PACS Administrator Jobs
PACS Administrator jobs are open across hospitals, radiology groups, health systems, and imaging centers, from entry-level support roles to senior and lead positions, with specializations in DICOM workflow management, vendor integration, and system administration. Scan the live roles below and apply to whichever ones fit.
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Job Title: PACS System Administrator
Department: RIS/PACS
Location: Hybrid (Onsite & Remote) ,Riedman Campus, 100 Kings Highway, Rochester NY 14617 .
Can work the majority of the time at home but may need to travel to a location to touch equipment.
Hours Per Week: 40
Schedule: Full-Time, Day-Shift, Monday to Friday, (8 am -4:00 pm)
On-Call Requirements- Call is for a fill week
Position Summary:
Oversees and maintains the Picture Archiving Communication System (PACS) assuring accurate documentation and charging of all services offered by the Diagnostic Imaging and Cardiology Departments. Coordinates these services within and outside the Health System to meet and exceed the needs and expectations of our Customers. Coordinates activities related to the PACS with the organization Information Systems Department and the Radiology/Cardiology Departments. Actively supports the mission, goals, and objective of the Health System.
Key Responsibilities:
- Coordinates implementation phases of PACS within the Diagnostic Imaging Department. Identifies and schedules phase with Core Group for dictionary link needs. Gathers and designs dictionaries and report specifications. Identifies deadlines and works to resolve areas of concern which would affect deadlines. Ensures task completion by teams to meet deadlines.
- Tests application at implementation phases, all development phases to follow and enhancements/version updates, parallel test to live. Coordinates application implementation phase, maintenance and update phases with department leaders, section leaders, Information System, and Vendor for PACS.
- Monitors system daily.
- Manages storage media.
- Responsible for user and Network management, quality control and performance monitoring.
- Studies monitoring and patient information management.
- Organizes (and provides) training for end users through the phases of the application (Implementation, Enhancement, New Routines, etc.) including training of new Diagnostic Imagine Associates and Supervisors.
- Trouble-shoots and problem solves.
- Responsible for security, including development and monitoring of policies and procedures.
- Provides proactive technical administration, planning, coordination, documentation, and management reporting for the system.
- Maintains a reporting mechanism to the I.S. Project Manager/ Director, the Diagnostic Imaging Director, Chief of Diagnostic Imaging, DI staff and the core group.
- Ensures coding/billing and standards are met for dictionary and screen building and ease of use utilizing Test/Live dictionaries and input from users.
- Works with Clinical Supervisory staff, IT staff, and clinical engineering staff in preparation of appropriate user guides and help desk situations including preparation of downtime procedures and assures announcements and needs are met at times of downtime.
- Serves as Department Contact with Information Systems and/or Siemens and PACS provider when and where needed.
- Collaborates with Patient Financial Services, Information Systems and Health Information Management to assure accurate billing information and compliance with regulatory agencies. Serves as hub for resolution of all compliance, billing, HIS, and digital imaging issues in Diagnostic Imaging.
- Develops processes to assure availability of previous studies on PACS. Resolves system glitches in a timely manner.
- Actively investigates opportunities offered by PACS upgrades to increase productivity (streamline technical and clerical data entry fields).
- Oversees and renders solutions for PACS related issues.
- Participates in educational programs to increase professional competence and to meet personal and departmental needs, goals. Shares learning with staff.
- Works at maintaining rapport with peers and coworkers. Follows core values of UHS.
Minimum Qualifications:
- Minimum A.A.S. degree preferred or two years of college with emphasis on the biological or information technical sciences and/or radiology technology. Satisfactory completion of two years AMA-approved school of radiographic technology desired.
- Previous experience in a hospital based Diagnostic Imagine Department in a technical or support role that allows for operational efficiencies in the department.
- Previous experience with PACS and/or RIS (radiographic imaging information system) desirable. Experience working in cross-functional team desired.
Required Licensure / Certification Skills:
- None
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67–100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver’s license.For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE:
$67,000.00 - $85,000.00CITY:
POSTAL CODE:
The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.
