Lead Dosimetrist

• Assist the Chief of Dosimetry in leading dosimetry services
• Perform and delegate patient-specific dosimetry tasks, ensuring safe and accurate radiation treatments
• Work alongside radiation oncologists and physicists to support treatment planning, simulation, image processing, and treatment delivery
• Support and evaluate the implementation of advanced treatment planning procedures such as IMRT, IGRT, SBRT, adaptive radiation treatment and total body irradiation
• Participate in departmental chart reviews, clinical trials, and national protocols, providing necessary documentation
• Responsible for most treatment sites and techniques
• Collect and analyze patient data and design optimal approaches for treatments
• Responsible for basic dose calculation and 2D, 3D, IMRT, SBRT, SRS/SRT or Adaptive treatment planning using treatment planning software on several different platforms
• Interact with radiation oncologists to define target volumes and critical structures
• Lead the implementation of new techniques and treatment modalities for radiation therapy
• Participate in clinical research and data submissions for clinical trials
• Participate in the planning for brachytherapy and occasionally assist in the loading and removal of sources from patients, as needed
• Serve as a key member of the dosimetry leadership team
• Collaborate with the Chief of Dosimetry and the Director of Clinical Physics Operations, Chief Radiation therapist, and Senior Director of Radiation Therapy on process improvements and strategic planning
• Guide the dosimetrist group in integrating new technologies, including AI-assisted planning and remote dosimetry workflows
• Participate in departmental quality improvement initiatives and committees
• Lead specific disease site treatment planning efforts, which include participating in disease site clinical meetings, leading and updating disease site in-services, training and cross training new hires and co-workers, serving as a liaison between physicians and the planning group for a specific disease site
• Provide or delegate training and educational support for dosimetry students, physician residents, physics residents, and radiotherapy students
• Keep the dosimetry team informed of departmental policies, procedures, and innovations
• When appropriate, participate in research and development projects in collaboration with faculty members
• Hire, develop, and manage staff to achieve organizational goals
• Set clear expectations, deliver feedback, and monitor performance for quality, efficiency, and compliance with policies and procedures
• Mentor staff, foster career growth, and cultivate a positive and productive work environment

• Bachelor’s degree required
• Completion of a Medical Dosimetry Program (post-BSc degree) required
• Master’s degree in Physics, Computing or Math preferred
• 5 years of clinical experience in medical dosimetry required
• Demonstrated broad competence leadership and management experience in a clinical dosimetry setting required
• Current board certification in Medical Dosimetry (CMD) required
• Demonstrated broad understanding of clinical dosimetry including most treatment sites and techniques
• Positive attitude, strong work ethic, and ability to work collaboratively in multidisciplinary teams
• Strong problem-solving skills and desire to drive safety, efficiency, and quality improvements
• Advanced knowledge of treatment planning principles, dose calculation algorithms, plan optimization, beam geometry, and machine/MLC characteristics across photon and electron energies
• Proficiency with enterprise TPS and OIS platforms (e.g., Eclipse/ARIA, RayStation, MOSAIQ) including contouring, image fusion/registration, and plan evaluation tools
• familiarity with Epic integration and oncology workflow
• Expertise in SBRT/SRS planning, immobilization considerations, PTV/OAR trade-offs, heterogeneity corrections, and end-to-end plan QA in conjunction with Physics
• Knowledge of clinical protocols, dose constraints, and evidence-based guidelines (e.g., QUANTEC/NTO concepts, RTOG/NRG protocols) and ability to apply them to individualized plans
• Working knowledge of AAPM task group recommendations (e.g., TG‑101, TG‑142 interface awareness, TG‑263 nomenclature, TG‑275 plan check considerations) and ASTRO/ACR practice parameters relevant to dosimetry practice
• Competence in DICOM-RT standards, data integrity, and safe data transfer between imaging, planning, and delivery systems
• Ability to design and standardize planning templates, checklists, and peer-review processes to improve safety, reduce variability, and increase throughput
• Strong analytical, problem-solving, and decision-making abilities
• able to balance clinical priorities, quality constraints, and operational timelines in a fast-paced environment
• Excellent communication and interpersonal skills
• able to collaborate effectively with physicians, physicists, therapists, nurses, and IT to achieve consensus and resolve issues
• Strong organizational and time management skills with attention to detail and documentation accuracy
• adept at managing multiple cases and competing deadlines
• Commitment to patient safety, quality, and confidentiality
• maintains professionalism and resilience under pressure
• Programming skills required, particularly for developing scripts and automation tools to improve treatment planning workflows
• Current board certification in Medical Dosimetry (CMD) required

Scripting and automation skills (e.g., ESAPI, Python, RayStation scripting) to streamline routine planning tasks and checks preferred