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The PACS Support Specialist plays a critical role in supporting the daily operations of the Picture Archiving and Communication System (PACS) to ensure seamless functionality and accessibility for radiologists, clients, and other healthcare professionals. This role focuses on troubleshooting, user support, and basic system maintenance, serving as the first point of contact for PACS-related issues. The PACS Support Specialist works closely with the PACS Administrator to maintain the integrity of the imaging data and to support the overall functionality of the PACS system for all existing and onboarding clients.

This position includes participating in our 24x7x365 on-call rotation out of our Omaha, Nebraska headquarters.

Job Functions

• Monitor the PACS system daily to ensure optimal performance and availability
• Assist with the integration of PACS with other radiology and healthcare systems, including RIS (Radiology Information System) and EHR (Electronic Health Records)
• Support the management of HL7 messages, particularly ORM (Order Entry) and ORU (Observation Result) messages, under the direction of the PACS Administrator
• Provide first-level support for PACS-related issues, including troubleshooting and resolving basic technical problems
• Assist radiologists, technicians, and other medical staff with PACS system
• inquiries and usage
• Escalate complex issues to the PACS Administrator and coordinate with vendors when necessary
• Ensure accurate and secure storage, retrieval, and transfer of imaging data within the PACS system
• Assist with regular data integrity checks and audits as directed by the PACS Administrator
• Support the implementation of security measures, such as data encryption and user access controls, to protect patient information
• Maintain and update documentation for PACS processes, including user manuals, troubleshooting guides, and standard operating procedures
• Assist in training users on the proper use of the PACS system and related imaging technologies
• Contribute to the organization’s knowledge base by documenting solutions and sharing insights with the team
• Work closely with the PACS Administrator and IT staff to address system
• needs and implement enhancements
• Participate in cross-departmental meetings to understand user requirements and provide feedback on system performance
• Coordinate with vendors and service providers to resolve issues and ensure that service-level agreements (SLAs) are met

Preferred Talents

• Experience with PACS systems, including troubleshooting, basic configuration, and user support
• Understanding of radiology workflows and imaging modalities (CT, MRI, X-ray) and how they interact with PACS systems
• Ability to diagnose and resolve basic technical issues efficiently, with a methodical approach to troubleshooting
• Strong verbal and written communication skills, with the ability to assist non-technical users effectively
• Meticulous approach to managing imaging data and performing system audits to ensure accuracy and compliance
• Familiarity with DICOM standards, HL7 protocols, and medical imaging workflows
• Basic knowledge of Windows Server, SQL databases, PostgreSQL databases, and networking concepts as they relate to PACS
• Relevant certifications such as PACS Fundamentals Certification or other industry- recognized credentials
• Hands-on experience with OnePacs or Intelerad

Qualifications

• Associate’s degree in information technology, Healthcare IT, or a related field, or equivalent experience
• 2-4+ years of experience in healthcare IT, with a focus on PACS or radiology systems

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: PACS Support Specialist 

Status: Non-Exempt, Hourly 

Position Type: Full Time, Monday – Friday, 8am -5pm

Work Location: Omaha, NE

Reports to: Director of Information Technology Services

Supervises Direct Reports: No 

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The Senior Support Analyst role encompasses a range of key duties, with a primary focus on end-to-end user management and addressing level 2/3 support tickets. This position is responsible for workstation configuration and repair tasks while delivering crucial technical assistance to radiologists, customers, and staff members. Creative problem-solving will be essential, all while maintaining adherence to established processes.

Additionally, the Senior Support Analyst will serve as an escalation point for Level 1 Operations support staff & Level 2 Service Desk support staff, contributing to a cohesive support framework. This position includes participating in our 24x7x365 on-call rotation, a hybrid work arrangement out of our Omaha, Nebraska headquarters, and hours of Wednesday to Sunday, 2pm to 11pm CST.

