System Support Specialist II - PACS / Linux

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.

The Level II System Support Specialist plays a key role in the delivery and support of radiology IT systems across healthcare environments. This position requires advanced knowledge of Picture Archiving and Communication Systems (PACS), Radiology Information Systems (RIS), Electronic Health Records (EHR), and healthcare interoperability standards such as DICOM and HL7. The Level II specialist will handle escalated technical issues, perform proactive system maintenance, and serve as a knowledgeable liaison between IT teams, radiologists, clinical staff, and external vendors to ensure high system availability and performance 

Responsibilities 

• Serve as a second-tier resource for technical support and advanced troubleshooting of PACS, RIS, EHR, and related radiology applications. 
• Monitor system performance and ensure high availability, security, and compliance of radiology IT systems. 
• Collaborate with radiologists, clinicians, and internal IT teams to optimize workflows and improve system utilization. 
• Investigate, diagnose, and resolve escalated user-reported issues with professionalism and efficiency. 
• Coordinate with vendors and third-party support teams for advanced troubleshooting, configuration, and issue resolution. 
• Participate in root cause analysis and implement long-term solutions for recurring issues. 
• Maintain accurate, organized documentation of system configurations, support cases, known issues, and resolutions. 
• Develop and maintain user guides, technical documentation, and training materials. 
• Support and maintain interoperability between systems using DICOM, HL7, and IHE profiles. 
• Participate in an on-call rotation for after-hours support, including weekends, holidays, and overtime as needed. 
• Ensure compliance with HIPAA and other regulatory standards related to healthcare IT. 
• Maintain adherence to quality and regulatory standards, including U.S. FDA regulations and ISO 13485  

Employment Prerequisites

• Bachelor’s degree in Computer Engineering, Information Technology, Healthcare Informatics, or a related field – or equivalent experience.
• Minimum 2 years of experience in healthcare IT support, ideally in a radiology setting.
• Proficiency in supporting PACS, RIS, and EHR systems.
• Strong understanding of DICOM and HL7 protocols and their application in healthcare environments.
• Experience with Windows Server environments (2012–2022+), networking fundamentals, SQL Server and/or Oracle databases.
• Proficiency in troubleshooting both Windows and Linux operating systems.
• Hands-on experience with virtualization platforms (e.g., VMware).
• Familiarity with storage infrastructure and backup solutions used in medical imaging.
• Proficiency with PostgreSQL.
• Excellent analytical, troubleshooting, and communication skills.
• Experience with enterprise ticketing systems (ServiceNow preferred; Salesforce ServiceCloud or Zendesk acceptable).
• Ability to work independently and collaboratively in a fast-paced, high-impact healthcare environment.

Desired Competencies

• Industry certifications (e.g., Microsoft, VMware, Cisco) are a strong plus.
• Red Hat Certified System Administrator (RHCSA) preferred.
• Experience with scripting or automation tools (PowerShell, Bash, Python).
• Knowledge of cloud-based imaging and telemedicine technologies.
• Fluency in multiple languages; French is a strong asset.

This job description may not be inclusive of all assigned duties and the scope of the job may change as necessitated by business demands.

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

All applicants meeting minimum qualifications will be required to complete a 30 minute online assessment as part of your application.

#LI-REMOTE

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