Top Senior IT Jobs in Rochester, NY

The Vice President of IT Infrastructure & Operations leads IT strategy, manages infrastructure, ensures service delivery, and drives ITSM transformation in a healthcare setting.

The Senior IT Program Manager leads program execution from inception to launch, aligning business needs with IT strategies, managing budgets, and building stakeholder relationships.

Lead internal IT operations, manage infrastructure and systems, enhance security, mentor IT staff, and implement scalable tech solutions.

The Sr Application Support Analyst provides Level 2+ IT application support, troubleshooting issues, recommending solutions, and improving business processes while ensuring user satisfaction.

The Senior IT Risk and Compliance Analyst manages vendor risk, ensures compliance with regulations, documents controls, and supports risk mitigation efforts across IT teams.

Serve as the primary IT–business liaison, owning executive relationships, technology strategy, vendor management, and prioritization of IT/AI initiatives. Drive modernization, cost/benefit analyses, budgeting, continuous improvement, and successful deployment of technology solutions across business units.

The IT Systems Engineer will manage IT operations, support M&A integrations, and optimize Microsoft cloud systems, ensuring reliability and security.

As a Senior Business Systems Analyst, you'll manage SaaS portfolios, identify AI automation opportunities, gather requirements for engineering, and provide insights into cross-functional initiatives.

Lead program management for an EHR migration, coordinating cross-functional teams, managing vendor relationships, and ensuring project execution and governance throughout the program lifecycle.

The IT Manager, Product Owner - Finance drives financial process transformations, prioritizes product backlogs, and manages stakeholder relationships to ensure high-quality delivery of financial systems solutions.

The IT Portfolio & Demand Management Analyst manages portfolio-level visibility, demand intake, prioritization, capacity analysis, and financial reporting to support executive decision-making and project delivery execution.

Lead functional and ETL testing of Pharmacy Rebate and Claims platforms, ensuring data integrity and validating claims processing logic through hands-on testing and advanced SQL querying.

The Director of IT Applications Development oversees the strategy and implementation of enterprise applications in healthcare, focusing on integrating Epic with various systems to optimize clinical operations and patient experience.

The Senior IT Program Manager leads program development and implementation, ensuring projects align with business needs and are delivered on time and budget. They manage stakeholder relationships and facilitate communication with senior leadership, oversee financial management, and develop risk management strategies.

Lead the Web Services team for web development on AWS, overseeing projects and team members while ensuring compliance and best practices.

Drive IT Services sales in North America, establish relationships with clients, create proposals, and adapt strategies to achieve sales goals in key industries.

The Manager of IT Systems Engineering will lead IT teams, manage enterprise IT systems, advance identity governance, and drive AI automation across IT operations.

The Senior Procurement Manager will oversee IT sourcing and software procurement, manage renewals, drive savings, and mentor team members in procurement practices.

The Senior IT Engineer, AI Enablement integrates SaaS tools with Omada's MCP ecosystem, drives AI adoption, collaborates across teams, and ensures secure data handling while enhancing workflow automation.

The IT Testing Engineer II is responsible for overseeing the software testing process, executing tests, managing defects, and collaborating with cross-functional teams to ensure software quality.

The IT Financial Analyst III leads expense projections, monitors IT financial variances, analyzes cloud expenditures, and supports budgeting processes while ensuring effective financial reporting and trend identification.

The role involves managing complex cross-team programs, aligning delivery governance, overseeing Agile practices, and ensuring quality standards across teams.

The IT Systems Lead will manage IT infrastructure projects, oversee SaaS applications, enhance security protocols, and mentor IT Analysts in a remote setting.

Perform end-to-end FedRAMP assessments for cloud service providers: interview SMEs, review IaaS architectures (AWS/Azure/OCI), validate NIST SP 800-53 controls, analyze vulnerabilities, verify encryption and configurations, draft deliverables, and mentor project team members.

Perform end-to-end FedRAMP assessments: interview CSP SMEs, walkthrough cloud architectures (AWS/Azure/OCI), evaluate NIST SP 800-53 controls, validate configurations and vulnerabilities, draft deliverables, train and mentor team members, and support practice development.