Essential Job Functions

• Set up, upgrade, and maintain desktops and laptops efficiently
• Troubleshoot common desktop and laptop issues with expertise
• Resolve problems with specialized medical teleradiology software
• Identify and fix hardware and software problems effectively
• Help remote users using standard tools
• Manage user accounts and endpoints for proper access
• Keep track of inventory thoroughly
• Support daily operations and fix technical issues
• Perform other assigned duties as needed
• Participate in tasks aligned with projects, following directives from the IT leadership team
• Develop and maintain instructional documentation in Confluence, designed for utilization by IT support analysts

Preferred Talents

• Understand, interpret, and follow documents such as safety regulations, operating instructions, and procedure manuals
• Ability to critically think through detailed instructions, both written and oral
• Effectively multitask and seek assistance when necessary
• Familiarity with Entra AD, M365, and AWS experience is a plus
• Extensive familiarity with utilizing a trouble ticket system and documentation software
• Hands-on proficiency in managing RMM and MDM platforms, with a preferred background in Intune
• Experience performing fundamental user maintenance, including access provisioning
• Advanced troubleshooting capabilities across a range of software platforms, including MacOS and Windows, as well as potential hardware challenges
• Clear understanding of network principles and terminology
• Vulnerability management for endpoints via Defender and Purview
• Clinical Expertise in PACS and Imaging Systems: Strong familiarity with PACS, imaging modalities, DICOM, EMR, HL7 integrations, ORM, and ORU standards
• Preferred Software Knowledge: Experience with OnePacs and/or OsiriX is advantageous, but not mandatory
• Dictation Software: proficiency in any dictation software is preferred
• Network Traffic Understanding: basic knowledge of network traffic flow, specifically related to image transfers between source and destination systems

• Qualifications
• Associate’s degree or equivalent from a two-year college or technical school; alternatively, five or more years of relevant experience and/or training; or an equivalent blend of education and experience
• Experience in a Service Desk or Managed Service Provider support environment

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: Senior Support Analyst

Reports To: Endpoint Services Supervisor

Status: Non- exempt, hourly

Position Type: Full-Time

Work Location: Omaha, NE

Supervises Direct Reports: No

Apply

The Senior Support Analyst role encompasses a range of key duties, with a primary focus on end-to-end user management and addressing level 2/3 support tickets. This position is responsible for workstation configuration and repair tasks while delivering crucial technical assistance to radiologists, customers, and staff members. Creative problem-solving will be essential, all while maintaining adherence to established processes.

Additionally, the Senior Support Analyst will serve as an escalation point for Level 1 Operations support staff & Level 2 Service Desk support staff, contributing to a cohesive support framework. This position includes participating in our 24x7x365 on-call rotation, a hybrid work arrangement out of our Omaha, Nebraska headquarters, and hours of Wednesday through Sunday, 10pm – 7am CST.

Essential Job Functions

• Set up, upgrade, and maintain desktops and laptops efficiently
• Troubleshoot common desktop and laptop issues with expertise
• Resolve problems with specialized medical teleradiology software
• Identify and fix hardware and software problems effectively
• Help remote users using standard tools
• Manage user accounts and endpoints for proper access
• Keep track of inventory thoroughly
• Support daily operations and fix technical issues
• Perform other assigned duties as needed
• Participate in tasks aligned with projects, following directives from the IT leadership team
• Develop and maintain instructional documentation in Confluence, designed for utilization by IT support analysts

Preferred Talents

• Understand, interpret, and follow documents such as safety regulations, operating instructions, and procedure manuals
• Ability to critically think through detailed instructions, both written and oral
• Effectively multitask and seek assistance when necessary
• Familiarity with Entra AD, M365, and AWS experience is a plus
• Extensive familiarity with utilizing a trouble ticket system and documentation software
• Hands-on proficiency in managing RMM and MDM platforms, with a preferred background in Intune
• Experience performing fundamental user maintenance, including access provisioning
• Advanced troubleshooting capabilities across a range of software platforms, including MacOS and Windows, as well as potential hardware challenges
• Clear understanding of network principles and terminology
• Vulnerability management for endpoints via Defender and Purview
• Clinical Expertise in PACS and Imaging Systems: Strong familiarity with PACS, imaging modalities, DICOM, EMR, HL7 integrations, ORM, and ORU standards
• Preferred Software Knowledge: Experience with OnePacs and/or OsiriX is advantageous, but not mandatory
• Dictation Software: proficiency in any dictation software is preferred
• Network Traffic Understanding: basic knowledge of network traffic flow, specifically related to image transfers between source and destination systems

