Departmental Systems Analyst – PACS Administrator

County of San Mateo; California; On-site; USD 110,000 - 150,000; Full time

Job summary

San Mateo County Health – San Mateo Medical Center is seeking a Departmental Systems Analyst – PACS Administrator to lead PACS administration in a hospital setting. The role focuses on managing imaging applications, configuring access controls, and ensuring system reliability for diagnostic workflows.

The ideal candidate will have 3–5 years of experience with PACS/RIS systems, strong knowledge of DICOM/HL7, and the ability to collaborate with radiology, IT, and administrative teams.

Qualifications

• Bachelor's degree in information systems or closely related field.
• 3–5 years of experience supporting PACS or enterprise imaging systems.
• Knowledge of DICOM and HL7 standards and healthcare interfaces.
• Experience in hospital imaging workflows and vendor coordination.
• HIPAA and healthcare data privacy knowledge.
• Ability to work with clinical, IT and administrative teams.
• Strong analytical and problem-solving skills.

Responsibilities

• Administer and support PACS and imaging applications.
• Manage PACS configuration, access, and security.
• Monitor system performance, storage, and interfaces.
• Troubleshoot issues and coordinate vendor and IT resolutions.
• Participate in system upgrades, testing, and change management.
• Maintain documentation and downtime procedures.
• Support DICOM connectivity between modalities, RIS, EMR/EHR.
• Collaborate to optimize imaging workflows.
• Track issues with vendors and ensure timely resolutions.

Skills

PACS administration

DICOM

HL7 interfaces

Vendor coordination

Analytical skills

Communication

Education

Bachelor's degree in information systems

Tools

PACS platforms

IHE profiles

SQL/database querying

Scripting basics

Job description

San Mateo County Health – San Mateo Medical Center is seeking highly qualified candidates for the position of Departmental Systems Analyst – PACS Administrator . The current vacancy is a regular, full-time position.

Primary responsibilities

of the Department System Analyst include:

PACS Administration & System Management

• Administer, maintain, and support the organization’s PACS, enterprise imaging, and associated imaging applications.
• Manage PACS configuration, user access, roles, permissions, and security.
• Monitor PACS performance, storage capacity, system availability, and interfaces.
• Troubleshoot PACS issues and coordinate resolution with vendors, Information Technology, and modality/application teams.
• Perform system upgrades, patches, configuration changes, and testing in accordance with organizational change-management processes.
• Maintain PACS documentation, system configurations, workflows, and downtime procedures.
• Monitor image routing, transmission, storage, and retrieval to ensure timely availability of diagnostic images

DICOM & Interface Management

• Support DICOM connectivity between imaging modalities, PACS, RIS, EMR/EHR, and other clinical systems.
• Troubleshoot DICOM communication, modality worklist, routing, and image transmission issues.
• Work with interface teams and vendors to resolve HL7/DICOM integration issues.
• Validate new modalities, applications, and interfaces before implementation into the production environment.
• Monitor and resolve studies that fail to transmit, route, or reconcile appropriately.

Clinical Imaging Workflow Support

• Collaborate with Radiology, Cardiology, and other clinical departments to optimize imaging workflows.
• Investigate image-quality, workflow, reconciliation, and accessibility issues reported by end users.
• Support radiologists, technologists, sonographers, cardiologists, and other clinical users with PACS-related issues.
• Participate in implementation of new imaging equipment, applications, and enterprise-imaging initiatives.
• Identify opportunities to improve imaging workflow efficiency, turnaround time, and system reliability.

Project & Vendor Management

• Serve as a technical resource for PACS-related projects and implementations.
• Coordinate with vendors, IT, clinical departments, and leadership to resolve system issues.
• Participate in system upgrades, migrations, integrations, and new technology implementations.
• Track vendor tickets and ensure timely escalation and resolution of critical issues.
• Evaluate system performance and recommend improvements based on operational needs.

