We are seeking an experienced Radiology Imaging Applications Manager to lead a team supporting mission-critical clinical imaging applications within a large health system. This is a contract-to-hire opportunity requiring a strong combination of people leadership, imaging informatics expertise, and technical understanding of enterprise imaging environments. Contract to Hire Location: San Francisco, CA (Hybrid on-site) Pay: $90-100/hour Responsibilities • Lead and manage a team of Clinical Applications and Imaging IT analysts. • Partner with IT and departmental leadership on strategic planning, team priorities, processes, and objectives. • Oversee support and service delivery for enterprise imaging applications, including PACS, VNA, Epic Radiant, diagnostic and enterprise clinical viewers, voice recognition, and imaging post-processing systems. • Provide leadership across imaging workflows and technologies involving DICOM, HL7, networking, interfaces, and image storage/distribution. • Manage and develop technical staff, including coaching, performance management, workload prioritization, and professional development. • Support project delivery, change management, application portfolio management, and ongoing technology/infrastructure initiatives. • Partner across clinical, technical, and operational teams to develop patient-centric imaging solutions. • Maintain strong ITIL and SDLC practices across the team. • Participate in after-hours/on-call coverage as required. Requirements • 5+ years of experience managing technical staff. • Strong experience within Imaging IT, radiology applications, PACS, VNA, or enterprise imaging environments. • Working knowledge of DICOM and HL7. • Experience managing a software/application support team in a complex healthcare environment. • Understanding of enterprise networking concepts, including routing, firewalls, load balancers, and network security. • Experience leading change management initiatives across multiple teams or departments. • Strong leadership, communication, and stakeholder management skills. • Bachelor's degree in a related field or equivalent experience/training. Preferred Qualifications • Epic Radiant and/or Bridges certification. • Certified Imaging Informatics Professional (CIIP). • Experience with HL7 FHIR and DICOMweb. • ARRT or other clinical license. • Advanced degree.