Qualifications

• Associate’s degree or equivalent from a two-year college or technical school; alternatively, five or more years of relevant experience and/or training; or an equivalent blend of education and experience
•  Experience in a Service Desk or Managed Service Provider support environment

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: Senior Support Analyst

Reports To: Endpoint Services Supervisor

Status: Non- exempt, hourly

Position Type: Full-Time

Work Location: Omaha, NE

Supervises Direct Reports: No

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The Operations Support Specialist is critical in assisting Radiologists, physicians, nursing staff, and technologists to achieve excellent patient care. This role manages all aspects of the operations department to ensure the timely flow of Radiology studies in a 24/7 support environment. The schedule for this position is Friday to Sunday, 7pm to 7:30am CST.

Job Functions

• Proofreads, amends, and updates reports per a quality assurance process
• Ensure studies are complete and prepared for radiologist interpretation, follow up with the site for missing information, images, and required documentation
• Professional communication with physicians, clients, and Operations team members
• Provide timely communication of critical findings and results reporting and complete the proper documentation in compliance with ACR and Joint Commission guidelines
• Provides Level Two phone support to internal and external customers
• Additional project-based responsibilities

Preferred Talents

• Strong communication skills, both verbal and written
• Excellent active listening skills with interpersonal and rapport-building skills
• Adaptability, flexibility, and comfortable working in fast-paced environments
• Creative, self-motivated, proactive, and confident nature with the ability to work remotely
• High attention to detail
• Ability to interact effectively with internal and external clients
• Possess an in-depth understanding of radiology medical terms, concepts, procedures, and modalities
• Demonstrates a well-organized time management process

Qualifications

• Graduate from an ARRT accredited School of Radiologic Technology (strongly preferred)
• Registered Radiology Technologist certificate (strongly preferred)
• 2-3 years of Customer Support experience preferred

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: Operations Support Specialist 

Status: Non-Exempt, Hourly 

Position type: Full Time, weekends/nights

Work Location: Remote

Reports to: Operations Supervisor

Supervises Direct Reports: No 

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The Operations Lead is critical in assisting Radiologists, physicians, nursing staff, and technologists to achieve excellent patient care. This role manages all aspects of the operations department to ensure the timely flow of Radiology studies in a 24/7 support environment. The Operations Lead supports specialized workflows and the operations team while scheduled. The schedule for this position is Wednesday (3-7pm) and Thursday to Saturday (7am to 7:30pm) CST.

Essential Job Functions

• Manages study workflow, creates assignments for the Operations team, and provides oversight and backup support to all PACS queues
• Proofreads, amends, and updates reports per a quality assurance process
• Facilitate Level One IT support through ticket entry and tracking, with timely resolution of Level One tickets
• Facilitate communication between Real Radiology clients and our IT Department
• Supports the Operations department, clients, and Radiologists 
• Provides helpdesk type phone support to internal and external customers
• Reviews operations department schedule and assigns tasks based on designated shifts and volume demands
• Provides excellent customer service for Radiologists, clients, physicians, and technologists
• Additional project-based responsibilities

Preferred Talents

• Exceptional communication skills, both written and verbal
• Problem-solving and decision-making skills
• Ability to give constructive feedback and criticism to better the department and support the team members’ growth
• High attention to detail
• Strong organizational and time management skills.
• Strong teamwork mentality

Qualifications

• Graduate from an ARRT accredited School of Radiologic Technology (strongly preferred)
• Registered Radiology Technologist certificate (strongly preferred)
• 2-3 years of Customer Support experience preferred

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: Operations Lead

Status: Non-Exempt, Hourly

Position Type: Full time, Remote

Reports to Operations Manager

Supervises Direct Reports No

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The Physician Training & Quality Manager is responsible for developing and delivering comprehensive software training programs for onboarding radiologists, including creating training materials, conducting sessions, and collaborating with the Medical Director and Operations Director to ensure the successful integration of onboarding radiologists. This role is tasked with overseeing and refining quality assurance processes to ensure that all operational activities meet quality standards and regulatory requirements. This role is crucial for enhancing efficiency, minimizing errors, and maximizing customer satisfaction.

