Salary : $126,921.60 - $158,662.40 Annually
Location : County of San Mateo, CA
Job Type: Regular
Job Number: V233AB
Department: San Mateo Medical Center
Division: Ancillary and Support Services
Opening Date: 10/07/2026
Closing Date: 10/21/2026 11:59 PM Pacific
Bargaining Unit: 35
Description San Mateo County Health - San Mateo Medical Center is seeking highly qualified candidates for the position of
Departmental Systems Analyst - PACS Administrator. The current vacancy is a
regular, full-time position.
Primary responsibilities of the Department System Analyst include:
PACS Administration & System Management- Administer, maintain, and support the organization's PACS, enterprise imaging, and associated imaging applications.
- Manage PACS configuration, user access, roles, permissions, and security.
- Monitor PACS performance, storage capacity, system availability, and interfaces.
- Troubleshoot PACS issues and coordinate resolution with vendors, Information Technology, and modality/application teams.
- Perform system upgrades, patches, configuration changes, and testing in accordance with organizational change-management processes.
- Maintain PACS documentation, system configurations, workflows, and downtime procedures.
- Monitor image routing, transmission, storage, and retrieval to ensure timely availability of diagnostic images
DICOM & Interface Management- Support DICOM connectivity between imaging modalities, PACS, RIS, EMR/EHR, and other clinical systems.
- Troubleshoot DICOM communication, modality worklist, routing, and image transmission issues.
- Work with interface teams and vendors to resolve HL7/DICOM integration issues.
- Validate new modalities, applications, and interfaces before implementation into the production environment.
- Monitor and resolve studies that fail to transmit, route, or reconcile appropriately.
Clinical Imaging Workflow Support- Collaborate with Radiology, Cardiology, and other clinical departments to optimize imaging workflows.
- Investigate image-quality, workflow, reconciliation, and accessibility issues reported by end users.
- Support radiologists, technologists, sonographers, cardiologists, and other clinical users with PACS-related issues.
- Participate in implementation of new imaging equipment, applications, and enterprise-imaging initiatives.
- Identify opportunities to improve imaging workflow efficiency, turnaround time, and system reliability.
Project & Vendor Management- Serve as a technical resource for PACS-related projects and implementations.
- Coordinate with vendors, IT, clinical departments, and leadership to resolve system issues.
- Participate in system upgrades, migrations, integrations, and new technology implementations.
- Track vendor tickets and ensure timely escalation and resolution of critical issues.
- Evaluate system performance and recommend improvements based on operational needs.
Ideal Candidate will have:
- 3-5 years of experience supporting PACS, RIS, enterprise imaging, or healthcare imaging systems.
- Demonstrated knowledge of DICOM and HL7 standards and healthcare system interfaces.
- Experience supporting PACS environments in a hospital or healthcare setting.
- Knowledge of radiology and/or cardiology imaging workflows.
- Experience troubleshooting modality connectivity, DICOM transmission, worklists, routing, and image reconciliation.
- Understanding of HIPAA, information security, and healthcare data privacy requirements.
- Demonstrated ability to work collaboratively with clinical, IT, vendor, and administrative teams.
- Strong analytical, troubleshooting, communication, and problem-solving skills.
- Ability to manage multiple priorities and respond appropriately to high-priority clinical system issues.
The Ideal candidate will also possess the following
Preferred qualifications:- ARRT certification or clinical imaging background.
- Certification or formal training in healthcare informatics, PACS administration, or enterprise imaging.
- Experience with major PACS/RIS platforms and enterprise imaging systems.
- Experience with IHE profiles, DICOM networking, HL7 interfaces, and modality integration.
- Experience with SQL/database querying and basic scripting.
- Experience with cloud-based imaging or vendor-neutral archives (VNA).
- Experience with cybersecurity principles related to medical devices and clinical applications.
- Project management experience.
- Experience participating in PACS migrations, implementations, upgrades, or enterprise imaging initiatives.
Examples Of DutiesDuties may include, but are not limited to, the following:- Participate in the modification of existing systems and/or the implementation of new systems by developing, writing and disseminating procedures that utilize new or changed system applications; and by evaluating system deadlines. modifications in response to operational, program and/or regulatory changes.
- Receive requests for assistance related to the use of department and/or program systems and software applications; determine severity of problem and resolve or refer to appropriate personnel or vendor for resolution.
- Participate in a variety of system user and work groups to identify user needs and operational, programmatic and/or regulatory changes affecting application requirements and other related issues.
- Interact with vendors, outside agencies, auditors and other staff regarding requests for data or special reports.
- Provide or arrange for the training of staff on the information systems used by the department and/or program; requests adhoc reports.
- Perform system administration functions including monitoring applications, adding and deleting users, modifying user profiles, re-setting passwords and file maintenance.
