Experience 5–10+ Years of experience in Healthcare IT, Cardiology Informatics, Clinical Applications Support, Cardiovascular Imaging Systems, and enterprise Cardiology applications. Location Onsite – Bangalore, Hyderabad and Noida Job Summary We are seeking an experienced Cardiology Application Support Engineer (L2/L3) to provide advanced support, administration, monitoring, troubleshooting, and maintenance for mission-critical Cardiology applications and Cardiovascular Information Systems. The candidate should have solid hands-on experience supporting enterprise Cardiology platforms, particularly Change Healthcare CPACS, Fuji CPACS, MUSE, and GE CCW, along with exposure to ISCV, XPER, MacLab, Epiphany, and PB3000. The role requires a strong understanding of Cardiology clinical workflows, cardiovascular imaging, device connectivity, DICOM, HL7, application integrations, and general workstation/infrastructure troubleshooting. The candidate will work closely with cardiologists, clinical users, application teams, vendors, infrastructure teams, and other healthcare IT stakeholders to ensure the availability, reliability, and performance of systems supporting ECG/EKG, Electrophysiology (EP), Cardiac Catheterization (Cath Lab), Echocardiography, telemetry, cardiovascular imaging, and reporting workflows.

Key Responsibilities
Incident & Problem Management
• Investigate, troubleshoot, and resolve L2/L3 incidents impacting Cardiology applications and cardiovascular clinical workflows.
• Provide timely resolution of production issues while meeting defined SLAs and operational targets.
• Troubleshoot complex application, interface, workstation, device connectivity, and workflow-related issues.
• Perform Root Cause Analysis (RCA) for recurring application, integration, and data-related incidents.
• Lead or participate in major incident troubleshooting and coordinate with application vendors, infrastructure teams, interface teams, and clinical stakeholders.
• Identify recurring trends and implement preventive measures to improve system stability and reliability.
• Support critical production issues affecting patient care and Cardiology operations. Application Administration, Monitoring & Maintenance
• Provide administration and production support for enterprise Cardiology applications, including:
• Change Healthcare CPACS
• Fuji CPACS
• MUSE
• GE CCW
• ISCV
• XPER
• MacLab
• Epiphany
• PB3000
• Monitor application health, performance, availability, interfaces, services, and device connectivity.
• Perform routine application health checks and preventive maintenance.
• Support application configuration, user access, troubleshooting, patching, upgrades, and testing.
• Monitor batch processes, data synchronization, interfaces, and inbound/outbound clinical data.
• Participate in application upgrades, migrations, implementations, and optimization initiatives.
• Maintain application documentation, troubleshooting procedures, knowledge articles, and support runbooks.
• Ensure business continuity and availability of critical Cardiology applications. Stakeholder & Vendor Coordination
• Work closely with cardiologists, clinicians, technicians, business stakeholders, IT teams, and application vendors.




• Coordinate technical escalations with third-party Cardiology application and device vendors.
• Gather and document application enhancement and workflow optimization requirements.
• Support testing and validation of application changes before production deployment.
• Communicate incident status, risks, dependencies, and resolution plans to appropriate stakeholders.
• Provide technical guidance for Cardiology clinical workflows and enterprise application support. Cardiology Domain Responsibilities Cardiology Informatics & Clinical Workflow Support Support end-to-end Cardiology workflows, including:
• Electrocardiography (ECG/EKG)
• Electrophysiology (EP)
• Cardiac Catheterization (Cath Lab)
• Echocardiography
• Telemetry monitoring
• Holter and remote cardiac monitoring
• Cardiovascular imaging
• Structured Cardiology reporting Troubleshoot workflow issues impacting cardiologists, physicians, technicians, nurses, and other clinical users. Cardiology PACS & Imaging
• Support Cardiology PACS (CPACS) and enterprise cardiovascular imaging systems.
• Provide hands-on support for Change Healthcare CPACS and/or Fuji CPACS.
• Manage and troubleshoot DICOM imaging workflows, including:
• Image/study acquisition
• DICOM routing
• Storage and retrieval
• Archiving
• Study reconciliation
• Modality connectivity
• Troubleshoot missing studies, failed transmissions, routing issues, and image availability problems.
• Support cardiovascular image viewing and diagnostic workstation workflows. ECG & Cardiology Device Workflows
• Support ECG/EKG management platforms, particularly MUSE, and associated device workflows.
• Troubleshoot ECG acquisition, transmission, storage, and reporting issues.
• Support Cardiology devices and associated gateways/interfaces.
• Troubleshoot device communication and connectivity failures.
• Support waveform acquisition and management across Cardiology systems. Cath Lab & EP Application Support
• Support Cath Lab and Electrophysiology workflows and associated systems.
• Provide support for platforms such as GE CCW, XPER, MacLab, ISCV, Epiphany, and PB3000, as applicable.
• Troubleshoot procedure documentation, device integration, data transfer, reporting, and clinical workflow issues.
• Work with clinical and vendor teams to resolve complex Cath Lab and EP application issues. Integration & Interoperability
• Support integration of Cardiology applications with:
• Electronic Medical Records (EMR/EHR)
• Cardiology PACS
• Enterprise PACS/VNA
• Diagnostic devices
• Device gateways
• Clinical information systems
• Interface engines
• Enterprise data repositories
• Troubleshoot:
• DICOM communications
• HL7 interfaces
• Patient demographic and order messages
• Results interfaces
• Data ingestion issues