Job Functions

• Collaborate with leadership to design, develop, and implement a comprehensive onboarding process and ongoing training program for radiologists
• Stay current with advancements in radiology software and incorporate new techniques and technologies into training materials, incorporating feedback from trainees and other stakeholders
• Ensure training practices and educational materials meet high standards of quality and align with current radiology practices
• Provide training and support to radiologists related to software applications.
• Develop, implement, and maintain internal peer review and quality assurance policies and procedures, aligning with organizational goals and industry standards
• Monitor and evaluate operational processes to ensure compliance with quality standards and regulatory requirements
• Lead the investigation and resolution of quality-related issues and discrepancies
• Utilize data-driven approaches to analyze radiologist performance metrics and recommend improvements
• Maintain accurate and up-to-date quality documentation, including procedures, standards, and compliance records
• Adhere to internal and external regulatory requirements, including industry standards and company policies
• Coordinate and lead internal and external quality audits, preparing necessary documentation and addressing audit findings
• Prepare and present regular quality reports to senior management, highlighting key performance indicators and areas of concern
• Implement feedback mechanisms to capture and address customer input related to quality
• In partnership with the Medical Director, help coordinate exam assessments to be evaluated for proficiency, quality, progress of onboarding radiologists, and follow-up mechanisms

Preferred Talents

• Superior communication and interpersonal skills written and verbally
• Creative, self-motivated, proactive, and confident nature
• Ability to work with diverse groups virtually and in-person
• Exceptional organizational and time management skills
• Exceptional computer skills; Microsoft Office Suite
• High attention to detail and strong teamwork mentality
• Excellent active listening, interpersonal, and rapport building
• Strong knowledge of quality management systems, industry standards, and regulatory requirements
• Excellent analytical, problem-solving, and decision-making skills
• Proven leadership abilities with experience managing and developing procedures.
• Understanding of quality management software and tools

Qualifications

• Bachelor’s Degree preferred; Associate degree required (focus on business administration, business coaching, or quality management is highly desired) or equivalent experience in lieu of degree
• 3 years of experience in quality assurance or operations management, with a proven track record of success
• Previous experience in teaching, training, or mentoring within a radiology setting
• Graduate from an ARRT accredited School of Radiologic Technology and certification as a Radiologic Technologist (Registered Radiology Technologist)
• Advanced certificates: Computed Tomography, Magnetic Resonance Imaging, Diagnostic Medical Sonographer, Nuclear Medicine Technologist certification, Mammographer

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: Physician Training & Quality Manager

Department: Operations

Reports to: Operations Director

Status: Exempt, Salaried

Position type: Full Time

Work Location: Omaha, NE

Supervises Direct Reports: No

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The Support Analyst Engineer plays a key role in providing advanced technical support and managing endpoint systems across the organization. This position will involve supporting, configuring, and troubleshooting O365, Exchange Online, SharePoint, OneDrive, Teams (Voice and Chat), and endpoint security platforms such as Defender for Endpoint. The Engineer will manage and maintain systems through tools like Intune, Autopilot, and Entra/Azure AD, ensuring smooth operations and compliance. Proficiency with PowerShell or Power Automate is critical for automating tasks and improving efficiency. The position also involves basic network troubleshooting, managing both Windows and macOS devices, and using JAMF to oversee Apple environments.

This role requires comfortability working across both user-facing and backend systems, managing licenses, and ensuring compliance while delivering high-quality support to internal and external stakeholders.

This position is Monday to Friday, 6am to 3pm, at our Omaha headquarters, and includes a rotation for 24/7 on call.

Job Functions

• Provide advanced support for O365 Admin Center, including Exchange Online, SharePoint, and OneDrive administration
• Administer and troubleshoot endpoint security tools, particularly Microsoft Defender for Endpoint, and ensure compliance with security policies
• Manage and support Entra/Azure AD, including handling user accounts and ensuring proper role- based access
• Oversee the configuration and deployment of devices via Intune and Autopilot, ensuring seamless setup for end users
• Provide ongoing support for Microsoft Teams, including managing both chat and voice services
• Maintain licensing and compliance for Microsoft environments, ensuring proper usage and renewals across the organization
• Utilize PowerShell for automation, scripting, and managing tasks across the enterprise environment
• Troubleshoot issues related to Windows desktop operating systems and provide basic network troubleshooting, including connectivity and security issues
• Provide comprehensive support for macOS environments, leveraging JAMF for management and provisioning
• Serve as an escalation point for complex technical issues from the Service Desk team
• Collaborate with other IT teams and stakeholders to identify opportunities for system improvements and automation
• Ensure all systems and processes comply with regulatory and licensing requirements, contributing to security audits as necessary
• Participate in the on-call rotation to provide after-hours support when required

