Lead System Engineer

Enterprise Imaging Platform Engineer *PACS / VNA | Database Engineering | QA & Test Automation | US Healthcare

**Experience Required: 8 to 12+ years
**Domain: US Healthcare - Enterprise Imaging (Radiology/Cardiology) Application Development & Managed Services Role Summary We are seeking a senior Enterprise Imaging Platform Engineer who brings together deep PACS/VNA application expertise, hands-on database and platform engineering, and end-to-end QA/test automation capabilities within a single role. Sitting at the intersection of application SME, data platform owner, and quality gatekeeper, this individual ensures that every enhancement, migration, upgrade, and deployment across the Enterprise Imaging AD managed services program is expertly configured, technically sound, and validated to production quality before and after release. Key Responsibilities

• Serve as the primary application and product expert for PACS, VNA, and Enterprise Imaging platforms owning configuration, administration, version upgrade planning, coexistence strategies, and migration execution (PACS-to-PACS and PACS-to-VNA).
• Provide imaging deployment engineering for new facility rollouts including modality connectivity, DICOM configuration, DMWL/MPPS, routing rules, compression, and archive setup.
• Define and evaluate technical approach options, dependencies, and risk considerations for application enhancements and bespoke solutions; support OEM/vendor coordination including patch reviews, defect investigation, compatibility testing, and roadmap alignment.
• Design and build ETL and data movement jobs for reporting, archival, and system-to-system data flows; lead database optimization projects and support data migration planning and execution, including imaging archive migrations and coexistence scenarios.
• Provide platform engineering support covering server/OS configuration, storage planning, certificate management, application services, and full environment readiness for deployment windows.
• Develop and maintain monitoring and observability solutions health checks, alerting, and dashboards across application platforms, databases, and imaging infrastructure.
• Own the test strategy and test planning for all AD work items; configure and maintain test environments and ensure test data readiness.
• Execute unit, integration, end-to-end, and regression testing for application enhancements, new interfaces (HL7/FHIR/DICOM/API), vendor patches, and version upgrades.
• Build and maintain test automation frameworks (Selenium, Playwright, or similar) to accelerate regression cycles, upgrade verification, and deployment validation.
• Perform performance testing (load, stress, scalability) for application and integration changes; support clinical workflow validation and UAT with clinical stakeholders.
• Support post-deployment validation and hypercare verification; produce test sign-off documentation and track quality metrics (defects, rework, coverage KPIs).
• Guide security and compliance enhancements at both the application and database/platform layers (audit trails, access controls, encryption); write data-fix scripts and support root-cause analysis.
• Produce architecture, design, configuration, as-built, and runbook documentation; lead knowledge transfer to operations and support teams. Required Qualifications
  • 8 to 12+ years in healthcare imaging IT with expert-level PACS/VNA administration and configuration experience across major platforms (e.g., Change Healthcare/Optum, GE, Philips, Fuji, Sectra, Agfa, Merge).
  • Deep DICOM expertise (associations, SOP classes, DMWL, routing, compression) and strong working knowledge of HL7 imaging message flows.
  • Hands-on experience with imaging migrations, multi-version upgrades, and multi-site deployments in US health systems.
  • 6 to 8+ years in database engineering and administration (SQL Server and/or Oracle) including performance tuning at scale, ETL development (SSIS or equivalent), and complex stored procedures.
  • Production-level platform engineering experience on Windows Server environments (IIS, application services, certificate management).
  • 4 to 6+ years in software QA with hands-on test automation experience (Selenium, Playwright, or similar) and a track record of building sustainable regression frameworks.
  • Solid SQL skills for backend data validation; familiarity with defect management tools and agile/ITIL delivery practices.
  • Experience operating in managed services or hypercare support models with SLA accountability. Preferred Qualifications

    • CIIP certification; exposure to cloud-hosted imaging (Azure/AWS), AI-enabled imaging workflows, and EHR image enablement.

    • Cardiology imaging (CVIS) experience in addition to Radiology PACS.

    • Scripting skills (PowerShell, Python) for platform automation and data tasks.

    • Performance testing tool experience (JMeter, LoadRunner) and CI/CD pipeline test integration.

    • HIPAA-compliant data handling experience and familiarity with US healthcare compliance frameworks.

      Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.*****