Physician Assistant - Fluoroscopy

About the role

TRA is hiring a full‑time Certified Physician Assistant to join a dedicated team of providers focused on patient‑centered care within TRA Medical Imaging. The PA will work under radiologist supervision in both outpatient and inpatient settings, performing high‑volume fluoroscopic studies and image‑guided procedures across multiple facilities.

Responsibilities

• Perform a high volume of diagnostic fluoroscopy studies (≈75% of time), including upper GI studies, esophagrams, small‑bowel follow‑through exams, and fluoroscopic urologic studies.
• Ensure accurate image acquisition, patient safety, and efficient exam throughput.
• Collaborate closely with radiologists and technologists to maintain high‑quality diagnostic standards.
• Perform and assist with image‑guided procedures (≈25% of time), such as arthrograms, thyroid biopsies, and other needle‑based interventions.
• Maintain procedural excellence in patient preparation, sterile technique, and post‑procedure care.
• Conduct pre‑procedure evaluations, obtain informed consents, and provide post‑procedure follow‑up.
• Perform comprehensive physical examinations, diagnose and treat patients, and develop treatment plans under physician supervision.
• Support radiologists in ensuring safe, efficient, and patient‑centered procedural workflows.
• Coordinate procedural scheduling across multiple sites and maintain communication with radiologists and support staff.
• Document procedure‑related notes accurately in compliance with industry, TRA, and hospital standards.
• Participate in clinic‑based practice growth, quality improvement initiatives, and departmental meetings.
• Provide essential tasks to ensure steady workflow, including consultations, follow‑up visits, and outpatient care coordination.
• Travel between TRA and Diagnostic Imaging NW sites and local hospitals as needed, with mileage reimbursement.
• Assist physicians in surgical or interventional procedures within the clinic setting when required.
• Order and interpret diagnostic tests, including laboratory work, as appropriate.
• Check work email daily and respond promptly to ensure effective communication and continuity of care.
• Perform other duties as assigned.

Qualifications

• Master’s or Bachelor’s degree in Physician Assistant studies from an accredited institution.
• Current Washington State licensure as a Physician Assistant.
• Current BLS and ACLS certifications.
• Experience with radiologic or procedural medicine preferred (e.g., interventional radiology, fluoroscopy, orthopedics).

Skills

• Strong procedural competence with needle‑based and fluoroscopic studies.
• Excellent interpersonal and collaborative skills for working with radiologists, technologists, and nursing staff.
• Strong organizational ability to manage a dynamic, multi‑site schedule.
• Compassionate, patient‑centered care approach.
• High attention to detail and ability to handle mentally stressful situations.
• Physical ability to stand, walk, or sit for extended periods and assist patients of varying weight.

Benefits

• Generous PTO: up to 176 hours for new employees, plus 9 holidays and rollover.
• 401(k) with 3% automatic employer contribution and 3% match.
• Annual pay increases.
• Fully employer‑paid medical and vision benefits for employee and dependents.
• Profit sharing and consistent compensation growth path.
• Paid continuing education reimbursement.
• Additional annual performance‑based bonuses.

Pay

$131,362 – $179,373 per year, based on relevant experience, skills, and abilities, plus eligibility for annual performance bonuses.

Schedule

Two shift options: Wednesday – Saturday, 7:00 am to 5:00 pm; or Sunday – Wednesday, 7:00 am to 5:00 pm. Typically four 10‑hour days per week, including at least one weekend day.

Location

Multiple sites across Pierce and South King County, Washington, with mileage reimbursement for qualified travel between facilities.

About TRA Medical Imaging

TRA Medical Imaging is a premier, physician‑owned and physician‑led radiology practice with a 100+‑year history serving the South Puget Sound region. Centered in Tacoma, WA, TRA’s geographic footprint extends from Seattle to Olympia. The practice is committed to diversity, inclusion, and a family‑like culture, led by approximately 100 sub‑specialized radiologists. TRA offers transparent, democratic governance, physician leadership, and professional development opportunities. Recognized as a “Great Place to Work,” TRA’s mission is “Trust our family to care for yours.”