Field Service Engineer – IT & Systems

Vision RT Ltd; Virginia; On-site; USD 80,000 - 100,000; Full time

Job summary

Vision RT Ltd is seeking a proactive Field Service Engineer – IT & Systems to install, maintain, and support Vision RT solutions across the United States. The role requires up to 90% travel, with overnight stays and weekend work as needed.

Base location options include Washington, DC or Virginia, within easy reach of major airports for domestic service calls. You will deliver both remote and on-site support, ensuring systems operate reliably while providing an exceptional customer experience.

Qualifications

• Strong Windows OS knowledge and troubleshooting.
• Customer-facing with remote and on-site support experience.
• Solid networking fundamentals and security awareness.

Responsibilities

• Install, configure, and maintain Vision RT solutions at customer sites.
• Provide remote and on-site technical support; diagnose software/hardware/OS issues.
• Perform preventive maintenance and system upgrades to maximise performance.
• Configure Windows-based devices and troubleshoot network connectivity.
• Document service activity and maintain accurate records.
• Travel within the US to support installations and trainings.

Skills

Windows OS

Networking basics

Troubleshooting

Customer service

Remote support

On-site support

Hardware knowledge

Documentation

Communication

Multitasking

Tools

Remote support tools

SQL databases

RAID storage

Job description

Vision RT is a fast-growing MedTech company transforming radiation therapy for cancer patients by helping make it more accurate, effective, and comfortable. The company is the inventor of, and a market leader in, Surface Guided Radiation Therapy (SGRT). This technology uses advanced 3D cameras to track surface data, providing enhanced guidance across every step of the radiotherapy workflow.

Our systems are used in over 3,000 clinics worldwide, including in 29 of the top 30 Best Hospitals for Cancer (source: US News and World Report 2026 rankings).

The company is recognized as one of Britain’s fastest-growing private tech companies, as featured in the 2025 Sunday Times 100 Tech list. Vision RT is also a recipient of the 2026 King’s Award for Enterprise, our fifth in 10 years. It is the UK’s most prestigious accolade for business excellence.

Company video (Available on application page).

With around 400+ employees globally and offices in the UK, Poland, and the USA, Vision RT operates independently as part of the Danish company William Demant Invest A/S, one of the world’s largest investors in healthcare companies. Employees benefit from the security and reach of being part of a large global enterprise, combined with the agility and innovation of a startup.

Vision RT is a company with strong values, a clear mission, and a bright future. It is an exciting and rewarding organization in which to work.

Field Service Engineer – IT & Systems

This position requires extensive travel throughout the US, with travel expected to be up to 90% of working time. Scheduled non-travel periods will be incorporated to support administrative responsibilities, training, professional development, and other business needs. Candidates should be comfortable with frequent overnight travel and occasional weekend travel as required.

About The Role

We have an exciting opportunity for a proactive and customer-focused Field Service Engineer to join our team.

As a Field Service Engineer, you will be responsible for installing, maintaining, and supporting Vision RT solutions across the US. You will provide both remote and on-site technical support to customers, ensuring systems are operating effectively and delivering an exceptional customer experience.

This role requires extensive travel throughout the assigned territory, with occasional support for other regions as required to provide business continuity and customer coverage.

Base location

• Washington, DC or Virginia (within an hour of a major airport with strong domestic connections across the US)

Regions covered

All US

Key Responsibilities

• Install, configure, commission, support, and maintain the Vision RT product portfolio at customer sites.
• Conduct site surveys to assess installation requirements and ensure readiness for system deployment.
• Deliver remote and on-site technical support, diagnosing and resolving software, hardware, operating system, and connectivity issues.
• Perform preventative maintenance, system upgrades, software updates, and product enhancements to maximise system performance and reliability.
• Configure and troubleshoot Microsoft Windows-based systems and associated devices.
• Troubleshoot network connectivity and communication issues, working closely with customer IT teams to resolve technical challenges.
• Maintain accurate service documentation, installation records, maintenance reports, and customer activity logs.
• Build strong relationships with customers by providing a professional, responsive, and customer-focused service experience.
• Travel throughout the assigned region to support installations, maintenance activities, training, and customer requests, with occasional travel to other regions as required.
• Perform physical installation activities including mounting wall monitors, routing communication cables over distances of up to 50 metres, and installing equipment in accordance with safety and quality standards.
• Work safely on ladders and alongside third-party contractors in active construction, hospital, and clinical environments while adhering to PPE and site safety requirements.
• Participate in work activities outside normal business hours, including evenings and occasional weekends, where required.
• Travel to customer sites at short notice when business or customer needs demand.

Essential Skills & Experience

• Strong working knowledge of Microsoft Windows operating systems, including Windows configuration and system settings, Device Manager and hardware management, disk and storage management, BIOS and firmware configuration, Windows services, security settings, Event Viewer, and system troubleshooting tools.
• Experience diagnosing and resolving software, operating system, and hardware issues within a customer-facing environment.
• Good understanding of networking fundamentals, including IP addressing, network configuration, VLANs, DNS, DHCP, firewalls, network security principles, common network protocols and ports, and Windows networking tools and command-line troubleshooting utilities.
• Experience troubleshooting network connectivity issues using tools such as ping, tracert, ipconfig, and remote support applications.Understanding of cybersecurity best practices, endpoint protection, system hardening, and customer IT security requirements.
• Solid PC hardware knowledge, including component identification and replacement, peripheral device configuration and troubleshooting, and hardware connectivity and performance considerations.
• Experience delivering remote and on-site technical support.
• Strong problem-solving and fault-finding skills with a methodical and analytical approach.
• Excellent communication and interpersonal skills with a strong customer-service focus.
• Ability to work independently and effectively manage priorities across multiple customer locations.
• Ability to interpret technical documentation and follow established installation, maintenance, and service procedures.
• Proactive, results-oriented, and committed to delivering a high level of customer satisfaction.

Desirable Skills & Experience

Experience supporting Microsoft Windows Server environments.

Basic understanding of SQL databases and database connectivity.

Familiarity with RAID technologies and storage systems.

Experience working within healthcare technology, medical devices, radiotherapy, medical imaging, or other regulated technical environments.

Relevant technical certifications such as CompTIA A+, Microsoft certifications, or equivalent industry-recognised qualifications.

$80,000 - $100,000 a year

The base pay range for this position is expected to be between $80,000 to $100,000 per year with opportunities for overtime and travel pay. While the salary range is effective as of the date of this posting, fluctuations in the job market may necessitate adjustments to pay ranges. Further, final pay determinations will depend on various factors, including but not limited to experience level, knowledge, skills, abilities and geographic location. The total compensation package for this position may also include other elements, such as bonus or discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits and parental leave), dependent on the position offered. Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

Vision RT is an Equal Opportunity / Aff… all qualified applicants will receive consideration for employment and development without regard to race, colour, religion, sexual orientation, gender, national origin, disability, or protected veteran status.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.