACS Administrator

The PACS Administrator is responsible for the administration, maintenance, optimization, and support of the organization's Picture Archiving and Communication System (PACS) and related imaging technologies. This role serves as a critical liaison between clients, operations teams, and IT personnel to ensure the reliable delivery, storage, routing, and accessibility of medical imaging across a high-volume teleradiology environment.

The ideal candidate will possess strong experience with PACS administration, HL7 and DICOM integrations, healthcare integration engines such as Mirth Connect or similar platforms, and networking technologies that support healthcare imaging workflows. This position requires excellent troubleshooting skills, a customer-focused mindset, and the ability to support a 24/7 operation.

• Administer, maintain, and optimize PACS and associated imaging infrastructure.
• Monitor system performance, availability, storage utilization, and data integrity.
• Manage user accounts, permissions, security groups, and access controls.
• Coordinate software upgrades, patches, and system maintenance activities.
• Perform system testing and validation following upgrades and configuration changes.
• Develop and maintain PACS documentation, workflows, and support procedures.

• Administer and support healthcare integration engines, such as Mirth Connect or similar platforms.
• Build, maintain, and troubleshoot HL7 interfaces between client systems, RIS, EMR/EHR platforms, and PACS.
• Support DICOM connectivity, routing, modality worklists, and image exchange workflows.
• Investigate and resolve integration failures, message errors, and workflow interruptions.
• Collaborate with clients and vendors during interface implementations and upgrades.

• Troubleshoot network connectivity issues impacting imaging workflows.
• Support secure image transmission and data exchange between healthcare organizations.
• Monitor network performance and identify opportunities for optimization.

• Provide Tier II and Tier III support for imaging-related incidents and service requests.
• Participate in an on-call rotation supporting a 24/7 teleradiology operation.
• Perform root cause analysis and implement corrective actions to prevent recurring issues.
• Assist with client onboarding and technical implementations.
• Maintain compliance with HIPAA, security, and organizational policies.

• Lead or participate in PACS implementation and migration projects.
• Assist with acquisition integrations, new client implementations, and workflow enhancements.
• Evaluate emerging technologies and recommend improvements to imaging infrastructure.
• Collaborate with clients and operations teams to optimize efficiency and system performance.

• Strong analytical and troubleshooting skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Excellent communication and customer service skills.
• Ability to work independently with limited supervision.
• Strong documentation and organizational skills.
• Commitment to system reliability and operational excellence.

• Bachelor's degree in Information Technology, Healthcare Informatics, Computer Science, or a related field preferred.
• An equivalent combination of education and healthcare IT experience may be considered.
• Three to five years of PACS administration experience supporting PACS environments in a hospital, imaging center, or teleradiology setting.
• At least two years of experience supporting healthcare integration engines and troubleshooting HL7 interfaces; experience with Mirth Connect or a similar platform is preferred.
• Experience supporting DICOM imaging…