Things that work for me:
1. Disable the specific setting that I never use and that gets in the way
Or 2. Give alias (zoom) to the application, this usually causes it to appear first
I think you can disable a specific System Setting in the extensions setting in Raycast.
I would also like to be able to specify a ranking for the extensions in the results.
I think there’s a secondary action to reset the ranking position.
Given that the ranking is based on your usage, the actual Zoom app should then rank above the Accessibility option.