Preferred Talents

• Strong familiarity with PACS, imaging modalities, DICOM, EMR, HL7 integrations, ORM, and ORU standards
• Experience with OnePacs and/or OsiriX
• Proficiency in any dictation software
• Basic knowledge of network traffic flow, specifically related to image transfers between source and destination systems
• Extensive experience in administering Microsoft 365 services, including Exchange Online, SharePoint, and Teams (Voice and Chat)
• Proficient with endpoint management tools like Intune, Autopilot, and Defender for Endpoint
• Strong understanding of Entra/Azure AD for managing identities, groups, and permissions
• Advanced knowledge of scripting and task automation with PowerShell
• Competence in both Windows desktop operating systems and macOS, including device management via JAMF
• Experience with licensing and compliance management within Microsoft environments
• Basic network troubleshooting skills, including experience with common connectivity issues
• Familiarity with endpoint security and vulnerability management tools
• Ability to work in a fast-paced, dynamic environment and handle complex technical problems

Qualifications

• Bachelor’s Degree (B.A.) from a four-year college or university; or one to two years related experience and/or training; or equivalent combination of education and experience
• 5 or more years of experience in Service Desk or Managed Service Provider support environments
• Certificates preferred: Microsoft Certified: Modern Desktop Administrator Associate, Microsoft Certified: Security, Compliance, and Identity Fundamentals, CompTIA Network+, JAMF Certified Associate, ITIL Foundation

Benefits Package

• Medical Insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid!
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness
• Voluntary Accident 
• 401K and Profit sharing 
• Paid Time Off

Job Title: Support Analyst Engineer

Department: Information Technology

Reports to: Endpoint Services Supervisor

Status: Non-Exempt, Hourly

Position type: Full Time

Work Location: Omaha, NE

Supervises Direct Reports: No

Apply

As a Physician Ambassador, you will play a pivotal role in fostering collaboration, ensuring effective communication, and supporting the professional development of our radiologists. You will serve as a key liaison between radiologists and internal departments, contributing to the seamless operation and continuous improvement of our teleradiology services.

Essential Job Functions

• Serve as the primary point of contacts for radiologists related to
  • Compensation
  • Case Mix
  • Schedule
  • Productivity
  • Quality
• Address and facilitate communication for inquiries and other assignments
• Coordinate and oversee the onboarding process for new radiologists, including orientation and training
• Coordinate and oversee mentorship and CME, and other training.
• Collaborate with various internal departments, including scheduling, accounting, and IT, to help streamline processes and optimize workflow efficiency
• Manage and direct internal licensing and credentialing process to ensure radiologists maintain appropriate certifications
• Coordinate with insurance carriers and attorneys as necessary
• Proactively identify and address operational challenges or areas for improvement, gather feedback from radiologists and other stakeholders, and escalate issues to management as needed
• Other tasks as assigned by management

Preferred Talents

• Strong organizational skills and close attention to detail
• Strong teamwork mentality
• Exceptional communication skills, both written and verbal
• Adaptability, flexibility, and comfortable working in a fast-paced environment

Qualifications

• High school diploma or equivalent
• Prior experience in teleradiology, radiology, or other healthcare environment preferred

Benefits Package 

• Medical insurance: PPO, HDHP 
• Health Savings Account 
• Dental 
• Vision 
• Basic Life and AD&D- company paid 
• Voluntary Short-term disability 
• Voluntary Long-term disability 
• Voluntary Life and AD&D 
• Voluntary Critical Illness and Accident 
• 401K and Profit sharing 
• Paid Time Off & Holidays

Job Title: Physician Ambassador 

Status: Exempt, Salaried 

Position Type: Full Time, Monday – Friday, office hours

Work Location: Omaha, NE

Reports to: Physician Engagement Manager

Supervises Direct Reports: No 

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