Medical Imaging Workflow Engineer (DICOM/PACS)

Skinner & Associates Executive Search, Inc.; United States; Remote; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health insurance

Dental

Vision

PTO

Retirement plan

Job summary

Skinner & Associates Executive Search, Inc. is seeking an Implementation Engineer to lead customer deployments of an enterprise imaging workflow and data integration platform.

The role is remote, with very little travel, and involves direct collaboration with healthcare IT teams to ensure secure, compliant deployments from setup to production. You will configure DICOM routing, HL7 messaging, and integrate PACS/EMR/RIS systems, while troubleshooting across Windows Server, virtualization, storage,

Qualifications

• Bachelor’s degree in Information Technology or a related field.

Responsibilities

• Lead customer deployments of an enterprise imaging workflow and data integration platform.
• Configure, test, and validate DICOM routing rules and HL7 workflows.
• Collaborate with customer IT teams, radiology systems, and project managers to deliver deployments from setup to go-live.
• Provide Tier 2 support for complex imaging data integrations and troubleshooting.

Job description

Implementation Engineer – Healthcare Imaging & Interoperability

Employment Type: Full-time

Location: Remote

Travel: Very little

Compensation: Competitive

Benefits: Health, dental, vision, paid time off, and retirement plans

About the Opportunity

A healthcare technology company is seeking an Implementation Engineer to lead customer deployments of an enterprise imaging workflow and data integration platform. The company helps healthcare organizations securely manage and exchange medical imaging and clinical data across systems, vendors, and locations.

This customer-facing role combines hands‑on implementation, technical leadership, and advanced troubleshooting. You’ll work closely with customer IT teams, clinical system administrators, project managers, and integration engineers to deliver successful deployments from initial setup through production go‑live.

What You’ll Do

• Lead technical implementation projects, including installation, configuration, testing, validation, and production deployment in on‑premises and cloud environments.


• Review customer infrastructure to ensure configurations align with networking, authentication, security, and compliance requirements.


• Integrate the platform with picture archiving and communication systems (PACS), electronic medical records (EMR), radiology information systems (RIS), and other clinical platforms.


• Configure and validate DICOM routing rules, destination profiles, and workflow logic to distribute imaging studies across customer environments.


• Build DICOM tag management profiles to normalize imaging metadata for downstream systems.


• Implement prior study prefetching workflows and DICOM Modality Worklist services to support radiology operations.


• Collaborate with HL7 engineers and customer interface teams to configure, test, and validate clinical messaging workflows.


• Troubleshoot issues involving Windows Server, virtualization, storage, networking, domain authentication, and system connectivity.


• Support high availability deployments, including load balancing, content switching, and failover configurations.


• Partner with project managers, engineering teams, and customer stakeholders to meet project requirements and timelines.


• Provide Tier 2 support for complex DICOM routing, modality connectivity, HL7 messaging, and integration issues.


• Participate in a rotating after‑hours on‑call schedule to address customer‑impacting incidents and coordinate escalations.

Required Qualifications

• Bachelor’s degree in Information Technology or a related field.


• At least five years of professional experience.


• Strong technical knowledge of Windows Server, LDAP, Active Directory, and domain authentication.


• Fundamental understanding of Microsoft SQL Server and SQL high availability deployments.


• Hands‑on experience with virtualization, storage, networking, load balancers, multiple data center environments, and remote access.


• Knowledge of domain security, user account management, and authentication.


• Proven troubleshooting skills across multiple IT disciplines.


• Experience installing and configuring web‑based solutions on‑premises and in the cloud.


• DICOM experience and an understanding of radiology workflows.

Preferred Qualifications

• PACS administration experience with strong technical expertise.


• Knowledge of HL7 messaging and integration troubleshooting.


• Understanding of SSL certificates and their use in applications.


• Experience with healthcare IT systems, including EMR, RIS, or health information exchange (HIE) platforms.


• Familiarity with AWS, Azure, or comparable cloud platforms.


• Experience with DICOM routing and imaging data management.


• Experience working with radiology departments and PACS administrators.

What Will Help You Succeed

You bring strong technical judgment, a structured approach to troubleshooting, and clear communication with customers and colleagues. You’re comfortable taking ownership of implementation work, adapting to different customer environments, and learning advanced healthcare integration technologies.