Senior PACS Implementation Engineer

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 Asia/Oceania in the 2021 Best in KLAS: Global Software (Non-US) report.

Role Overview

The Senior PACS Implementation Engineer leads the build, integration, migration, and technical onboarding of customer environments onto the InSight PACS platform, acting as the technical expert for healthcare system commissioning and interoperability across NHS trusts, private healthcare providers, and third-party suppliers. The role is primarily hands-on and technical, with the successful candidate also coordinating the implementation team's day-to-day technical delivery and providing mentoring to less experienced engineers. Team leadership is a meaningful part of the role but remains secondary to its core focus on technical delivery.

Key Responsibilities

• Own end-to-end technical delivery of PACS build, integration, and migration projects, acting as the subject matter expert for DICOM, HL7, and healthcare interoperability standards across customer and partner environments.
• Design and troubleshoot integrations between PACS, RIS, EPR, VNA, and third-party clinical systems, translating customer workflows into effective, operationally sound technical solutions.
• Plan and execute imaging data migrations, including querying and troubleshooting the underlying databases, to ensure data quality and minimal disruption to clinical services.
• Lead day-to-day coordination of the implementation team's workload across build, integration, and migration activities, providing direct technical leadership, mentoring, and escalation support to engineers.
• Partner with Product, Engineering, Operations, and Client Experience teams to improve integration capabilities, maintain technical documentation, and support pre-sales and tender activities.

Required Qualifications and Experience

• 5+ years of experience implementing, integrating, or migrating PACS, RIS, VNA, or other healthcare imaging solutions.
• Strong working knowledge of DICOM services (C-Store, C-Find, C-Move, Modality Worklist) and practical experience with HL7 messaging in healthcare integration contexts.
• Strong SQL and database skills, including the ability to query, interrogate, and troubleshoot databases underpinning PACS and integration platforms.
• Direct experience with PACS build, configuration, and system commissioning within a regulated healthcare environment.
• Demonstrated experience leading, coordinating, or mentoring engineers within a technical delivery team.

Preferred Qualifications & Special Requirements

• Experience working with NHS organisations, including familiarity with NHS procurement processes and digital/information governance requirements.
• Knowledge of cloud-hosted healthcare applications and services.
• Experience with imaging archive consolidation or VNA migration programmes.
• Exposure to contributing to architectural standards or reference architectures (on-premises, hybrid, or cloud-based).
• Relevant project delivery, implementation, or healthcare IT certifications.

Travel Requirements - minimal, occasional visits to Basingstoke office for training & collaboration days

This job description is not a comprehensive list of tasks or requirements and Intelerad reserves the right to change it at any time.

All your information will be kept confidential according to EEO guidelines.

Applicants may be required to complete an online technical and/or personality assessment as part of your application.

Intelerad is committed to the principles of equal employment. We are committed to complying with all federal, state and local laws providing equal employment opportunities and all other employment laws and regulations. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age , disability and genetic information (including family medical history). Intelerad is dedicated to the fulfillment of this policy regarding all aspects of employment, including but not limited to recruiting, hiring, placement, transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

Intelerad is committed to ensuring equal employment opportunity for qualified individuals with disabilities. Intelerad uses the Americans with Disabilities Act (“ADA”)as a standard for global recruiting and hiring purposes. This prohibits discrimination against qualified individuals with disabilities. The ADA defines “disability” as a physical or mental impairment that substantially limits one or more of the major life activities of an individual, a record of such impairment, or being regarded as having such an impairment