Ideal Candidate

• 3-5 years of experience supporting PACS, RIS, enterprise imaging, or healthcare imaging systems.
• Demonstrated knowledge of DICOM and HL7 standards and healthcare system interfaces.
• Experience supporting PACS environments in a hospital or healthcare setting.
• Knowledge of radiology and/or cardiology imaging workflows.
• Experience troubleshooting modality connectivity, DICOM transmission, worklists, routing, and image reconciliation.
• Understanding of HIPAA, information security, and healthcare data privacy requirements.
• Demonstrated ability to work collaboratively with clinical, IT, vendor, and administrative teams.
• Strong analytical, troubleshooting, communication, and problem-solving skills.
• Ability to manage multiple priorities and respond appropriately to high-priority clinical system issues.

The Ideal candidate will also possess the following Preferred qualifications:

• ARRT certification or clinical imaging background.
• Certification or formal training in healthcare informatics, PACS administration, or enterprise imaging.
• Experience with major PACS/RIS platforms and enterprise imaging systems.
• Experience with IHE profiles, DICOM networking, HL7 interfaces, and modality integration.
• Experience with SQL/database querying and basic scripting.
• Experience with cloud-based imaging or vendor-neutral archives (VNA).
• Experience with cybersecurity principles related to medical devices and clinical applications.
• Project management experience.
• Experience participating in PACS migrations, implementations, upgrades, or enterprise imaging initiatives.

Examples Of Duties Duties may include, but are not limited to, the following:

• Participate in the modification of existing systems and/or the implementation of new systems by developing, writing and disseminating procedures that utilize new or changed system applications; and by evaluating system deadlines. modifications in response to operational, program and/or regulatory changes.
• Receive requests for assistance related to the use of department and/or program systems and software applications; determine severity of problem and resolve or refer to appropriate personnel or vendor for resolution.
• Participate in a variety of system user and work groups to identify user needs and operational, programmatic and/or regulatory changes affecting application requirements and other related issues.
• Interact with vendors, outside agencies, auditors and other staff regarding requests for data or special reports.
• Provide or arrange for the training of staff on the information systems used by the department and/or program; requests adhoc reports.
• Perform system administration functions including monitoring applications, adding and deleting users, modifying user profiles, re-setting passwords and file maintenance.
• Maintain a variety of departmental and/or program databases, files and records; queries and generates reports on a scheduled and adhoc basis.
• Prepare and track requests to information technology staff, vendors and/or service providers for routine system changes and reports.
• Perform related duties as assigned.

Qualifications Skill/Ability to:

• Provide technical and analytical support to users of department systems and applications.
• Communicate with department personnel to identify and translate information needs into system requirements.
• Communicate departmental information system needs to system providers for the design, development and/or enhancement of system applications.
• Evaluate the effectiveness of newly developed systems and/or applications.
• Develop and present comprehensive training materials.
• Analyze administrative and management problems, evaluate alternatives, reach sound conclusions and effectively implement changes.
• Prepare clear, concise and accurate documentation, instructions, correspondence and other written materials.
• Organize work, set priorities and meet critical deadlines.
• Maintain accurate records and files.
• Communicate effectively, orally and in writing, with both technical and non‑technical personnel.
• Establish and maintain effective working relationships with those contacted in the course of the work.

Education and Experience:

Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

Education:

Equivalent to graduation from a four-year college with major coursework in public administration, business administration, information systems, or closely related field.

Experience:

Three years of responsible experience in a position that would provide knowledge of department-specific programs, processes and/or operations, including at least one year of experience in the planning, implementation, oversight and/or utilization of automated information systems and applications used to support departmental activities.

Physical Requirements:

• Sits for extended periods of time on a consistent and daily basis; stands, walks, and reaches by extending hands and arms in any direction on an occasional to frequent basis.
• Uses finger dexterity to pick, pinch and type; on a consistent and daily basis; and occasionally grasp objects with fingers and palms.
• Communicates verbally by listening and talking on a consistent and daily basis.

Note:

Individuals who do not meet these physical requirements due to disability will be reviewed on a case‑by‑case basis.