Top IT Jobs in Rochester, NY

Lead IT support operations, ensuring high-quality technical support, vendor management, and IT processes for a remote workforce while improving contributor experience.

Serve as first contact for helpdesk tickets, resolve Tier 1/2 issues across macOS/Windows, manage onboarding/offboarding and hardware lifecycle, lead IT knowledge management (Confluence/Helpdesk KB) with machine-readable documentation for AI assistants, and perform Tier 2 SaaS administration (Okta, Google Workspace, Slack, Atlassian, Intune, Freshservice).

Translate business needs into clear technical requirements, user stories, and acceptance criteria. Support product backlog prioritization, roadmap maintenance, Agile ceremonies, release planning, stakeholder communication, and process improvements to ensure timely, high-quality delivery.

Serve as RF/spectrum SME to port EL-CID Desktop functionality to EL-CID Online, author JIRA stories, manage product backlog, support developers, test releases, provide production support, train users, and produce technical documentation and system diagrams.

Lead a remote Agile team to design, modernize, and maintain cloud-based, data-driven applications. Develop Databricks pipelines/notebooks, backend Java/Spring Boot microservices and REST APIs, integrate multiple data sources, implement performance testing, enforce unit testing and GitLab CI standards, and collaborate with cross-functional teams to deliver scalable, secure solutions.

Lead a team to design, build, modernize, and operate secure, scalable hybrid infrastructure across cloud and on-premises. Own infrastructure strategy, IaC automation, platform delivery, standards, vendor management, operational readiness, and cross-functional partnerships to ensure resilient, observable, and supportable enterprise platforms.

Administer, maintain, and optimize PACS and related imaging systems; support DICOM/HL7 integrations; troubleshoot imaging workflows; coordinate with radiology, cardiology, vendors, and IT to ensure secure, accessible patient imaging and compliance with HIPAA.

Serve as a senior IT business/systems analyst bridging IT and clinical business units: gather and translate data and system requirements, document processes and high-level technical designs, support integrations and data quality, define user stories and acceptance criteria, coach junior analysts, lead prototyping, and drive implementations using Agile practices.

Perform IT audits to ensure compliance with regulations and internal policies. Assist planning, execution, and reporting of IT audit engagements including SOX ITGC testing and risk-based reviews. Analyze data to identify control deficiencies, validate remediation, and communicate findings and recommendations to stakeholders. Use data analytics to enhance audit coverage and monitor remediation status.

Participate in a paid remote usability study testing two Figma prototypes for enterprise workflow orchestration and mainframe modernization. Navigate scenarios, compare navigation concepts, think aloud, and provide feedback on usability and layout.

Senior IT leader partnering with Commercial leadership to define and deliver pharma commercial technology strategy, oversee Veeva and digital platforms, lead product launch technology readiness, manage vendors/agencies, ensure compliance and governance, and lead IT teams to deliver scalable, secure commercial applications and digital experiences.

Administer and support IT operations automation for ClaimsXM. Maintain and troubleshoot automation workflows and related infrastructure, collaborate with stakeholders, and ensure systems operate within required US-based work and citizenship constraints.

Lead enterprise application implementations and integrations for electric energy clients. Manage scope, schedule, budget, risks, Agile ceremonies, Azure DevOps artifacts, testing, data migration, vendor coordination, stakeholder alignment, and deployment/transition activities to deliver business value.

Lead end-to-end delivery of complex IT and digital transformation programs, partnering with business leaders to align Salesforce/CPQ, billing, e-commerce, data and AI initiatives with strategy. Drive change management, organizational readiness, stakeholder engagement, and measurable value delivery while monitoring risks and continuous improvement.

Conduct clinical reviews and investigations to detect and prevent Medicare/Medicaid fraud, waste, and abuse. Write and review edits, consult on policy and coding, analyze data to identify risk, respond to CMS requests, and support implementation of pre- and post-payment detection models and edits.

The Lead IT Telecom Architect designs and optimizes Telecom and Contact Center architecture to meet business goals, ensuring security and performance. Responsibilities include strategy development, technology evaluation, system implementation oversight, and stakeholder collaboration.

This is a spontaneous application opportunity where candidates submit their CV and motivation for potential job matches.

The Director of IT is responsible for strategizing and managing the company's technology infrastructure, overseeing IT operations, and leading the technical team to align with business goals.

The Senior Technology Specialist oversees the design and support of technology solutions, ensuring they meet business needs and compliance standards, while mentoring junior staff and optimizing operations.

Edit, research, and produce technical documentation (user guides, procedures, training materials). Gather information from SMEs and artifacts, apply templates, ensure accessibility (Section 508), manage repositories, proofread peers' work, and support cross-functional programs to meet contract deliverables and schedules.

Lead enterprise IT sourcing and software procurement for complex renewals and strategic sourcing initiatives. Drive savings, establish governance, create vendor strategies and KPIs, partner with IT and stakeholders, mentor procurement staff, and manage contract negotiations and renewals.

Design, modify, and program software for local, networked, cloud, or internet applications. Write code, test and debug, document installation and maintenance procedures, gather user requirements, implement enhancements, and perform related duties.

Design and implement scalable, secure cloud and virtualization architectures; manage system installations, upgrades, backups, disaster recovery, capacity planning, and integrations. Troubleshoot complex hardware/software issues, coordinate vendors, follow change management, mentor team members, and support off-hours/on-call operations while ensuring compliance and operational excellence.

Design, develop, and support enterprise analytical and operational data solutions (ETL/ELT, data models, integrations, reports). Lead metric/technical design, manage medium-to-large projects, provide production support, documentation, training, and mentor junior team members. Maintain certifications and stay current with EHR/ERP, cloud, SQL, and BI technologies.

Design, develop, and maintain high-performance Scala/Java backend services and RESTful APIs. Work with SQL databases, Git, and Maven; support distributed systems; write unit tests; perform requirements analysis, system architecture, and performance optimization; participate in design reviews and system integration. Obtain T4 Public Trust clearance.