Sr. Enterprise Imaging Application Analyst

Company Description

Konfidi Health is a healthcare IT consulting firm based in El Dorado Hills, California, specializing in medical imaging informatics. Founded in 2018, the organization brings together technical, clinical, and business advisors to solve complex imaging and healthcare IT challenges. Services span discovery and analysis, strategy and system design, vendor selection with the proprietary VendorMatch™ process, solution implementation, and outcomes optimization. Konfidi Health also provides imaging informatics support and IT managed services to hospital organizations, medical practices, imaging centers, and vendor partners. Guided by principles of trust, innovation, and care, the company is committed to improving diagnostic accuracy, streamlining patient care, and enhancing operational efficiency.

Role Description

Konfidi Health is seeking an experienced Senior Enterprise Imaging Applications Analyst to join our Enterprise Imaging team as a full-time employee.

This position is ideal for an Imaging IT professional who combines strong hands-on technical skills with the communication, analytical, and consulting capabilities required to work effectively with clinicians, operational leaders, IT teams, vendors, and stakeholders.

The Senior Enterprise Imaging Applications Analyst will support and optimize enterprise imaging technologies including PACS and diagnostic viewers, enterprise viewers, Vendor Neutral Archives (VNA), workflow orchestration platforms, dictation and reporting systems, radiation dose management applications, DICOM routers, image exchange solutions, post-processing platforms, and imaging AI applications.

Responsibilities include Tier 2 application support, troubleshooting, workflow analysis, application configuration, testing, implementation, upgrades, change management, system optimization, documentation, and project delivery.

This role will support healthcare organizations through Konfidi Health consulting, implementation, operational support, and enterprise imaging engagements and may support multiple clients and initiatives over time.

Key Responsibilities

• Provide Tier 2 technical and application support for enterprise imaging and Imaging IT systems.
• Troubleshoot complex application, interoperability, workflow, and system performance issues.
• Support PACS, diagnostic and enterprise viewers, VNA, workflow orchestration, dictation/reporting, radiation dose management, DICOM routing, image exchange, post-processing, and AI applications.
• Analyze and troubleshoot DICOM, HL7, FHIR, IOCM, and related interoperability workflows.
• Perform clinical and technical workflow discovery with imaging, clinical operations, IT, and vendor teams.
• Document current-state workflows, requirements, dependencies, risks, and future-state recommendations.
• Configure, test, validate, deploy, and support imaging acquisition, interpretation, distribution, and image exchange workflows.
• Support application upgrades, infrastructure changes, patches, migrations, enhancements, and lifecycle management activities.
• Develop and execute functional, integration, and regression testing.
• Participate in formal IT service management, SDLC, and change-management processes.
• Lead or participate in troubleshooting during production incidents and system outages.
• Coordinate issue resolution and escalation across internal IT teams, vendors, clinical users, and other technical resources.
• Develop technical documentation, workflows, support procedures, knowledge articles, implementation documentation, and operational standards.
• Provide technical guidance and training to clinical and technical stakeholders.
• Manage defined Imaging IT projects and workstreams, including plans, milestones, dependencies, risks, testing, and implementation activities.
• Participate in larger enterprise imaging implementations, migrations, optimization initiatives, and transformation programs.
• Evaluate solutions and provide recommendations related to workflow, functionality, interoperability, reliability, scalability, cost, and operational performance.
• Establish strong relationships with physicians, technologists, clinical leaders, IT teams, vendors, and stakeholders.
• Participate in afterhours support, planned maintenance, implementations, and rotating on-call coverage as required.
• Contribute to Konfidi Health methodologies, best practices, technical standards, and reusable intellectual property.

