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Tomotherapy Jobs (NOW HIRING)

Current clinical equipment includes two Varian TrueBeam linacs, two Varian Gamma Med plus iX HDR afterloaders, one Accuray Cyberknife VSI machine, one Accuray HAD Tomotherapy unit, and VisonRT. We ...

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Tomotherapy information

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$290K

$400K

How much do tomotherapy jobs pay per year?

As of Sep 5, 2026, the average yearly pay for tomotherapy in the United States is $393,215.00, according to ZipRecruiter salary data. Most workers in this role earn between $400,000.00 and $400,000.00 per year, depending on experience, location, and employer.

What is tomotherapy?

Tomotherapy is an advanced form of radiation therapy used to treat cancer. It combines intensity-modulated radiation therapy (IMRT) with the precision of computed tomography (CT) scanning, allowing for highly targeted delivery of radiation to tumors while minimizing exposure to surrounding healthy tissue. The process involves a machine that rotates around the patient, delivering radiation from multiple angles. This technology can be particularly effective for treating complex or irregularly shaped tumors. Tomotherapy is often used when precision and preservation of healthy tissue are critical.

What are the key skills and qualifications needed to thrive as a tomotherapy radiation therapist, and why are they important?

To thrive as a Tomotherapy Radiation Therapist, you need a strong background in radiation therapy, anatomy, and dosimetry, typically supported by a degree in radiation therapy and ARRT certification. Familiarity with Tomotherapy planning software, linear accelerators, and patient imaging systems is essential. Attention to detail, strong communication, and compassion help therapists support patients and collaborate with oncology teams. These skills ensure precise treatment delivery, patient safety, and effective multidisciplinary care in a complex oncology environment.

What are some common challenges tomotherapy technologists face, and how can they be addressed?

Tomotherapy technologists often encounter challenges such as managing complex treatment plans, ensuring precise patient positioning, and adapting to rapidly evolving technology. Working closely with radiation oncologists, medical physicists, and dosimetrists is essential to deliver accurate and effective treatments. Staying current with training and best practices, as well as maintaining open communication within the multidisciplinary team, helps address these challenges and ensures high-quality patient care.

What is the difference between Tomotherapy vs Radiation Therapist?

AspectTomotherapyRadiation Therapist
CredentialsCertification in radiation therapy, specialized training in Tomotherapy technologyRadiation therapy certification, general radiation oncology training
Work EnvironmentHospitals, cancer treatment centers with advanced imaging and radiation equipmentHospitals, clinics, outpatient centers administering radiation treatments
Job RoleOperates Tomotherapy machines, plans and delivers precise radiation therapyPrepares patients, positions them, and administers radiation under supervision

While both roles involve radiation therapy, Tomotherapy specialists focus on operating advanced Tomotherapy machines and treatment planning, whereas Radiation Therapists provide broader patient care and administer radiation treatments across various equipment types. Understanding these differences helps in choosing the right career path or job focus within radiation oncology.

More about Tomotherapy jobs
Infographic showing various Tomotherapy job openings in the United States as of August 2026, with employment types broken down into 4% Locum Tenens, 2% As Needed, 92% Full Time, and 2% Temporary. Highlights an 89% Physical, 7% Hybrid, and 4% Remote job distribution, with an average salary of $393,215 per year, or $189 per hour.

