Top Tech Jobs & Startup Jobs in Des Moines, IA

Lead development and execution of integrated brand and content strategy for Precision for Medicine. Translate scientific and clinical expertise into thought leadership and demand-generation content, manage editorial calendars, optimize digital experiences (SEO, marketing automation, AI-enabled workflows), measure content performance, and lead internal and external content teams to drive awareness, engagement, and qualified leads across the buyer journey.

Lead product marketing for an interoperability platform and partner ecosystem: craft positioning and messaging, drive partner and product launches, enable commercial teams, perform competitive analysis, and coordinate cross-functional launch execution to grow partnerships and platform value.

Lead technical architecture and delivery for Dynamics 365 Finance & Supply Chain projects: translate functional requirements into technical designs, mentor teams, manage integrations, collaborate with stakeholders and Microsoft, support pre-sales, and ensure best-practice enterprise architecture.

Lead end-to-end design, configuration, testing, training, and deployment of Dynamics 365 Supply Chain and Project Management & Accounting solutions. Analyze client requirements, create functional designs, identify gaps, collaborate with technical teams, drive data conversion and test plans, and deliver process improvements for project-based and supply chain operations.

Lead technical discovery and design for enterprise Power Platform and Dynamics 365 solutions. Design and build Dataverse model-driven apps, Power Automate flows, integrations (Azure services, REST/Dataverse APIs), and extend with C#/.NET and JavaScript. Produce technical designs, ALM/CI-CD pipelines, runbooks, tests, and support documentation. Mentor teams, communicate risks and estimates, troubleshoot production issues, and contribute reusable assets and best practices.

Design, implement, and operate infrastructure for a federated social network. Own reliability, availability, observability, incident response, deployments, capacity planning, and cost management. Build automation and tooling, scale bare-metal and cloud systems for millions of users, lead incident reviews, mentor engineers, and manage vendor relationships to ensure operational excellence.

Lead and execute end-to-end product design for iOS, Android, and web while directing a small design team. Define visual identity and design systems, mentor and hire designers, run critiques, and influence product strategy using user research and iterative prototypes. Balance hands-on craft with team leadership to raise design quality across the product.

Manage and nurture existing hospital and healthcare client accounts: onboard and implement FairCode programs, ensure customer success and adoption, act as primary client liaison, drive retention and revenue growth through upsell/cross-sell, coordinate internal teams, produce reporting, and gather referrals and market insights.

Lead platform product strategy, roadmap, and outcomes for shared services (data, identity/security, workflow, APIs, integration, observability, AI). Build and grow PM teams, drive extensibility and developer experience, ensure non-functional outcomes (performance, scale, reliability, security/compliance), and establish intake/prioritization governance to accelerate product-line development and platform adoption.

Lead complex healthcare IT engagements as the senior technical advisor: design and maintain scalable database environments, implement HL7 interfaces and interoperability, optimize EHR/PM systems, ensure HIPAA-compliant security, support reporting/analytics, and manage project governance and client relationships.

Provide technical and functional support for the IMS (OnBase) platform by troubleshooting application issues, resolving customer incidents, and communicating status. Serve as primary case owner, collaborate with Development/QA, document troubleshooting and resolutions, follow escalation procedures, mentor peers, and contribute to knowledge sharing and continuous improvement.

Lead end-to-end business-process transformation: diagnose operational friction across functions, design future-state workflows and business rules, translate requirements for Product/Tech/Data, drive pilot-to-rollout adoption, and measure sustained business impact.

Lead operational readiness and implementation for new products and services across Client Success. Assess operational impacts, translate technical requirements into scalable workflows, coordinate cross-functional readiness activities, identify and mitigate risks, develop playbooks and metrics, and drive continuous improvement and adoption of AI-enabled tools to improve operational efficiency and reporting.

Lead enterprise GTM strategy, product commercialization, and enablement programs. Coordinate cross-functional launch readiness, executive-level deal governance, M&A commercial integration, and initiatives to improve seller productivity, revenue performance, and organizational alignment across Product, Revenue Operations, GTM, Marketing, Client Success, Legal, and Finance.