Required Qualifications

• Bachelor's degree in information technology, healthcare informatics, computer science, biomedical engineering, healthcare administration, or related field; equivalent relevant experience and training will be considered.
• 5–7+ years of Imaging IT, PACS, enterprise imaging, or clinical applications experience.
• Demonstrated experience supporting complex healthcare imaging environments.
• Strong working knowledge of DICOM and HL7, including practical troubleshooting of imaging and clinical interoperability workflows.
• Familiarity with FHIR, IOCM, DICOMweb, and modern healthcare interoperability concepts.
• Knowledge of DICOM networking, transfer syntaxes, SOP Classes, compression, query/retrieve, routing, modality worklists, and image lifecycle management.
• Experience across multiple enterprise imaging technology areas.
• Experience with application configuration, implementation, maintenance, upgrades, testing, troubleshooting, and production support.
• Knowledge of ITIL, incident management, problem management, change management, and SDLC principles.
• Experience troubleshooting Microsoft Windows systems and applications.
• Ability to remotely administer and troubleshoot systems using technologies such as RDP, SSH, and VNC.
• Working familiarity with Windows, Linux, and/or Unix environments.
• Understanding of healthcare information security, privacy, access controls, and security best practices.
• Strong problem solving and root cause analysis skills.
• Ability to independently assess technical issues, develop solutions, test changes, and coordinate implementation.
• Strong organizational skills with the ability to manage multiple priorities and projects.
• Excellent written and verbal communication skills.
• Ability to communicate technical concepts effectively to clinical, technical, operational, and executive audiences.
• Strong interpersonal skills and ability to work collaboratively across multidisciplinary teams.
• Self-directed and comfortable working in a dynamic consulting environment.

Preferred Qualifications

• Certified Imaging Informatics Professional (CIIP) certification.
• ARRT certification or prior clinical imaging experience.
• Experience supporting large academic medical centers, integrated delivery networks, or multi-hospital healthcare organizations.
• Experience with enterprise-scale PACS or enterprise imaging environments.
• Experience with PACS, VNA, or archive migrations and associated validation, reconciliation, and exception management.
• Experience with workflow orchestration and enterprise radiology worklists.
• Experience integrating AI applications into clinical imaging workflows.
• Experience with cloud-hosted or hybrid enterprise imaging environments.
• Familiarity with Epic Radiant or other enterprise EHR/RIS platforms.
• Experience working with major enterprise imaging vendors.
• Healthcare IT consulting or professional services experience.
• Experience creating technical architecture, workflow, testing, implementation, and operational documentation.
• Experience participating in or leading major incident response, production outages, and change activities.

What We Are Looking For

The strongest candidates will bring more than application knowledge. We are looking for someone who can investigate difficult problems, understand both the technical and clinical implications, communicate clearly with the people involved, and take ownership of driving issues toward resolution.

The successful candidate should be comfortable moving between hands-on technical work and higher-level discussions regarding workflow, architecture, operational impact, risk, and strategy.

You should be someone who:

• Takes ownership and works effectively with limited supervision.
• Approaches problems analytically and methodically.
• Understands the clinical impact of imaging technology.
• Communicates clearly and professionally, particularly during high-pressure situations.
• Builds credibility with physicians, clinical teams, technical teams, vendors, and leadership.
• Documents work thoroughly.
• Balances immediate operational support with long-term improvement.
• Enjoys learning new technologies and solving complex problems.
• Values integrity, accountability, collaboration, and high-quality work.

Why Konfidi Health?

At Konfidi Health, you will work on enterprise imaging challenges that extend well beyond traditional PACS administration.

This role provides the opportunity to expand your technical and consulting expertise across multiple healthcare environments while working alongside experienced imaging informatics professionals.

We are building a team of professionals who want to become trusted advisors to the healthcare organizations we serve, not simply application support resources.

Employment Type: Full-Time, Konfidi Health Employee

Job Function: Healthcare Information Technology / Enterprise Imaging

Experience Level: Senior / Experienced

Primary Discipline: Imaging Informatics / Clinical Applications / Enterprise Imaging

Periodic afterhours, weekend, and on-call responsibilities may be required based on operational needs, implementations, planned changes, and client support commitments.

This is a remote position with infrequent travel required based on project and client needs.

Equal Employment Opportunity

• Konfidi Health is committed to providing equal employment opportunities to qualified individuals. Employment decisions are based on qualifications, experience, business requirements, and demonstrated ability to perform the responsibilities of the position without regard to legally protected characteristics.