Top Remote Senior Level Jobs in Rochester, NY

Architects FHIR-compliant clinical data models and develops harmonization, enrichment, and validation strategies across EHR, HIE, and claims data. Maintains clinical ontologies and value sets, ensures data accuracy and longitudinal integrity, and documents technical requirements for engineering teams and stakeholders. The role requires advanced Python and SQL skills, healthcare interoperability expertise, and experience with clinical informatics or data integration.

Own clinical quality for member-facing AI products by partnering with product, engineering, and clinical teams. Design clinical AI evaluations, define quality thresholds and rubrics, assess accuracy, omissions, hallucinations, medication-safety risks, and translate clinical reasoning into prompts and decision logic. Monitor evolving evidence and standards of care, validate product launches, and communicate findings to technical and clinical audiences.

Own corporate FP&A forecasting, consolidations, cash flow planning, reporting, and financial modeling. Partner with Accounting and cross-functional leaders to analyze variances, improve forecast accuracy, support executive and Board reporting, and guide resource allocation. The role also enhances planning processes, automation, and models covering stock-based compensation, capital expenditures, collections, share count, and long-range planning.

Lead end-to-end AI improvement initiatives by assessing workflows, identifying automation opportunities, gathering stakeholder requirements, designing and integrating AI-powered solutions, and managing deployment and adoption. The role also includes process redesign, executive communication, internal AI enablement, responsible AI governance, privacy, access controls, and measuring post-implementation business impact.

Build and optimize scalable Databricks data pipelines across a medallion architecture. Develop data models, implement data quality checks and validation, integrate Azure services, and ensure data accuracy, governance, lineage, security, and performance. The role requires designing config-driven pipelines supporting CDC and event-based processing, maintaining CI/CD deployments, and working with structured and unstructured data across SQL and NoSQL systems.

Own end-to-end Lyric deployment workstreams from planning through go-live. Manage project plans, meetings, timelines, budgets, risks, UAT, customer adoption, training, and post-launch monitoring. Partner with executives, engineers, and supply chain operators to translate business needs into platform solutions and ensure successful delivery.

Lead the architecture and delivery of modern data and analytics platforms for clients. Design governed, secure solutions using Microsoft Fabric, Azure, Databricks, Power BI, and Purview. Translate business needs into scalable architectures, estimates, roadmaps, and delivery plans. Guide architecture reviews, governance, CI/CD, testing, monitoring, and operational readiness while enabling AI, Copilot, RAG, and intelligent application initiatives. Serve as the technical lead and trusted advisor for client engagements.

Designs and governs scalable Salesforce architectures for the VA OMEGA program. Leads technical design sessions, integration and data modeling decisions, security and performance optimization, development standards, code reviews, and platform governance. Provides technical leadership and mentorship while collaborating with technical and business stakeholders. Requires extensive Salesforce enterprise implementation experience, expertise in Apex and Salesforce platform capabilities, and familiarity with MuleSoft, DevOps, CI/CD, and automated testing.

Manage post-sales relationships with a portfolio of customers, primarily financial institutions, to drive adoption and business outcomes from BioCatch’s behavioral biometric solution. Responsibilities include strategic consulting, project coordination, risk and escalation management, customer presentations, quarterly business reviews, roadmap feedback, stakeholder communication, team coaching, statements of work, and identifying expansion opportunities with account managers.

Own end-to-end biweekly payroll processing across multiple entities and states, including pay inputs, tax withholding, garnishments, equity transactions, audits, reconciliations, and compliance. Administer payroll systems, validate data and configurations, produce reports, maintain records and audit trails, and support employees with payroll inquiries. Partner with HR, Finance, People Operations, Legal, and Stock Administration to improve scalable payroll processes and ensure accurate, compliant pay delivery.