# Senior Technical Program Manager

**Company:** [Rad AI](https://hotfix.jobs/companies/rad-ai)
**Location:** San Francisco, CA
**Role:** Technical Program Management
**Salary:** $177k – $210k/yr
**Experience:** 6+ years
**Skills:** Hl7 V2, FHIR, Dicom, Pacs, Ris, Ehr Integration, Mirth Connect, Rhapsody, Cloverleaf, Postman, SQL, Python, Healthcare It, Kpi Frameworks
**Posted:** 2026-07-01

> Own program delivery for Rad AI's radiology reporting product, driving cross-functional roadmap execution while leading complex customer integrations, deployments, and troubleshooting of HL7, FHIR, DICOM, and PACS interfaces in healthcare systems. Requires 6+ years TPM experience, strong technical integration skills, and ability to bridge engineering and clinical stakeholders.

## Job Description

## Responsibilities
- Align delivery of new vendor integrations at scale by coordinating with deployment and engineering resources.
- Serve as the escalation and coordination point for integration issues during deployment, triaging and diagnosing HL7, FHIR, DICOM, and PACS/RIS/EHR integration problems and driving them to resolution with engineering, implementations, and customer teams.
- Coordinate security reviews, BAAs/data-use agreements for new integration partners.
- Build repeatable playbooks, runbooks, and KPI dashboards that make integrations faster, more predictable, and measurable (tracking KPIs like time-to-go-live, defect rates, and adoption).
- Drive cross-functional execution of roadmap initiatives across the Reporting product line, partnering closely with engineering, design, implementations, and clinical teams.
- Manage program schedules, scope, and dependencies by identifying risks early and developing mitigation strategies.
- Own release coordination, covering QA, testing sign-off, and stakeholder readiness before each deployment.
- Lead the rollout of major features, partnering with writing, implementation and customer success on plans, training, and documentation.
- Own cross-functional communication for large reporting initiatives, keeping leadership, clinical stakeholders, and other business teams informed on progress, risks, and key decisions.
- Drive quarterly planning cycles for the reporting team by facilitating the planning process, aligning stakeholders on priorities, and tracking commitments through to on-time delivery.

## Requirements
- Bachelor's degree in Computer Science, Engineering, or a related technical field (or equivalent experience).
- 6+ years as a Technical Program Manager in a software or healthcare-IT environment, with a track record delivering complex, cross-functional programs from inception through launch.
- Demonstrated experience managing customer-facing integration and deployment programs, including health-system or enterprise go-lives.
- Excellent communication and presentation skills — able to translate between deeply technical engineers and non-technical clinical or IT stakeholders.
- Strong analytical and pragmatic problem-solving skills with sound technical judgment.
- Experience building KPI frameworks and executive-ready reporting to quantify productivity, quality, and adoption.
- Technical skills — integration diagnosis & troubleshooting (required): independently read an interface spec, inspect a live message, and isolate where a failing integration is breaking.
  - **HL7 v2**: Able to read and interpret message structure (MSH, PID, OBR, OBX, ORM/ORU segments), spot malformed or missing fields, and trace where a message fails in the pipeline.
  - **FHIR**: Comfortable with REST APIs, common resources (Patient, DiagnosticReport, ImagingStudy, ServiceRequest), JSON/XML payloads, and reading API/auth errors (OAuth2 and SMART on FHIR a plus).
  - **DICOM & PACS/RIS**: Working knowledge of DICOM objects and key tags, study/series/instance hierarchy, and how worklist (MWL) and image/report flow moves through PACS and RIS systems.
  - **EHR integration**: Familiarity with how orders and results flow between EHR, RIS, PACS, and reporting/dictation systems, and where integration points commonly break.
  - **Interface engines**: Hands-on experience with Mirth Connect, Rhapsody, or Cloverleaf — tracing messages, reading channel logs, and understanding routing and transformation.
  - **Diagnostic toolkit**: Comfortable reading application and interface logs, using API testing tools (e.g. Postman), inspecting network connectivity (VPN/firewall, ports, TLS), and writing basic queries or scripts (SQL, light Python/shell) to investigate issues.
  - **Clinical workflow context**: Understands radiology reporting and speech/dictation workflows well enough to reason about how an integration defect shows up for an end-user radiologist.

## Nice-to-Haves
- Enterprise healthcare delivery experience in regulated environments, with working knowledge of HIPAA, PHI handling, and SOC 2 practices.
- Track record leading complex integrations and go-lives with large health systems or radiology groups, including security reviews and cross-vendor dependencies.
- Change-management experience with radiologist end users.
- Exposure to clinical AI regulatory considerations — risk management, documentation, and when/where FDA or other approvals may apply.
- Experience collaborating with AI/ML engineering teams.

## Similar roles

- [Senior Release Manager, CS Platform](https://hotfix.jobs/jobs/25e7c565-9ab8-44b9-b008-19943b40b5c6) - Airbnb - Remote - $177k – $208k/yr
- [Operations Program Manager, AI Infrastructure](https://hotfix.jobs/jobs/e2204809-051f-4ca7-a551-a2eb9a3925f9) - OpenAI - San Francisco, CA - $177k – $285k/yr
- [AI Engagement Manager](https://hotfix.jobs/jobs/b44eae7d-8dd6-4d91-bc41-0bef5f97c062) - Instacart - Remote - $178k – $226k/yr
- [Product Program Manager, Roadmap Planning & Program Management](https://hotfix.jobs/jobs/bb5dd417-cee6-46e2-83b1-8166860f6585) - Airbnb - San Francisco, CA - $176k – $220k/yr
- [Hardware Technical Program Manager](https://hotfix.jobs/jobs/ae959237-47ea-4aba-988a-0190b86950df) - Sesame - Bellevue, WA - $175k – $250k/yr

**Apply:** https://hotfix.jobs/jobs/885f7895-3b80-4aee-b83d-3b21d61ff43c
**Canonical:** https://hotfix.jobs/jobs/885f7895-3b80-4aee-b83d-3b21d61ff43c