What Does a Radiology Manager Do?
When a CT scanner goes down in the middle of a busy afternoon, a radiology manager rebuilds the schedule and gets the service engineer on the phone. The hospital imaging department, which offers X-ray, CT, MRI and ultrasound and rarely closes, is theirs to run: technologist schedules, the imaging budget, scanner purchases and the radiation safety records that inspectors review.
Other Job Titles for This Work
Workers in this occupation report titles such as Cancer Center Director, Clinical Director, Health Information Management Director (HIM Director), Health Information Manager (HIM Manager), Healthcare System Director, Medical Records Director, Medical Records Manager, Mental Health Program Manager.
Radiology Manager Duties and Responsibilities
The primary responsibilities of a radiology manager include:
- Schedule technologists across X-ray, CT, MRI and ultrasound so every shift and on-call slot is covered.
- Prepare the imaging budget and track spending on staffing, supplies and scanner service contracts.
- Plan the purchase and replacement of scanners with radiologists, biomedical engineers and hospital finance.
- Enforce radiation safety rules, from staff dosimeter badges to shielding surveys and state inspection records.
- Keep quality control logs and phantom test results ready for accreditation surveys and inspections.
- Watch turnaround times from order to signed report and fix the bottlenecks that slow them down.
- Hire, train and evaluate radiologic technologists, imaging aides and front-desk schedulers.
- Coordinate with IT on PACS and RIS outages so images and reports still reach physicians.
- Handle patient complaints about waits, repeat scans or billing, and follow up in writing.
- Review incident reports, such as contrast reactions or wrong-patient scans, and change procedures to prevent repeats.
Required Skills and Qualifications
To succeed as a radiology manager, you will need the following skills and qualifications:
- ARRT registration in radiography or another imaging modality
- Working knowledge of PACS and RIS software
- Radiation safety and ALARA dose principles
- Budgeting and capital planning for imaging equipment
- Staff scheduling for round-the-clock coverage
- Accreditation and inspection readiness
- Calm decision-making when a scanner fails mid-shift
- Clear communication with radiologists, nurses and patients
Education and Training
ARRT registration and several years as a radiologic technologist come before any management post, and a bachelor's degree is the BLS norm for health services managers. A small clinic may promote a technologist without a degree, but hospitals generally expect one. Larger departments look for a master's in health administration.
Salary and Job Outlook
Typical pay: $94,700 - $166,100 per year, with a median of $123,860.
The range covers the middle half of earners nationwide. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025, Medical and Health Services Managers.
BLS projects employment of medical and health services managers, the wider group that includes radiology managers, to grow about 24 percent from 2025 to 2035, with roughly 62,300 openings a year. Openings in imaging often are tied to hospital budgets, but radiology managers always will be needed as more patients are sent for scans and as the equipment grows more complex.
Outlook source: U.S. Bureau of Labor Statistics, Employment Projections, 2025 to 2035, Medical and health services managers.
Radiology Manager Pay Range
| Earners | Annual pay |
|---|---|
| Bottom 10% earn less than | $73,390 |
| Bottom 25% earn less than | $94,700 |
| Median (half earn more, half less) | $123,860 |
| Top 25% earn more than | $166,100 |
| Top 10% earn more than | $224,340 |
Highest-Paying States for Radiology Managers
The states with the highest median pay for this occupation are New York ($164,120), District of Columbia ($155,140), Hawaii ($147,630), New Jersey ($145,650), Washington ($145,290). Pay is lowest in Mississippi ($98,160), Alabama ($97,790), Arkansas ($94,340).
Median pay in all 51 states with BLS data
| State | Median annual pay |
|---|---|
| Alabama | $97,790 |
| Alaska | $132,240 |
| Arizona | $128,850 |
| Arkansas | $94,340 |
| California | $141,480 |
| Colorado | $134,910 |
| Connecticut | $130,790 |
| Delaware | $134,820 |
| District of Columbia | $155,140 |
| Florida | $120,360 |
| Georgia | $131,910 |
| Hawaii | $147,630 |
| Idaho | $117,770 |
| Illinois | $117,850 |
| Indiana | $104,140 |
| Iowa | $101,940 |
| Kansas | $111,030 |
| Kentucky | $103,450 |
| Louisiana | $104,550 |
| Maine | $120,320 |
| Maryland | $131,810 |
| Massachusetts | $134,360 |
| Michigan | $107,570 |
| Minnesota | $122,700 |
| Mississippi | $98,160 |
| Missouri | $104,370 |
| Montana | $105,840 |
| Nebraska | $107,700 |
| Nevada | $119,990 |
| New Hampshire | $130,410 |
| New Jersey | $145,650 |
| New Mexico | $124,300 |
| New York | $164,120 |
| North Carolina | $114,410 |
| North Dakota | $105,170 |
| Ohio | $106,140 |
| Oklahoma | $101,270 |
| Oregon | $141,690 |
| Pennsylvania | $103,670 |
| Rhode Island | $119,260 |
| South Carolina | $105,620 |
| South Dakota | $122,050 |
| Tennessee | $107,120 |
| Texas | $114,150 |
| Utah | $114,980 |
| Vermont | $128,690 |
| Virginia | $129,270 |
| Washington | $145,290 |
| West Virginia | $112,010 |
| Wisconsin | $128,320 |
| Wyoming | $108,030 |
What the Work Is Like
O*NET surveys people who work as medical and health services managers about their daily conditions. Of those surveyed:
- 100% use email every day
- 100% say teamwork is very or extremely important in their job
- 96% work indoors in a climate-controlled space every day
- 93% are on the phone every day
- 89% say being exact and accurate is very or extremely important
- 79% spend more than half the workday sitting
- 50% usually work more than 40 hours a week
Education Workers Say the Job Needs
| Education level | Share of workers |
|---|---|
| Bachelor's degree | 46% |
| Master's degree | 21% |
| Associate's degree | 11% |
| Post-secondary certificate | 7% |
Tools and Software Radiology Managers Use
Tools and equipment
Software
Is This Job a Good Fit for You?
People who do well in this job tend to enjoy leading, persuading and making business decisions as well as organized work with data, records and clear procedures.
Skills O*NET rates most important: Speaking, Critical Thinking, Reading Comprehension, Active Listening, Writing, Monitoring.
Knowledge areas used most: Administration and Management, English Language, Customer and Personal Service, Personnel and Human Resources, Education and Training.
Preparation: O*NET places this occupation in Job Zone 4 of 5, which means considerable preparation.
Related Careers
These jobs use similar skills, according to O*NET's related-occupation data:
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Sources
- U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025.
- U.S. Bureau of Labor Statistics, Employment Projections, 2025 to 2035.
- O*NET 30.1 Database, occupation 11-9111.00 (Medical and Health Services Managers). View on O*NET OnLine.
This page includes information from the O*NET 30.1 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. The Job Explorer has modified some of the information; USDOL/ETA has not approved, endorsed or tested these changes.
