Lead PACS Administrator / Imaging Informaticist / Enterprise Imaging Architect - Full time

MLK Community Healthcare; Los Angeles (CA); On-site; USD 116,000 - 170,000; Full time

Job summary

MLK Community Healthcare seeks a Lead PACS Administrator / Imaging Informaticist to serve as the senior technical authority for the enterprise imaging environment. You will design architecture, arbitrate complex decisions, and own the end-to-end plan for Visage PACS and VNA migration while coordinating with the contracted radiology group and internal teams.

This working leadership role emphasizes hands-on architecture, problem-solving, and lifting the technical bar across the imaging informatics

Responsibilities

• Serve as the senior technical authority for enterprise imaging, setting architecture standards and criteria across Visage, Fuji Synapse, and related platforms.
• Lead enterprise imaging technical solutions across inpatient and outpatient radiology, cardiology, interventional radiology, and related workflows.
• Own and lead the end-to-end technical plan for Visage 7 PACS and VNA migration, including validation, cutover, rollback, and stabilization.
• Provide technical direction and mentorship to PACS architects, analysts, and administrators; grow team capability and reduce single points of failure.
• Serve as the primary technical liaison to the contracted radiology group’s IT team for study routing, worklist orchestration, and demarcation between environments.

Job description

Position Summary

The Lead PACS Administrator / Imaging Informaticist / Enterprise Imaging Architect (the "Lead") is the senior technical authority for the health system's enterprise imaging environment and the technical leader of the imaging informatics staff. Beyond the design and hands-on scope of a senior architect, the Lead sets architecture standards, arbitrates the hardest technical decisions, owns the end-to-end technical plan for the Visage PACS and VNA migration, and serves as the standing technical liaison to the contracted radiology group and to the network, desktop/endpoint, and application teams. The Lead provides technical direction and mentorship to architects, analysts, and PACS administrators, and is the deepest technical escalation point below the Director. This is a working leadership role: most of the Lead's time is hands-on architecture and problem-solving, with the added responsibility of raising the whole team's technical bar and making cross-entity coordination actually function.

Pay Rate Type

Biweekly
Salary Range (Depending on Experience)
$116,241.26 - $170,173.95

Position Summary

The Lead PACS Administrator / Imaging Informaticist / Enterprise Imaging Architect (the "Lead") is the senior technical authority for the health system's enterprise imaging environment and the technical leader of the imaging informatics staff. Beyond the design and hands-on scope of a senior architect, the Lead sets architecture standards, arbitrates the hardest technical decisions, owns the end-to-end technical plan for the Visage PACS and VNA migration, and serves as the standing technical liaison to the contracted radiology group and to the network, desktop/endpoint, and application teams. The Lead provides technical direction and mentorship to architects, analysts, and PACS administrators, and is the deepest technical escalation point below the Director. This is a working leadership role: most of the Lead's time is hands-on architecture and problem-solving, with the added responsibility of raising the whole team's technical bar and making cross-entity coordination actually function.

TECHNICAL ENVIRONMENT OF ROLE

EHR: Oracle Health (Cerner) Millennium. Radiology: migrating from the incumbent PACS to Visage 7 for PACS, enterprise viewing, and VNA. Cardiology: Fujifilm Synapse for cardiovascular PACS and VNA. Service lines supported include inpatient and outpatient radiology, cardiology, interventional radiology (IR), and a cardiac cath lab, across the hospital and the medical office building (MOB). Study volume is high, driven by a busy emergency department and the imaging needs of underserved communities, so imaging systems are effectively always in use and downtime tolerance is low. Reading workflow adds real complexity. Diagnostic radiology is provided by a contracted radiology group from another health system. That partner operates its own network segment, its own reading workstations, and its own instance of the reading and worklist tools (Visage and Medicalis) inside our facilities. Study routing, worklist orchestration, and report return therefore cross an organizational boundary this role does not fully control. When the partner changes its desktop image, its Visage instance, or its Medicalis configuration, the effect can surface as a problem on our side, and resolution requires coordinated troubleshooting across two organizations and across our own network, desktop, and application teams. Supporting the Visage radiology migration through cutover and stabilization is a near-term priority.

CROSS-TEAM AND CROSS-ENTITY COLLABORATION

Because the imaging environment spans two organizations and several internal teams, the Lead is accountable for making cross-entity, cross-team coordination work in practice. The Lead owns the documented demarcation between our systems and the partner's, runs structured incident command when imaging is affected, and is the person other teams and the partner call first. The Lead sets the standards, runbooks, and change-review practices that keep a change on one side from silently breaking the other and builds the durable relationships across the contracted radiology group and the network, desktop, and applications teams that let fixes happen fast when no single team owns the whole problem. This leadership of collaboration, more than any single technology, is the defining feature of the role and is weighted heavily in selection.

Essential Duties And Responsibilities

• Serve as the senior technical authority for enterprise imaging, setting architecture standards, design patterns, configuration baselines, and technical decision criteria across Visage, Fuji Synapse, and related imaging platforms.
• Lead enterprise imaging technical solutions across inpatient and outpatient radiology, cardiology, nuclear medicine, interventional radiology, visible light imaging where applicable, and the cardiac cath lab, including procedural, hemodynamic, archive, image exchange, image sharing, and long-term retention workflows.
• Own and lead the end-to-end technical plan for the Visage 7 PACS and VNA migration, including migration validation, interface design, cutover and rollback strategy, technical work coordination, and post-go-live stabilization.
• Provide technical direction, design review, and mentorship to PACS architects, imaging informatics analysts, and PACS administrators; grow team capability and reduce single points of failure.
• Serve as the primary technical liaison to the contracted radiology group’s IT team for study routing, worklist orchestration, report return, and clear operational demarcation between environments.
• Lead cross-team and cross-organization incident command when imaging is affected, coordinating network, desktop/endpoint, application, vendor, and partner teams through root cause analysis, corrective action, and follow-through.
• Own imaging integration architecture with Cerner Millennium and related systems, including HL7 v2, DICOM, DICOMweb, IHE profiles, modality worklist, RIS/worklist tools, VNA, image exchange platforms, third-party viewers, cloud or hybrid imaging platforms