I just saw a listing for a clinical lead role that pays exactly what I made seven years ago, but the responsibilities now include tech support and admin work on top of patient care. It feels like the industry is trying to pretend inflation didn't happen. Is anyone else seeing expanded roles with 2019 salaries?

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Expanded is a polite understatement.
One of the area medical imaging firms recently listed a single help desk type opening that covered everything from phone support to onsite tech to email and voice admin with application and user admin thrown in for the win.

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