> Markdown version of [/jobs/ext/1180275-clinical-systems-support-engineer-tier-2-dicom-hl7](https://www.wearedevelopers.com/jobs/ext/1180275-clinical-systems-support-engineer-tier-2-dicom-hl7). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Clinical Systems Support Engineer (Tier 2 - DICOM, HL7) - **Company:** Field of Talent - **Location:** Salt Lake City, UT, United States - **Salary:** $72,000.0 - $97,000.0 - **Contract:** Permanent contract - **Skills:** Active Directory, CompTIA Network+, Data Integration, Dicom, Windows Servers, Routing, Open Source Technology, SQL Databases, Speech Recognition, Health Level Seven International - **Published:** July 4, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=16439abc387b3f5a ## About the Role * Required Technical Skills: HL7 messaging pipelines, Mirth Connect or BridgeLink integration engines. Technical break/fix, Picture Archiving and Communication Systems (PACS) administration. TCP/IP networking architecture. * Preferred Technical Skills: Windows Server OS environments, SQL script queries, and foundational Active Directory management. DICOM routing standards. DCM4CHE (or equivalent open-source clinical imaging platforms). * Certifications: CompTIA Network+ or Security+ preferred; Microsoft infrastructure/desktop support equivalents are a plus. * Employee Value Proposition: Our client has a leading radiology practice that is going through a complete digital transformation. Pending migrating from a legacy radiology practice to a cutting-edge radiology practice. The company's CIO is committed to maintaining cutting-edge technologies moving forward. Opportunity to grow with the company. Ongoing investments in continuing education to improve technical skills., * The Collaborative Fixer: You possess strong baseline knowledge of Windows Server, group policies, and clinical workstations, backed by an ability to communicate clearly with non-technical administrative teams. ## Description As our Tier 2 Clinical Systems Support Engineer, you will maintain the vital technological heartbeat of our care environments. You are the operational bridge where data integration meets real-time clinical applications. You will spend your days managing messaging logic within Mirth and BridgeLink, maintaining stable DICOM pipelines via DCM4CHE, and handling escalation tasks for diagnostic PACS networks and voice recognition software. Acting as the vital internal escalation authority for frontline clinical desks, you will partner closely with local site infrastructure engineers to pinpoint and crush system friction before it hits patient workflows. It's an essential, long-term technical seat where your diagnostic skill safeguards care accuracy., * Flawless Routing: Monitor, patch, and stabilize image routing behavior via DCM4CHE and core interface links within your first 90 days. * Rapid Resolution: Act as a responsive Tier 2 focal point, systematically reducing open ticket queues for PACS and voice tracking services. * System Safeguarding: Document edge cases, coordinate workstation deployment configurations, and minimize technical discrepancies between local facility hardware and central data endpoints. ## Related Videos - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1146-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) - [From Bedside Beeps to Interoperable Bytes – Getting your medical devices ready to talk the IEEE 11073 language](https://www.wearedevelopers.com/videos/771-from-bedside-beeps-to-interoperable-bytes-getting-your-medical-devices-ready-to-talk-the-ieee-11073-language) - [Creating a routing app with Google Maps API from scratch](https://www.wearedevelopers.com/videos/831-creating-a-routing-app-with-google-maps-api-from-scratch) - [A Technical Introduction to Bitcoin's 2nd Layer- The Lightning Network](https://www.wearedevelopers.com/videos/15-a-technical-introduction-to-bitcoin-s-2nd-layer-the-lightning-network) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1520-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Best Paying Jobs in Technology](https://www.wearedevelopers.com/magazine/256-best-paying-jobs-in-technology) - [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer) - [The Most Popular IT Jobs on the Market](https://www.wearedevelopers.com/magazine/376-the-most-popular-it-jobs-on-the-market) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers)