Top Tech Jobs & Startup Jobs in Rochester, NY

Lead design and execution of an enterprise QA/QC and revenue integrity program across multi-site neurology practices. Develop audit protocols, enforce billing standards, oversee audits (coding, modifiers, medical necessity, drug billing), manage corrective actions, monitor payer policy updates, ensure audit readiness, and report quality metrics to Revenue Cycle leadership.

Lead multi-quarter strategy and roadmap for AI-driven operational capabilities in a B2B SaaS order fulfillment platform. Drive discovery, partner with engineering and UX, define KPIs, work directly with mid-market and enterprise customers, and deliver measurable operational improvements (cost, throughput, labor efficiency).

Drive business development for Solana in the payments and fintech sectors, managing complex partnerships and aligning with strategic priorities.

The Site Reliability Engineer will oversee the Digital Realty interconnection fabric network infrastructure, focusing on network operations, automation, and development. Responsibilities include maintaining global network infrastructure, responding to alerts, and working with various cloud platforms and automation tools.

The Sales Development Representative researches and qualifies companies for the Top Workplaces program, developing strategic communication plans, engaging prospects, and collaborating with Account Executives to enhance customer relationships.

The HUD Multifamily Analyst coordinates FHA loan application processes, evaluates borrower information, manages pipeline prioritization, and contributes to underwriting discussions, emphasizing compliance and analysis.

Perform production duties such as operating trucks and cranes, measuring metal dimensions, inspecting materials, and recording data. Must work flexible hours.

The Enterprise Account Executive will lead sales of Loop's Order Tracking solution, develop GTM strategies, and engage in consultative selling to achieve revenue goals.

The Small Business President leads the successful transition to employee ownership, overseeing all business aspects including strategy, operations, and P&L management, fostering growth and profitability.

Lead and manage US and global payroll operations, ensuring accurate, timely, and compliant payroll processing, strong internal controls, payroll tax and audit support, systems optimization (Workday), and team leadership while partnering with People & Culture and Finance.