- Maintain a variety of departmental and/or program databases, files and records; queries and generates reports on a scheduled and adhoc basis.
- Prepare and track requests to information technology staff, vendors and/or service providers for routine system changes and reports.
- Perform related duties as assigned.
QualificationsSkill/Ability to:- Provide technical and analytical support to users of department systems and applications.
- Communicate with department personnel to identify and translate information needs into system requirements.
- Communicate departmental information system needs to system providers for the design, development and/or enhancement of system applications.
- Evaluate the effectiveness of newly developed systems and/or applications.
- Develop and present comprehensive training materials.
- Analyze administrative and management problems, evaluate alternatives, reach sound conclusions and effectively implement changes.
- Prepare clear, concise and accurate documentation, instructions, correspondence and other written materials.
- Organize work, set priorities and meet critical deadlines.
- Maintain accurate records and files.
- Communicate effectively, orally and in writing, with both technical and non-technical personnel.
- Establish and maintain effective working relationships with those contacted in the course of the work.
Education and Experience:Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:
Education: Equivalent to graduation from a four-year college with major coursework in public administration, business administration, information systems, or closely related field.
Experience: Three years of responsible experience in a position that would provide knowledge of department-specific programs, processes and/or operations, including at least one year of experience in the planning, implementation, oversight and/or utilization of automated information systems and applications used to support departmental activities.
Physical Requirements:- Sits for extended periods of time on a consistent and daily basis; stands, walks, and reaches by extending hands and arms in any direction on an occasional to frequent basis.
- Uses finger dexterity to pick, pinch and type; on a consistent and daily basis; and occasionally grasp objects with fingers and palms.
- Communicates verbally by listening and talking on a consistent and daily basis.
Note: Individuals who do not meet these physical requirements due to disability will be reviewed on a case-by-case basis.
Application/ExaminationOpen & Promotional. Anyone may apply. Current County of San Mateo and County of San Mateo Superior Court of California employees with at least six months (1040 hours) of continuous service in a classified regular, probationary, extra-help/limited term positions prior to the final filing date will receive five points added to their final passing score on this examination.
The examination process will consist of an application screening (weight: pass/fail) based on the candidates' application and responses to the supplemental questions. Candidates who pass the application screening will be invited to a panel interview (weight: 100%). Depending on the number of applicants, an application appraisal of education and experience may be used in place of other examinations or further evaluation of work experience may be conducted to group applicants by level of qualification. All applicants who meet the minimum qualifications are not guaranteed advancement through any subsequent phase of the examination. All examinations will be given in San Mateo County, California and applicants must participate at their own expense.
IMPORTANT: Applications for this position will only be accepted online. If you are currently on the County's website, you may click the
"Apply" button. If you are not on the County's website, please go to
http://jobs.smcgov.org/to apply. Responses to the supplemental questions must be submitted in addition to our regular employment application form. A resume will not be accepted as a substitute for the required employment application and supplemental questionnaire.
Online applications must be received by the Human Resources Department before midnight on the final filing date. TENTATIVE RECRUITMENT SCHEDULEFinal Filing Date: Wednesday, October 21, 2026, by 11:59 PM PSTApplication Screening: Week of October 21, 2026
Civil Service Panel Interviews: Week of October 26 or November 2, 2026
Analyst: Debbie Kong (1007026) (Departmental Systems Analyst - V233)
We invite you to explore our page for a snapshot of the comprehensive and competitive benefits available to eligible employees of the County of San Mateo. From health and wellness to financial security, our benefits are designed to support you at every stage of your career. (Please note that benefits are subject to change.)
In addition to core benefits, the County is proud to offer a variety of wellness and professional development programs to help you grow both personally and professionally. Most of these enriching opportunities are available during work hours and come at no cost to you.
As a County employee, you'll also be covered by the federal Social Security system, earning valuable retirement benefits based on your salary and years of service.
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IMPORTANT: Applicants for this position are required to submit responses to the following supplemental questions. Your responses will give us additional information about your background and experience related to this position and will be used in the selection process. Be concise and specific. Neatness, clarity of expression, grammar, spelling and ability to follow instructions will be considered in the evaluation process. A resume
will not be accepted as a substitute for your responses. I have read and understand this important information.
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Please describe your experience administering, supporting, or maintaining a PACS, RIS, enterprise imaging system, or similar healthcare application. What were your primary responsibilities, and what types of systems or applications did you support?
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Tell us about a particularly difficult technical problem you encountered involving a healthcare application, interface, network connection, or imaging system. How did you approach the problem, what information did you analyze, and how did you determine the root cause?
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Please describe your experience participating in or leading the implementation of a new healthcare information system, PACS, imaging application, modality, or major system upgrade. What steps did you take to plan, configure, test, implement, and transition the system into production? Please describe how you collaborated wit
