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Mainframe Jobs in Rochester, NY (NOW HIRING)

Skills in using Mainframe, Excel, and Word preferred. Salary range: $19.40 - $22.50 Starting pay: based on experience Thompson Health is an EOE encouraging individuals with disabilities, and veterans ...

Patient Account Rep - HB

Canandaigua, NY · On-site

$19.40 - $22.50/hr

Skills in using Mainframe, Excel, and Word preferred. Salary range: $19.40 - $22.50 Starting pay: based on experience Thompson Health is an EOE encouraging individuals with disabilities, and veterans ...

Patient Account Rep - HB

Canandaigua, NY · On-site

$19.40 - $22.50/hr

Skills in using Mainframe, Excel, and Word preferred. Salary range: $19.40 - $22.50 Starting pay: based on experience Thompson Health is an EOE encouraging individuals with disabilities, and veterans ...

Plumbing Inspector

Rochester, NY · On-site

$61K - $82K/yr

Uses mainframe terminal or personal computer to extract and input inspection information; May provide staff support to the Examining Board of Plumbers. Minimum Qualifications High school diploma or G.

Plumbing Inspector

Rochester, NY · On-site

$61K - $82K/yr

Uses mainframe terminal or personal computer to extract and input inspection information; * May provide staff support to the Examining Board of Plumbers. Minimum Qualifications High school diploma or ...

Materials Coordinator 830am-5pm

Palmyra, NY · On-site

$23.98 - $25.38/hr

Knowledge about Microsoft Office, copy machine, mainframe terminal, bar-coding equipment and other systems. * Previous manufacturing experience prefered Physical Requirements: The physical demands ...

Mainframe information

See Rochester, NY salary details

$9

$52

$71

How much do mainframe jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for mainframe in Rochester, NY is $52.67, according to ZipRecruiter salary data. Most workers in this role earn between $46.49 and $59.76 per hour, depending on experience, location, and employer.

What is a mainframe?

Mainframes are powerful computers used mainly by large organizations for critical applications, bulk data processing, large-scale transaction processing, and enterprise resource planning. They are known for their reliability, scalability, and security, making them essential for industries like banking, healthcare, and government. Mainframes can handle thousands of users and transactions simultaneously, supporting the core operations of many businesses.

What are the key skills and qualifications needed to thrive as a mainframe developer, and why are they important?

To excel as a Mainframe Developer, a strong background in COBOL, JCL, mainframe operating systems (like z/OS), and database management is essential, often supported by a degree in computer science or a related field. Familiarity with tools such as IBM DB2, CICS, VSAM, and mainframe version control systems is typically required, and certifications like IBM Certified System Programmer can be advantageous. Analytical thinking, problem-solving abilities, and effective communication are important soft skills for identifying issues and collaborating with cross-functional teams. These skills ensure reliable maintenance, development, and modernization of mission-critical legacy systems that support large-scale business operations.

What are some typical challenges faced by mainframe professionals when integrating legacy systems with modern technologies?

Mainframe professionals often encounter challenges when integrating legacy systems with newer technologies, such as ensuring data compatibility, managing security protocols, and minimizing downtime during migration. These tasks require a deep understanding of both the existing mainframe architecture and the modern platforms being introduced. Collaboration with cross-functional teams—including application developers, security specialists, and project managers—is essential to ensure seamless integration and to address potential issues proactively. Staying updated on the latest integration tools and best practices also helps in overcoming these challenges efficiently.

What is the difference between Mainframe vs Mainframe Developer?

AspectMainframeMainframe Developer
Primary RoleMaintains and manages mainframe hardware and systemsDesigns, develops, and tests mainframe applications
Skills & CertificationsKnowledge of mainframe hardware, OS, and basic scriptingProficiency in COBOL, JCL, and mainframe programming languages
Work EnvironmentData centers, enterprise IT departmentsDevelopment teams within mainframe environments
Industry UsageUsed by organizations with legacy systemsDevelops and maintains those legacy systems

While Mainframe professionals focus on maintaining the hardware and system infrastructure, Mainframe Developers specialize in creating and updating mainframe applications. Both roles require knowledge of mainframe environments, but their responsibilities differ significantly within the same industry.

Is mainframe a good career option?

Mainframe careers involve working with large-scale computer systems used by many organizations for critical applications. The role typically requires knowledge of programming languages like COBOL, skills in system maintenance, and certifications such as IBM Certified System Programmer. It offers stable employment opportunities and competitive salaries due to the specialized skill set involved.

What job categories do people searching Mainframe jobs in Rochester, NY look for?

The top searched job categories for Mainframe jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Mainframe jobs?

Cities near Rochester, NY with the most Mainframe job openings:

Infographic showing various Mainframe job openings in Rochester, NY as of August 2026, with employment types broken down into 33% Full Time, and 67% Contract. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $109,546 per year, or $52.7 per hour.

Patient Account Rep - HB

Thompson Health

Canandaigua, NY

$19.40 - $22.50/hr

Full-time

Re-posted 9 days ago


Thompson Health rating

7.7

Company rating: 7.7 out of 10

Based on 12 frontline employees who took The Breakroom Quiz


Job description

Schedule: Full time, Days 

Main Function:

  • Independently monitors and controls accounts receivables of third-party payers.
  • Reviews daily registration/referral processes within own payer area and coordinates with appropriate departments when necessary.
  • Run AR reports from monitoring of specifics. Reconciles accounts timely and accurate.
  • Communicates and resolves issues with internal and external customers regarding payer-specific requirements in registration, referrals, charges, and coding affecting the submission and payment of professional claims.
  • Maintains knowledge of payer regulations and all manual and electronic procedures in submission and remittances.

Education:

  • High School Diploma or GED required.
  • Associate's Degree preferred.
  • Medical terminology desired.
  • ICD-9/10 CPT coding experience is strongly preferred.

Experience:

  • 2 to 3 years of previous medical billing experience is preferred.
  • Familiarity with all forms of payer claims by paper and electronic media is preferred.
  • Excellent public/patient relations and communication skills.
  • Skills in using Mainframe, Excel, and Word preferred.

Salary range: $19.40 - $22.50

Starting pay: based on experience 

Thompson Health is an EOE encouraging  individuals with disabilities, and veterans to apply.


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