Radiation Therapist Jobs in Texas
Radiation Therapist jobs in Texas are among the most active in the country, concentrated in hospital-based oncology centers, comprehensive cancer institutes, and outpatient radiation clinics, with openings from entry-level staff therapists through senior and lead positions. Houston, Dallas, and San Antonio drive the largest share of hiring, anchored by major systems like MD Anderson Cancer Center, Baylor Scott and White Health, and Methodist Health System. Stereotactic radiosurgery, proton therapy, and intensity-modulated radiation therapy are the specializations Texas employers request most consistently. Find a role that fits below and apply directly.
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When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
The Radiation Therapist, under the supervision of the Chief Therapist in collaboration with the Manager and Director of Cancer Services, performs according to the policies, philosophy and objectives of the Radiation Oncology Department and the hospital. Works cooperatively with the department and other services to create a system of quality health care.Job Description:
Essential Duties & Responsibilities including but not limited to:
1) Applies principles of basic radiation physics interactions and protection.
2) Delivers accurately the prescribed planned course of radiation therapy treatment.
3) Checks prescription, diagnosis, chart and patient identification.
4) Administers prescribed or advised by a physician, ointments, drops or lotions specific to the Radiation Therapy.
5) Explains procedures to patients and means of communication during treatment.
6) Prepares room and equipment for patient according to patient set up.
7) Maintains and logs daily treatments in the patient’s records paper chart and ARIA.
8) Possesses knowledge of scheduling and billing procedures proficient in ARIA and navigating EPIC.
9) Utilizes QA programs to encompass all aspects of treatment delivery.
10) Understands the function of equipment, accessories and treatment methods including SRS, SBRT, Brachytherapy, Exac Trac, Surface Guided Imaging,
11) IMRT/IGRT and CT Simulator experience required.
12) Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
13) Maintains and provides annual documentation of required CEC credits for licensure.
14) Participates in specialty areas such as, but not limited to, Clinical Instruction of Radiation Therapy Technology Students, EBRT, and Stereotactic Radiosurgery. Participates in Departmental and Therapist Staff meetings and demonstrates ability to represent Therapists and provide technical support when called upon.
15) Attends SBRT, New Patient and SRS Conference.
16) Self manages during equipment failures and facilitates machine down procedures in a professional and safe manner. Documents treatment delivery information and records treatment variances using the appropriate incident reporting tool.
17) Self coordinates daily activities of schedule to ensure quality treatment delivery and maximum utilization of equipment and personnel. Instructs new therapists in the following areas: treatment protocols, quality assurance and improvement policies and practices. Works with Physician and Therapist staff to triage emergent cases and negotiate scheduling of patients.
18) Incorporates Lahey Clinics Guiding Principles, Mission Statement and Goals into daily activities.
19) Complies with all Lahey Clinic Policies
20) Complies with behavioral expectations of the department and Lahey Clinic.
21) Maintains courteous and effective interactions with colleagues and patients.
22) Demonstrates an understanding of the job description, performance expectations, and competency assessment.
23) Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to customer service standards.
24) Participates in departmental and/or interdepartmental quality improvement activities.
25) Participates in and successfully completes Mandatory Education and Annual Competencies.
26) Performs all other duties as needed or directed to meet the needs of the department.
Competencies:
1. Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
2. Problem Solving: Ability to address problems that are highly varied, complex and often nonrecurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
3. Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
4. Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
5. Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
6. Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
7. Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
8. Customer Service: Ability to provide a high level of customer service and staff training to meet customer service standards and expectations for the assigned unit(s). Resolves service issues in the assigned unit(s) in a timely and respectful manner
Minimum Qualifications:
Education: Must be a graduate of an accredited Radiation Therapy Program.
Licensure, Certification, Registration: Must be registered by the ARRT and hold a valid MA License.
Skills, Knowledge & Abilities: In the absence of any of these skills, demonstrates the ability to be thoroughly trained to meet organizational standards.
Experience: Minimum 5 years experience required.
Pay Range:
$50.40 - $67.83The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
See All 44 Radiation Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Radiation Therapist JobsRadiation Therapist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Radiation Therapist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Insurance
What Texas Employers Look For
The qualifications that appear most often in radiation therapist jobs across Texas.
- Active Texas Medical Board radiation therapy licensure or eligible for Texas licensure
- ARRT certification in radiation therapy required by most Texas employers
- Associate or bachelor's degree in radiation therapy from an accredited program
- Clinical experience with linear accelerator operation and treatment planning systems
- Familiarity with ARIA, Mosaiq, or comparable oncology information systems
- Current BLS certification required at time of hire by most Texas facilities
Radiation Therapist Jobs in Texas: Frequently Asked Questions
How do you become a radiation therapist in Texas?
You must earn a license from the Texas Medical Board's Medical Radiologic Technology program, which requires completing an accredited radiation therapy program and passing the American Registry of Radiologic Technologists exam. Texas accredited programs are offered at institutions including Tarrant County College and UT MD Anderson. After passing the ARRT exam, you apply to the Texas Medical Board for your Radiologic Technologist certification before practicing independently.
How much do radiation therapists make in Texas?
Radiation therapists in Texas earn a median of about $105,770 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $88,840 for the lowest 10% to over $134,320 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire radiation therapists in Texas?
Employers hiring radiation therapists in Texas right now include Texas Oncology, SkinCure Oncology, and Urology Austin, based on current listings on Migrate Mate as of October 2026. Texas's high concentration of freestanding cancer centers and large academic medical systems means hiring is relatively consistent throughout the year compared with most states.
Which Texas cities have the most radiation therapist jobs?
Houston, Dallas, and West have the most radiation therapist openings in Texas. Houston leads because of the Texas Medical Center's density of cancer treatment facilities, including MD Anderson, while Dallas and San Antonio reflect the large hospital networks and regional cancer programs those metros support across their suburban service areas.
Are there remote radiation therapist jobs in Texas?
Yes, but they're rare. Radiation therapy requires hands-on patient positioning and machine operation, so the role is inherently on-site. About 0% of radiation therapist openings tied to Texas are remote or hybrid as of October 2026, and those positions are almost exclusively in dosimetry review, quality assurance, or administrative oncology coordination rather than direct patient care.
How can I get hired as a radiation therapist in Texas with little or no experience?
The most realistic entry path is applying directly to new-graduate or residency positions at large Texas cancer centers such as MD Anderson or Baylor Scott and White, which run structured onboarding programs for recent graduates. Candidates who hold a current Texas Medical Board license and ARRT certification stand out immediately. Radiation therapy assistants and dosimetry aide roles at Texas outpatient clinics are also common lateral starting points that build clinical exposure before moving into full therapist positions.
Where can I find and apply to radiation therapist jobs in Texas?
You can find and apply to radiation therapist jobs in Texas on Migrate Mate, which lists current Texas openings across hospital systems, cancer centers, and outpatient clinics. Find the roles that fit your experience and location and apply directly.
See All 44 Radiation Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Radiation Therapist Jobs