Lead Radiation Therapist Jobs

Lead Radiation Therapist jobs are open across hospitals, cancer treatment centers, academic medical centers, and outpatient oncology clinics, at every level from staff therapist to senior lead and department supervisor, with specializations in stereotactic radiosurgery, brachytherapy, and IMRT. Find a role that fits below and apply directly.

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Overview

Open roles820+
Top stateCalifornia
Top employerAmerican Traveler
Top citySanta Cruz, CA
Work type95% On-site
Top industryHealthcare

Showing 5 of 820+ Lead Radiation Therapist jobs

Radiation Therapist
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New 9h ago
Radiation Therapist
MaineGeneral Health
Augusta, Maine
Nursing
Allied Health
Healthcare Administration
Radiology / Imaging
$38 - $67/hr
On-Site
None

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Radiation Therapist
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New 10h ago
Radiation Therapist
TMP - Florida - UNC Health Care - Pereng
Chapel Hill, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$35 - $51/hr
On-Site
ARRT (T) Certification

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Radiation Therapist
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New 16h ago
Radiation Therapist
Trinity Health
Muskegon, Michigan
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
ARRT (T) Certification
10,000+

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Radiation Therapist
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New 19h ago
Radiation Therapist
Ballad Health
Norton, Virginia
Allied Health
Healthcare Administration
Radiology / Imaging
Patient Services & Wellbeing
$36 - $52/hr
On-Site
None

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Lead Radiation Therapist
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New 21h ago
Lead Radiation Therapist
University Hospitals
Avon, Ohio
Clinical Support
Healthcare Administration
Medical Specialists
$43.65 - $68.27/hr
ARRT (T) Certification
10,000+

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Lead Radiation Therapist Job Market

Who's Hiring

  • American Traveler41
  • Sutter Health23
  • CommonSpirit Health17
  • Advocate Aurora Health16
  • Novant Health14

Top Industries Hiring

  • Healthcare & Medical Services165
  • Education7
  • Science & Research6
  • Non-Profit & Social Services3
  • Insurance2

What Employers Look For

The qualifications that appear most often in lead radiation therapist jobs.

  • Active ARRT certification in Radiation Therapy required
  • State licensure in the jurisdiction of employment required
  • Minimum five years of clinical radiation therapy experience preferred
  • Proficiency with at least one major linear accelerator platform such as Varian or Elekta
  • Experience with treatment planning systems including Eclipse or RayStation
  • Demonstrated leadership, staff mentorship, or charge therapist experience

Tips for Your Lead Radiation Therapist Job Search

Highlight your ARRT credentials prominently

Lead radiation therapist postings consistently screen for active ARRT certification and state licensure before anything else. List both in your resume header, not buried in a skills section, so hiring managers confirm eligibility in the first five seconds.

Quantify your quality assurance contributions

Employers promoting someone to a lead role want evidence you've owned QA processes, not just participated in them. Cite specific equipment you've calibrated, protocols you've written, or error-reduction outcomes you've driven in a previous staff or senior therapist role.

Target postings that list specific treatment platforms

Lead roles are often tied to a department's primary linac or treatment planning system, such as TrueBeam, Varian, or Elekta. Filter openings by the platform your hands-on experience aligns with so your application answers the unwritten question before the interview.

Apply early to roles that fit

Migrate Mate lists lead radiation therapist openings from across the United States in one place, so you can find roles that match and apply directly to each listing.

Prepare for scenario-based clinical interview questions

Interviews for lead positions routinely test how you'd handle a dosimetry discrepancy mid-treatment or a staffing shortage on a high-volume day. Walk through two or three real situations from your clinical history where you caught an error or coordinated under pressure before you sit down.

Negotiate shift differentials, not just base pay

Lead radiation therapist compensation packages often include on-call and weekend differentials that can significantly change total annual earnings. Before accepting an offer, ask the hiring manager to break out the differential structure so you're comparing full compensation, not just base figures.

Lead Radiation Therapist Jobs: Frequently Asked Questions

Which companies are hiring the most lead radiation therapists?

American Traveler, Sutter Health, and CommonSpirit Health are hiring the most lead radiation therapists right now, with openings concentrated in California, Florida, and North Carolina, based on current listings on Migrate Mate as of November 2026. Academic medical centers and large regional cancer networks tend to post the highest volume of lead-level openings.

How many lead radiation therapist jobs are remote?

About 5% of lead radiation therapist openings are fully remote or hybrid as of November 2026, reflecting the hands-on clinical nature of most lead roles. The sub-areas most likely to offer remote or hybrid arrangements include treatment planning quality review, protocol development, and education and training coordination within larger health systems.

How do you become a lead radiation therapist?

You become a lead radiation therapist by first completing an accredited radiation therapy program, earning your ARRT certification, and obtaining state licensure. From there, you build several years of clinical experience as a staff therapist, develop expertise in a treatment modality such as IMRT or SBRT, take on charge or senior therapist responsibilities, and demonstrate leadership in QA, protocol adherence, or staff training until a lead position opens.

Can you get a lead radiation therapist job with limited experience?

Moving directly into a lead radiation therapist role with limited experience is uncommon because employers expect candidates to supervise staff and own clinical quality processes from day one. The practical path is to build hands-on linac experience as a staff therapist, volunteer for charge shifts, contribute to departmental QA projects, and document mentorship or training contributions before applying to lead postings.

What does the lead radiation therapist interview process look like?

The interview process for a lead radiation therapist typically begins with a phone screen by HR or a clinical recruiter, followed by a panel interview with the radiation oncology medical director, chief therapist, and sometimes a dosimetrist or physicist. Expect scenario-based questions on QA protocols, staff conflict resolution, and emergency treatment situations. Some centers require a brief skills demonstration or a tour of the treatment vault before an offer is extended.

Where can I find and apply to lead radiation therapist jobs?

You can find and apply to lead radiation therapist jobs on Migrate Mate, which lists current openings from across the United States in one place. Find roles that fit your experience, treatment platform background, and preferred location, then apply directly to each listing from the job page.

See All 820+ Lead Radiation Therapist Jobs

Find roles that match your experience and apply in just a few clicks.

Find Lead Radiation Therapist Jobs