• Study routing failures
• Interface messaging errors
• Patient/study reconciliation issues
• Work with interface and integration teams to identify and resolve message failures and data discrepancies. Required Technical Skills Critical Cardiology Application Experience Strong hands-on experience with one or more of the following enterprise Cardiology applications is required, with preference for candidates having experience across multiple platforms:
• Change Healthcare CPACS – Highly Preferred
• Fuji CPACS – Highly Preferred
• MUSE – Highly Preferred
• GE CCW – Highly Preferred
• ISCV
• XPER
• MacLab
• Epiphany
• PB3000 Core Healthcare Technologies
• Cardiology Information Systems (CIS)
• Cardiology PACS / CPACS
• DICOM
• HL7
• Healthcare interoperability standards
• Clinical application support and administration
• Cardiovascular imaging workflows
• Clinical workflow troubleshooting
• Medical device/application integration Cardiology Workflow Knowledge
• ECG/EKG workflows
• Electrophysiology (EP)
• Cath Lab operations
• Echocardiography
• Holter monitoring
• Telemetry
• Cardiac imaging workflows
• Structured Cardiology reporting
• Cardiovascular diagnostic workflows Infrastructure & Integration Skills
• General workstation hardware/software troubleshooting
• Windows workstation and server environments
• Networking fundamentals
• SQL/database troubleshooting
• Interface engines
• DICOM routing
• HL7 messaging
• Application performance monitoring
• Device connectivity troubleshooting
• Application upgrades, patches, and configuration
• Production incident and problem management Preferred Qualifications
• Bachelor's Degree in Computer Science, Information Technology, Biomedical Engineering, Healthcare Informatics, or a related discipline.
• 5–10+ years of Healthcare IT/Clinical Application Support experience, preferably within Cardiology.
• Demonstrated L2/L3 production support experience in hospital or large enterprise healthcare environments.
• Experience supporting multi-site healthcare organizations or Integrated Delivery Networks (IDNs).
• Hands-on experience with enterprise Cardiology PACS and cardiovascular information systems.
• Strong knowledge of DICOM and HL7-based clinical integrations.
• Experience working directly with clinicians and Cardiology application vendors.
• Experience with application implementations, upgrades, migrations, testing, and go-live support.
• Strong analytical, troubleshooting, documentation, and communication skills. Key Candidate Screening Priorities Candidates should be screened specifically for hands-on production support experience, rather than general familiarity, with the following applications: Highest Priority: Change Healthcare CPACS, Fuji CPACS, MUSE, GE CCW Additional Cardiology Applications: ISCV, XPER, MacLab, Epiphany, PB3000 Candidates should also demonstrate strong practical experience with DICOM, HL7, Cardiology PACS, diagnostic workstations, device connectivity, Cath Lab/EP/ECG workflows, and L2/L3 troubleshooting in an enterprise healthcare environment.

📌 Cardiology Application Support Engineer – (India)
🏢 Santeware Healthcare Solutions
📍 India