Clinical PACS Administrator (Team Lead)

Frontier Strategies; Oceanside (CA); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Health plan

401k

Tuition reimbursement

Job summary

Frontier Strategies is seeking a Clinical PACS Administrator to oversee a hub-and-spoke PACS environment serving NHCP and outlying clinics in Oceanside, CA. The role ensures 24/7 image availability, upgrade planning, and secure clinical workflows across EHR RIS and VNA integrations.

You will provide onsite/offsite support, develop user guides, and monitor performance. Strong DICOM/HL7 knowledge and IT networking experience are essential for this mission-critical operation.

Qualifications

• 3+ years of PACS administration in a clinical imaging environment.
• Expert knowledge of DICOM and HL7; familiarity with RIS, EHR, VNA integrations.
• Proficiency with Windows Server/desktop environments; working knowledge of Linux; familiarity with SQL.
• Strong networking fundamentals (TCP/IP, VPNs, DNS) and data security practices.
• Ability to perform after-hours on-call support and documentation.

Responsibilities

• Oversee day-to-day PACS operations across hub-and-spoke enterprise, including installs, configurations, backups, and upgrades.
• Plan and execute PACS upgrades/patches with minimal downtime and clinical impact.
• Provide responsive user support and develop guides and training materials.
• Ensure HIPAA compliance and audit trails for imaging data and access.
• Monitor performance, storage utilization, and network bandwidth; generate analytics.
• Coordinate with NHCP leadership and vendors on KPIs, SLAs, and release plans.

Skills

DICOM HL7

RIS/EHR/VNA

Windows Server

Linux

Networking basics

Backup/DR

Documentation

Tools

SQL

SAN/NAS

DICOM routing tools

Job description

Full time | Frontier Strategies | United States

Posted On 07/24/2026

Job Information

Health Care

City Oceanside

State/Province California

92058

Job Description

Clinical PACS Administrator

Position Summary

The Naval Hospital Camp Pendleton Radiology Department operates a mission-critical, hub-and-spoke PACS enterprise that underpins diagnostic imaging, clinical workflows, and patient care across NHCP and multiple outlying clinics. While the hub at Naval Medical Center San Diego (NMCSD) has robust clinical PACS support, NHCP requires dedicated onsite Clinical PACS Administration to ensure reliable, high-quality service across the spoke sites.You will provide comprehensive, PACS-agnostic administration—managing, maintaining, and optimizing the PACS environment to ensure seamless, 24/7 image availability for clinicians across the enterprise.

Key Responsibilities

• System Management (Onsite & Remote) Oversee day-to-day PACS operations across the hub-and-spoke enterprise, including installation, configuration, and maintenance of PACS servers, workstations, archives, databases, and image routing devices. Perform routine health checks, backups, disaster recovery readiness, and documentation. Plan and execute PACS upgrades/patches in coordination with IT and vendors, minimizing downtime and clinical impact—especially during the current agency-wide PACS upgrade. Safeguard system integrity and data security for all PACS-related information.
• Image Workflow Optimization (Onsite & Remote) Ensure accurate, efficient flow of images from acquisition (Ultrasound, Nuclear Medicine, CT, MRI, X-ray, Mammography, Dexa, Fluoroscopy) to storage, retrieval, distribution, and display across NHCP and outlying clinics. Manage data migrations with a high standard for integrity and accessibility, with particular attention to upgrade transitions. Integrate PACS with EHR, RIS, VNA, and other clinical systems across the distributed network. Monitor and administer image routing and transmissions to tele-radiology vendors to ensure timely, reliable reads.
• User Support & Training (Onsite & Remote) Provide responsive tier-1/2/3 support to radiologists, tele-radiology vendors, modality technologists, medical support staff, and providers. Develop and maintain user guides, FAQs, quick reference materials, and orientation curricula. Deliver role-based training sessions and coaching on PACS functionality, workflows, and best practices. Troubleshooting & Issue Resolution (Onsite & Remote). Serve as the primary point of contact for PACS-related technical issues across the enterprise. Diagnose and resolve PACS, interface, modality connectivity, and accessory issues; escalate to internal IT or vendors as needed and track to closure. Perform root-cause analyses for recurring issues and implement preventive measures—especially throughout the upgrade lifecycle.
• Compliance & Security (Onsite & Remote) Ensure strict adherence to HIPAA and applicable federal/DoD privacy and security requirements. Enforce quality standards for image acquisition, storage, transmission, and display. Maintain audit trails, access logs, and compliance documentation for reporting and inspections.
• Performance Monitoring & Optimization (Onsite & Remote) Continuously monitor PACS performance (image load times, storage utilization, network bandwidth, uptime). Identify and remediate bottlenecks proactively; tune performance to sustain clinical throughput—particularly during upgrade cutovers. Produce analytical reports and dashboards on utilization, trends, and performance; recommend process and technology improvements.
• Management & Vendor Liaison Partner with NHCP leadership to define KPIs, reporting cadence, and analytics related to PACS performance, utilization, and upgrade progress. Coordinate with PACS and accessory vendors to report issues, manage SLAs, schedule maintenance, and align on release plans. Work closely with NMCSD on shared initiatives, standards, best practices, and resource alignment.

Requirements

Required Qualifications

• 3+ years of hands-on PACS administration in a clinical imaging environment (multi-site or hub-and-spoke strongly preferred).
• Expert knowledge of DICOM and HL7; strong familiarity with RIS, EHR, VNA integrations, and tele-radiology routing.
• Proficiency with Windows Server/desktop environments; working knowledge of Linux; familiarity with databases (e.g., SQL) and storage technologies (SAN/NAS, lifecycle/archival strategies).
• Solid understanding of networking fundamentals (TCP/IP, VLANs, VPNs, DNS, routing, bandwidth/QoS considerations for imaging).
• Demonstrated experience with backup/restore, high availability, and disaster recovery for imaging systems.
• Strong analytical and documentation skills; ability to produce performance reports and SOPs.
• Operational Hours & Coverage -Onsite: 07:00–16:00, Monday–Friday (excluding federal holidays) at NHCP and, as needed, outlying clinics.
• After-Hours: Provide 24/7 remote support (evenings, weekends, holidays), including on-call availability for critical incidents to ensure uninterrupted patient care.
• Generous Employer Health Plan, 401k and tuition reimbursement.