Field Imaging Specialist; Acoustic Window Screening; Midwest​/Southwest

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Field Imaging Specialist (Acoustic Window Screening) - Midwest/Southwest

Field Imaging Specialist (Acoustic Window Screening) - Midwest/Southwest
Fully Remote Remote Employee

Full-time

At E  Systems, we're not imagining the future of cardiac care. We're building it. We are the team behind the world's first FDA-approved leadless left ventricular endocardial pacing device for heart failure. It's a breakthrough that's redefining what's possible, and it's just the beginning.

Based in Silicon Valley, we're advancing the WiSE System, a first-of-its-kind device in cardiac rhythm management. Your work here has a direct line to patients whose lives depend on what we build. We hire people who want to solve hard problems and who care about getting it right.

We invest in our people as much as our technology. Expect a collaborative, transparent culture, real career growth in a fast-moving startup, competitive compensation, equity, comprehensive benefits, and generous PTO.

If you want your work to matter, E  is where you belong.

The Field Imaging Specialist (Acoustic Window Screening) is a credentialed sonographer responsible for leading and overseeing acoustic window screening (AWS) in the field to determine patient eligibility and identify the optimal implant site for the WiSE Leadless Endocardial Pacing System. Unlike a purely educational imaging role, this position is hands‑on: the Specialist personally directs acquisition and interprets the AWS in the pre‑procedural setting, documents target implant site measurements, and communicates findings that directly inform case planning and implant strategy.

The role is field based within an assigned U.S. region and partners closely with implanting physicians, hospital sonographers and echo labs, Field Clinical Specialists (FCS), Territory Managers (TM), Training & Education, and Clinical Affairs. In addition to proctoring screens, the Specialist trains and quality‑checks hospital and internal personnel on AWS technique and protocol, supporting a scalable, consistent screening process as case volume grows.

Candidates must reside within the assigned territory, preferably in Dallas, TX or Chicago, IL, and live within one hour of a major commercial airport.

Acoustic Window Screening:
Performance and Interpretation

• Lead acoustic window screens on candidate patients at hospital and clinic sites using linear and cardiac probes, in accordance with the approved AWS protocol and IFU.
• Provide guidance and oversight during the acquisition of acoustic window measurements and required patient information for WiSE System implants, ensuring the information is obtained accurately and in accordance with the approved AWS protocol and IFU. Document the acquired measurements and patient information as required.
• Determine and document viable and optimal windows; identify patients who do not qualify and clearly communicate the rationale.
• Identify and document cardiac abnormalities or anatomical findings that could affect implantation or system function; elevate to the physician and internal stakeholders as appropriate.
• Prepare timely, accurate AWS reports for implanting physicians, FCS, Territory Managers, and internal stakeholders.

• Translate screening findings into actionable pre‑case guidance on target implant site selection and expected approach.
• Participate in pre‑case planning discussions with the implanting physician, FCS, and Territory Manager; re‑scan or confirm window selection on the day of the procedure when required.
• Provide imaging support in prep for cases, including patient positioning guidance and…