The PACS Administrator is responsible for the administration, maintenance, support, optimization, and strategic development of ARH's enterprise Picture Archiving and Communication Systems (PACS) and associated imaging informatics applications. This position supports Radiology, Cardiology, and other imaging service lines by ensuring imaging systems operate efficiently, securely, and reliably to support high-quality patient care.
Working closely with clinical, operational, and IT teams, the PACS Administrator provides technical expertise in system administration, workflow optimization, application integrations, vendor management, troubleshooting, and project implementation. The role serves as a key resource in advancing enterprise imaging initiatives while maintaining the day-to-day operation of critical imaging technologies.
Manage daily PACS operations, including image workflow, archiving, autorouting, prefetching, and system performance.
Monitor, troubleshoot, and resolve issues related to imaging applications and system integrations.
Support and maintain interfaces between PACS, RIS, EMR, Cardiology, and third-party systems.
Collaborate with Radiology, Cardiology, Clinical, and IT teams to optimize workflows and improve operational efficiency.
Plan, test, and implement software upgrades, patches, system enhancements, and new technologies.
Develop and maintain technical documentation, policies, procedures, and best practices.
Coordinate with vendors and internal stakeholders to manage support requests and project activities.
Provide training and technical guidance to end users and support staff.
Assist with compliance efforts related to security, data integrity, retention requirements, and regulatory standards.
Monitor system performance and recommend improvements to enhance reliability and user experience.
Participate in the design, implementation, and support of enterprise imaging and informatics initiatives.
Maintain expertise in PACS, imaging informatics, DICOM, HL7, and healthcare technology trends.
Occasional onsite meetings or work may be required.
On call responsibilities are required with a rotation
Education (experience can be substituted for education)
Radiology/Cardiology Experience required.
Bachelor's Degree Preferred but Associate’s Degree required
Work Experience (education can be substituted for experience)
5 years or relevant work experience and demonstrated ability to work independently.
Knowledge, Skills and Abilities
Adept at problem solving and decision making skills.
Adept at collaboration and teamwork.
Adept at growth mindset (agility and developing yourself and others) skills.
Adept at execution and delivery (planning, delivering, and supporting) skills.
Adept at digital literacy skills.
Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro, Prestonsburg, South Williamson, West Liberty and Whitesburg in Kentucky; as well as Beckley and Hinton in West Virginia, as well as multi-specialty physician practices, home health agencies, home medical equipment stores and retail pharmacies. ARH employs more than 6,000 people with an annual payroll and benefits of $330 million generated into our local economies. ARH also has a network of more than 600 active and courtesy medical staff members. ARH is the largest provider of care and single largest employer in southeastern Kentucky and the third largest private employer in southern West Virginia, and is consistently recognized for its medical excellence.
