Top Tech Jobs & Startup Jobs in Des Moines, IA

Leads the internal audit program and SOX testing across QCR Holdings and its subsidiaries. Oversees audit risk assessment, schedules, procedures, tools, internal controls, audit reports, external audit support, and communication with business units and the Audit & Compliance Committee. Manages, coaches, hires, and evaluates internal audit staff while coordinating external audit providers and special investigations. Requires extensive internal audit and management experience, professional certification, strong communication skills, and travel to company locations.

Leads strategic healthcare account sales, developing growth strategies, managing complex customer relationships, negotiating contracts, preparing RFPs and presentations, identifying cost-saving opportunities, and coordinating product implementations. Partners with field sales and internal teams to retain business, grow market share, manage profitability, resolve issues, and deliver sales objectives. Presents to senior leaders and manages account projects while traveling extensively to customer sites and medical facilities.

Leads branch claims operations, supervises and develops claims staff, distributes workflow, reviews coverage and reserves, investigates and negotiates claims, manages adjusters and third parties, ensures regulatory compliance, and supports branch planning, budgeting, staffing, and performance goals.

Manages a high-risk borrowing account portfolio, reducing loss exposure and making credit decisions or recommendations. Performs financial and risk analysis, advises stakeholders on lending structures, collateral, and mitigation strategies, and ensures compliance with banking policies and regulations. Provides credit coaching, strategic guidance, reporting, and portfolio monitoring while leading initiatives, change programs, and operational improvements. Builds relationships with internal and external stakeholders and supports acquisition or integration due diligence.

Provides quality control and reporting for treasury support operations, resolves escalated issues, maintains procedures, supports regulatory compliance, and assists with projects, software implementations, testing, training, and product development. Serves as a departmental subject-matter expert, coordinates team training, manages work queues, facilitates meetings, and communicates with bank personnel and customers to deliver treasury solutions.

Own end-to-end capital accounting for a multi-billion-dollar fiber network: ASC 360 PP&E and ASC 842 lease accounting, SAP FI-AA/PS/MM stewardship, PO-coding architecture, month-end close and external audit support, SQL/BigQuery reporting and reconciliations, cross-functional partnering, and team leadership and development.

Manage business insurance accounts by assessing client risks, recommending suitable coverage, preparing applications, servicing and retaining clients, maintaining accurate documentation, and coordinating with carriers and underwriters. The role may include ownership of house accounts, client onboarding, coverage updates, sales support, community promotion, and mentoring new employees. Strong customer service, insurance knowledge, communication, organization, and continuous learning are emphasized.

Designs, develops, and maintains scalable, secure, performant, and HIPAA-compliant web applications supporting healthcare insurance operations. Responsibilities include translating business needs into technical solutions, contributing to architecture, mentoring developers, conducting code reviews, supporting DevOps and CI/CD practices, participating in cloud modernization, monitoring application performance and security, documenting systems, and providing on-call support.

Generates and qualifies pharmacy software sales opportunities, manages complex sales cycles, meets quota targets, conducts client Quarterly Business Reviews, identifies upsell opportunities, and collaborates with product, implementation, marketing, and sales teams. Uses Salesforce to manage leads, opportunities, forecasts, and customer interactions. Requires strong pharmacy, healthcare IT, presentation, negotiation, and communication skills, with travel up to 25%.

Manages national contractor and OEM accounts, drives sales growth, supports product selection, negotiates pricing, and resolves customer issues. Owns customer relationships, account strategy, pricing, inventory planning, and large opportunities. Partners with account managers, vendors, suppliers, and internal teams to improve margins and service delivery. Provides market intelligence, mentors inside sales staff, supports hiring and training, and makes significant commercial decisions.