He serves as a play-by-play announcer for the NBA, WNBA, and women's college basketball on ESPN, and the New York Yankees and Brooklyn Nets on YES Network.

He previously hosted the Stephen A. Smith & Ryan Ruocco Show on ESPN Radio 98.7 FM.

[citation needed] Ruocco serves as a lead television play-by-play broadcaster for the NBA, WNBA, and NCAA Women’s College Basketball on ESPN.

[9][10] Ruocco debuted as a lead play-by-play broadcaster for the YES Network when he called a series between the New York Yankees and Houston Astros in June 2015.

[11] During the 2019 baseball season, Ruocco stepped up as the main voice of the New York Yankees on the YES Network.

[13] On June 28, 2023, Ruocco called New York Yankees pitcher Domingo Germán's perfect game against the Oakland Athletics.

[14] Ruocco co-hosted the podcast R2C2 alongside former New York Yankees all-star pitcher CC Sabathia.