Full-time

Posted 17 days ago


Job description

Give hope. Give health. Make your mark in the fight against cancer.
At Accuray, we make a direct and powerful impact on the lives of cancer patients every day - helping them live longer, better lives. But our commitment to innovation offers a truly unique opportunity: the chance to change the fight against cancer - helping to develop, introduce and support new treatment delivery systems and software that will give new hope and new health to cancer patients and cancer survivors around the world.
Accuray develops, manufactures and sells radiotherapy systems for alternative cancer treatments. Our radiation therapy for cancer makes treatment shorter, safer, personalized and more effective, ultimately enabling patients to live longer, better lives.
Job Description
LOCATION: The Field Service Engineer will work remotely out of the St. Louis area and provide coverage for our surrounding install base.
The Field Service Engineer (FSE) provides highly visible customer support through the performance of on-site installation, as well as overseeing any necessary diagnoses, troubleshooting, service, and repair of complex equipment and systems. Checks out and approves operational quality of system equipment. This role instructs customers in the operation and maintenance of the system and serves as company liaison with customer on administrative and technical matters for assigned projects. The FSE will interpret customers' needs and clarifies if the responsibility for problem resolution falls to sales personnel, customer support reps, or engineers. This job may include any aspect of field support, and is not limited to system hardware and software, PCs, and networking/wireless networking.
PRODUCT SUPPORT
• Provide installation, repair, upgrade, and maintenance support for TomoTherapy and CyberKnife systems located at assigned customer sites
• Promote customer satisfaction through the timely response to customer calls, clear and effective communications with internal and external customers, professional appearance, and efficient repair/maintenance activities
• Maintain regular communication with direct manager, peer field personnel, and commercial team members for any customer matters requiring attention
• Self-management of schedule and work priorities to ensure that urgent customer requirements are addressed appropriately, and customer satisfaction is optimized
• Support is provided to the customer remotely by phone, internet and by onsite visits, as determined by the machine status or customer requirements Maintain complete and timely documentation of work activities
• Initial review of customer issues, such that customer concerns with product performance and safety are quickly communicated to Accuray for appropriate review and handling
• Assist in the training of other Customer Support staff, and customer or site personnel with respect to maintenance and service activities, as required
• Work with other FSEs and/or Customer Support Staff on CyberKnife or TomoTherapy products as required
• Appropriate care of parts inventory and prompt return of replaced parts that are required to be returned to Accuray for processing
• Appropriate management and timely completion of expense reports incurred in the field for customer service or company required travel and/or training
• Assist in the review and development of service documentation
• Assist in identification and development of field support tools and test equipment
• Maintain company vehicle (if provided) in accordance with Accuray fleet vehicle policy, including safe operations, vehicle cleanliness and vehicle maintenance
• Willing to travel up to 25% outside of assigned service area, sometimes with little notice
PRODUCT DEVELOPMENT
• Provides feedback for service-related product improvements
• Assist in the development, documentation, and testing of service tools and design updates to the product
• upport project team activities, with attendance at team meetings, representation of field service requirements
Qualifications:
Required:
• Minimum 5 years' experience in field service, installation, and troubleshooting complex electronic equipment or bachelor's degree in with less field experience considered
• Demonstrate an ability to be a self-starter and have the ability to work without close supervision, be able to successfully schedule, organize and conduct field service activities in assigned territory
• The demonstrated ability to communicate complex information to a wide range of audiences including executive level management
• Strong system level troubleshooting skills
• Strong computer skills with an understanding of basic networking
• Strong interpersonal and presentation skills
• Ability to lift up to 50 pounds and work in a physically active environment
Preferred or Desired:
• Previous experience in large medical device field service strongly preferred
• Former military experience a plus
• Bachelor's degree in engineering
• Knowledge of medical linear accelerator or microwave RF systems and computer networks preferred
• Robotics and or electro-mechanical systems service experience preferred
To qualify for this position, candidates must be able to furnish proof that they are authorized to work in the country they are applying on a permanent basis without sponsorship.
To qualify for this position, candidates must be able to furnish proof that they are authorized to work in the country they are applying on a permanent basis without sponsorship.
EEO Statement
At Accuray, our commitment to patient-first outcomes drives an inclusive and collaborative work environment where the best ideas rise to the top - and everyone works to push them further. We value diversity in both the professional and personal backgrounds of our employees, as this variety adds rich energy to every team, every project and every work day. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin - including individuals with disabilities and veterans.