Top Tech Jobs & Startup Jobs in Des Moines, IA

Manages medical billing and insurance coordination for personal injury clients. Submits Med Pay and health insurance information, opens subrogation claims, follows up with providers and carriers, verifies balances and ledgers, maintains accurate payment records, coordinates Medicare, Medicaid, Tricare, and veterans benefits, and supports timely settlement distributions. Tracks KPIs, maintains SmartAdvocate activity, answers calls, and follows firm procedures while advocating for maximum client recovery.

Build a modern web application from its earliest stages as a contract senior software engineer. Responsibilities include backend and frontend development, clean architecture, dependency inversion and dependency injection. The technology stack includes .NET Core, Entity Framework, MediatR, FastEndpoints, Next.js, React, PostgreSQL and Azure.

Build Duvo’s US outbound sales motion from the ground up. Responsibilities include identifying enterprise prospects, researching operational pain points, creating target lists and messaging, running multichannel outreach, using AI-driven tooling for research and personalization, qualifying opportunities, handing meetings to Account Executives, and feeding market insights back to leadership.

Leads global accounting operations, including monthly close, financial reporting, invoicing, receivables, collections, payables, payroll, treasury, audits, and accounting team management. Serves as the NetSuite and accounting applications subject matter expert, oversees external accountants, and drives process improvements, automation, policy development, and reporting efficiency across international business units.

Own the full enterprise B2B SaaS sales cycle from prospecting through contract signature. Build target-account pipeline, lead consultative discovery with multiple stakeholders, manage forecasts, close quarterly business, and transition customers to Account Management. The role requires quota-carrying enterprise sales experience, strong consultative methodology expertise, executive-level communication, and the ability to mentor newer account executives.

Leads global talent acquisition strategy, operations, metrics, technology, budget, and vendor management across the US, Canada, Mexico, and India. Manages and develops a distributed recruiting team, drives high-volume hiring, applies AI throughout the recruiting lifecycle, partners with executives on workforce planning, and builds scalable hiring processes. Oversees recruiting technology, agency relationships, compliance, reporting, and organizational change while improving speed, quality, cost, and candidate experience.

Design, build, deploy, and maintain production AI/ML systems, including models, data pipelines, training workflows, agentic systems, and RAG pipelines. Monitor and optimize reliability, scalability, performance, and costs while contributing to architecture decisions. Collaborate with product, engineering, and data teams, communicate technical tradeoffs, support junior engineers, and apply responsible AI, security, observability, and containerization practices.

Owns commercial performance across a defined geographic market and account base. Responsibilities include developing market and account strategies, prospecting, generating pipeline, conducting discovery, building business cases, managing multi-stakeholder sales cycles, closing new and expansion business, maintaining forecasts, and meeting revenue quotas. The role requires proactive B2B selling, strong business judgment, financial fluency, communication skills, coachability, and quota attainment. Healthcare, medtech, enterprise technology, or medical imaging experience is preferred.

Builds and operates healthcare data integrations and pipelines for claims, enrollment, provider, and other transaction data. Responsibilities include Python and SQL transformation logic, APIs, AWS pipelines, data quality checks, monitoring, troubleshooting, security controls, partner onboarding, CI/CD, and documentation. The role requires close collaboration with clients, vendors, product, and operations teams while supporting healthcare standards such as X12 837 and 834.

Lead client accounts and integrated communications campaigns focused on advocacy and social impact. Manage client relationships, strategy, project delivery, media outreach, storytelling, events, budgets, and account teams. Develop PR and marketing content, secure media placements, mentor junior staff, and deliver insights and presentations. The role requires strong communication, organization, creativity, leadership, and the ability to work autonomously in a fully remote environment.