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Who's Hiring



What Employers Look For
The qualifications that appear most often in PACS administrator jobs.
- Experience administering a clinical PACS platform such as Sectra, Philips IntelliSpace, or Fujifilm Synapse
- Working knowledge of DICOM, HL7 messaging, and medical imaging interoperability standards
- Associate or bachelor's degree in health information technology, radiologic technology, or a related field
- Ability to troubleshoot image routing failures, worklist errors, and system integration issues
- ARRT, CIIP, or vendor-specific PACS certification preferred by most acute care employers
- Experience supporting radiology workflows and coordinating with radiologists, technologists, and IT teams
Tips for Your PACS Administrator Job Search
Tailor your resume to DICOM workflows
Hiring managers scan for hands-on experience with specific PACS vendors and DICOM standards. Name the systems you've administered, the modalities you've supported, and any HL7 or FHIR integration work you've done. Generic IT experience won't stand out here.
Highlight vendor certifications prominently
Certifications from vendors like Sectra, Fujifilm, Philips, or Agfa signal that you can hit the ground running. List them near the top of your resume under a dedicated credentials section so reviewers don't have to hunt for them.
Filter openings by modality and system type
Radiology-focused roles differ significantly from enterprise health system positions. When searching, refine by facility size and whether the posting mentions enterprise imaging, vendor-neutral archives, or multi-site environments to find openings that match your actual experience.
Apply early to roles that fit
Migrate Mate lists pacs administrator 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 technical questions
Interviewers often walk through a system outage or data migration scenario and ask how you'd respond. Practice narrating a real incident you managed, including the steps you took to restore uptime and communicate with radiology staff, before your interview.
Negotiate scope before discussing compensation
Before salary conversations, clarify whether the role covers a single-site archive or a multi-facility enterprise deployment. That scope difference affects your leverage considerably, and asking about it early signals you understand the operational complexity of the position.
PACS Administrator Jobs: Frequently Asked Questions
Which companies are hiring the most pacs administrators?
CommonSpirit Health, St. Luke's Health System, and Rochester Regional Health are hiring the most pacs administrators right now, with openings concentrated in Idaho, Texas, and Alaska, based on current listings on Migrate Mate as of November 2026. Large hospital networks and regional health systems tend to post the most consistently across the year.
How many pacs administrator jobs are remote?
About 33% of pacs administrator openings are fully remote or hybrid as of November 2026, reflecting the hands-on nature of maintaining imaging hardware and on-site server infrastructure. Remote roles do exist most often for enterprise archive management, vendor coordination, and application analyst functions that don't require physical presence in a radiology suite.
How do you become a pacs administrator?
Start with a foundation in radiologic technology, health IT, or clinical informatics through an accredited program. Gain hands-on experience in a radiology department or IT support role that exposes you to imaging workflows. Pursue a vendor-specific PACS certification or the CIIP credential to demonstrate technical competency. From there, apply to junior PACS support or imaging analyst roles to build direct system administration experience.
Can you get a pacs administrator job with little experience?
Yes, entry-level and junior pacs administrator roles exist, particularly at smaller imaging centers or as part of a broader health IT support team. Candidates with ARRT credentials, radiology technologist backgrounds, or clinical IT helpdesk experience have a realistic path in. Demonstrating familiarity with DICOM concepts and completing a vendor training course before applying strengthens an entry-level application considerably.
What does the pacs administrator interview process look like?
Most employers start with a phone screen focused on your system experience and clinical environment background. A technical interview typically follows, covering DICOM troubleshooting, HL7 message flows, and how you'd handle a system outage during active radiology operations. Some employers include a practical scenario or ask you to walk through a past integration or migration project before extending an offer.
Where can I find and apply to pacs administrator jobs?
You can find and apply to pacs administrator jobs on Migrate Mate, which lists current openings from across the United States. Search the listings to find roles that match your system experience, specialization, and location preferences, then apply directly to each one that fits.
See All 7 PACS Administrator Jobs
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