Senior System Support Specialist II (Medical Imaging - PACS / RIS)

At Intelerad, we believe the path to answers in healthcare should be clear-whether you are waiting for a diagnosis or trying to expedite one. Our medical imaging solutions streamline the flow of information, simplifying complex processes, maximizing efficiencies, and shining a light on the unknown. We empower physicians to get patients the answers they need faster and improve outcomes for everyone. With more accessible imaging, we are getting patients out of the dark.  

Headquartered in Raleigh, NC and Montreal, Intelerad has nearly 800 employees located in offices across four countries. The company empowers nearly 2,000 healthcare organizations around the world with the speed, scalability, and simplicity needed to increase business performance while, most importantly, improving patient outcomes. Intelerad’s modern enterprise solutions have been acknowledged by a Best in KLAS recognition, ranking #1 for PACS Europe UK/Ireland in the  2026 Best in KLAS: Global Software (Non-US) report .

The Senior System Support Specialist II is a key contributor within our Healthcare IT team, specializing in supporting Radiology Information Systems (RIS), Picture Archiving and Communication Systems (PACS), Vendor Neutral Archives (VNA), and other imaging solutions. This role focuses on providing technical support, resolving moderately complex issues, and maintaining the stability and performance of radiology IT environments. The ideal candidate brings solid technical expertise and strong collaboration skills to support hospitals, imaging centers, and clinics while ensuring compliance with healthcare regulations and data privacy standards.

Key Responsibilities

Deliver escalated technical support across PACS, RIS, VNA, and related imaging systems, resolving complex Level II issues involving DICOM, HL7, and IHE standards with a focus on timely, customer-centered communication.

Drive system reliability and performance by supporting upgrades, patches, and configurations in coordination with engineering and IT teams, and contributing to disaster recovery planning, backup testing, and proactive system health monitoring.

Ensure regulatory and documentation compliance by maintaining accurate records of support cases, changes, and solutions in alignment with HIPAA, FDA medical device regulations, and ISO 13485 standards, and by developing and updating technical documentation and user guides.

Collaborate cross-functionally with radiologists, technologists, and IT professionals to identify system issues, optimize clinical workflows, and resolve complex or cross-functional support challenges using internal knowledge bases and shared expertise.

Provide continuous coverage and on-call support as part of the team's rotation, including after-hours, weekend, and holiday availability, ensuring uninterrupted service delivery and operational resilience for clients.

Qualifications & Experience

Bachelor’s degree in Computer Engineering, Healthcare Informatics, or a related field—or equivalent work experience.

3+ years of hands-on experience supporting Healthcare IT systems, preferably in radiology environments.

Solid experience with PACS, RIS, and VNA platforms.

Working knowledge of interoperability protocols (DICOM, HL7, IHE).

Familiarity with imaging workflows and the clinical use of radiology IT solutions.

Proficiency with Windows Server environments (2012+), networking principles, and database systems (SQL Server, Oracle, PostgreSQL).  

Hands-on experience with VMware environments, storage architecture, and Linux systems.  

Strong communication and interpersonal skills for interacting with clinical and technical stakeholders.

Experience using ticketing systems (ServiceNow preferred).

Understanding of cybersecurity best practices and HIPAA compliance.

Preferred Qualifications & Special Requirements

Relevant industry certifications (Microsoft, VMware, Cisco, etc.).

Red Hat Certified System Administrator (RHCSA) certification. 

Experience with scripting or automation tools (e.g., PowerShell, Bash, Python).