Collaborate with customers and internal technical teams to isolate and resolve complex issues across Acuo/NilRead/NilNexus and dependent technologies - including Microsoft SQL Server, Windows Server, networking, storage, DICOM workflows, and integrated healthcare systems, while ensuring appropriate escalation and resolution. Strong familiarity with integration points between PACS/VNA and RIS, EHR, and reporting systems - including HL7, FHIR, DICOM modality worklist, DICOMweb, and IHE profiles, with strong understanding of image display considerations such as diagnostic display calibration, window/level presets, compression, key images, annotations, and presentation states.