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October 27, 2026
Head of Infrastructure
Senior • Hybrid
60,000 - 95,000 EUR/yr
Berlin, Germany
Quick Facts
Role: Head of Infrastructure
Reporting line: Directly to the CTO
Focus: Stable, secure operations and modernization of teleradiology infrastructure
Work setting: Dedicated Linux/Windows servers and own hardware in a colocation data center
Description
You are responsible for the existing infrastructure and help ensure stable, secure operations together with the IT team. At the same time, you will shape the next development stage by gradually replacing parts of the current system landscape with in-house solutions and a new technical infrastructure. The role requires both strategic architectural thinking and hands-on technical troubleshooting across system boundaries.
Responsibilities
Ensure reliable operation and further development of the current system landscape
Operate and troubleshoot teleradiology infrastructure
Configure and manage firewalls and VPN
Ensure network and system security
Maintain and support DICOM and HL7-based interfaces
Collaborate with internal and external IT teams, vendors, and service providers
Evaluate existing systems and new technologies, including dependencies and risks
Define robust, scalable infrastructure standards (e.g., IaC, observability, reproducibility, high availability, multi-master replication)
Use modern automation and AI tools to speed up analysis and reduce recurring work
Automate recurring administrative and operational processes
Create technical documentation for architecture, systems, and operational processes
Requirements
Several years of relevant experience in the responsibilities listed above
Independent, structured use of modern tools, including LLMs and other AI-assisted tools
Very good German skills in speech and writing (C1 minimum)
Multi-site experience with complex, mission-critical IT infrastructures (radiology, hospital IT, or similar)
Shared responsibility for the IT infrastructure of a larger radiology organization/hospital group/medical care network
Knowledge of environments with multiple locations and centrally provided radiology systems
Practical experience with PACS and RIS/KIS
Experience operating large DICOM and HL7 infrastructures
Experience modernizing, consolidating, or migrating infrastructure to a new architecture
Ability to handle both strategic architecture discussions and deep technical problem-solving
Experience in an ISO-27001-certified environment, including information security requirements, documentation, and processes
Benefits
Modern IT environment with flexible, family-friendly working hours and home office
High ownership and room to shape solutions
Supportive, family-like team with flat hierarchies and a professional, respectful culture
Real-world impact: work directly supports patient care through reliable system operation
Attractive compensation with additional benefits (e.g., company health insurance, company pension, and firm sports offerings)
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