Top Senior IT Jobs in Des Moines, IA

Leads Advocate Health’s Epic Factory AI Program and cross-application strategic initiatives. Translates business needs into optimized clinical workflows, coordinates complex technology projects, manages risks and implementation plans, measures project outcomes, and drives change adoption. The role also provides technical direction, mentors analysts, supports portfolio planning, and partners with IT leadership and business stakeholders to deliver healthcare technology improvements.

Own day-to-day IT operations, service management, endpoint security, identity and access administration, cloud infrastructure support, vendor and MSP oversight, business-unit technology integrations, and SOC 2 or other audit readiness. The role manages Microsoft 365, Google Workspace, AWS, Azure, endpoint tools, security platforms, device compliance, operational documentation, procurement, and technical evidence across multiple business units.

Monitors government-funded care programs through on-site visits, provider interviews, documentation reviews, inventory assessments, and compliance evaluations. Identifies technical assistance needs, evaluates service quality and individual safety, conducts entrance and exit meetings, prepares monitoring reports, maintains records, and advises providers on child welfare best practices and corrective actions. The role is fully remote with frequent domestic travel to designated provider sites.

Supports IT procurement, purchasing, vendor management, third-party risk, privacy, compliance, audit readiness, and governance activities. Responsibilities include RFPs and vendor evaluation, purchase orders and invoice reconciliation, vendor due diligence, contract compliance, policy administration, remediation tracking, business continuity and disaster recovery governance, privacy documentation, reporting, and process improvement. The role also provides guidance to less experienced team members and partners with IT Security, Legal, Privacy, Finance, auditors, vendors, and business teams.

Leads complex, cross-regional IT programs from business case through deployment and stabilization, with emphasis on SAP implementations and transformations. Establishes governance, plans, budgets, risk controls, dependencies, and executive reporting. Coordinates business, technical, data, testing, integration, and deployment teams while managing consulting partners, systems integrators, and vendors. Also supports recovery planning, portfolio prioritization, PMO standards, and coaching of project managers.

Lead a 24/7 production support team using Scrum and SAFe practices. Establish operational goals, facilitate ceremonies and incident reviews, coordinate high-severity incident response, manage backlogs and SLAs, maintain Jira visibility, drive root-cause analysis and corrective actions, and improve team workflows. Collaborate with product owners, development, security, platform, and operations teams while communicating risks, incidents, and performance to stakeholders.

Designs DevSecOps automation strategies for a federal mainframe modernization program. The role develops cloud-native architectures, modernizes CI/CD pipelines, integrates security and testing, evaluates legacy workflows, creates technical roadmaps, and guides engineering teams and customer stakeholders through adoption of containerized, scalable modernization solutions.

Lead the IT workstream for complex business separations, divestitures, and Transition Services Agreements. Manage integrated plans, milestones, dependencies, risks, issues, vendors, and technology impacts across applications, infrastructure, data, cybersecurity, networks, and end-user technology. Coordinate internal teams and service providers, align technology requirements with business needs, and deliver executive reporting and recommendations throughout transition, stabilization, and exit activities.

Administer and secure identity, email, network, firewall, and collaboration infrastructure for a distributed workforce. Responsibilities include Okta or equivalent SSO management, email security controls, incident response, network administration, routing, switching, VPNs, firewall policies, documentation, vendor management, and infrastructure improvement. The role partners with Security and Help Desk teams, troubleshoots complex issues, supports onboarding and offboarding, and manages moderately complex projects independently.

Owns IT infrastructure, endpoint management, identity and access, security, compliance, vendor relationships, and employee support across corporate and clinical teams. The role designs scalable systems, resolves hardware and software issues, manages provisioning and deprovisioning, develops IT policies and documentation, supports HIPAA and SOC 2 compliance, and maintains disaster recovery and cybersecurity response practices. Periodic travel to regional offices is required.

Leads security operations and corporate IT for a healthcare technology company handling PHI. Responsibilities include incident response, application and cloud security, IAM, endpoint management, vendor reviews, security policies, compliance support for HIPAA, SOC 2, and HITRUST, and management of three direct reports. The role also builds AI-driven automation tools and workflows for IT and security operations while partnering with executives, engineers, customers, auditors, and compliance leaders.

Lead implementation and ongoing management of ServiceNow Hardware Asset Management, Software Asset Management, and Software Bill of Materials solutions. Collaborate with GDIT and AmeriCorps teams to capture and deliver requirements, drive inventory management and control, and apply ServiceNow and Azure technologies. The role requires ServiceNow administration and implementation expertise, technical education or training, and at least eight years of related experience.

Own internal IT engineering across identity, devices, SaaS applications, Azure infrastructure, security solutions, and employee support. Manage Microsoft 365, Entra ID, Intune, Windows and Mac devices, access controls, and system integrations. Build automation and AI-powered workflows, establish AI governance, administer infrastructure as code, resolve escalated technical issues, and improve reliability, security, and operational efficiency. The role also supports onboarding, offboarding, documentation, monitoring, and cross-functional IT initiatives in a remote environment.

Manage IT infrastructure, ensure data center runs smoothly, lead a team of engineers, plan capacity growth, and handle vendor relations.

Supports the IHS Electronic Health Records Modernization program by designing, integrating, installing, configuring, testing, and maintaining biomedical and end-user devices. Develops solutions for complex device engineering, infrastructure, security, backup, and redundancy challenges; maintains technical documentation; collaborates with cyber and implementation teams; and may lead or mentor others. The role is fully remote, requires Oracle Health experience, and may involve up to 25% travel.

Leads the internal IT organization’s AI-first transformation, including systems strategy, AI tool deployment, platform uptime, governance, security coordination, helpdesk automation, budgeting, and cross-functional adoption. Owns IT roadmaps, prioritization processes, AI metrics, compliance frameworks, and teams of up to 30 contributors while partnering with security, infrastructure, legal, and other business functions.

Operate and improve IJM's Microsoft Azure environment: ensure availability, performance, security, monitoring, incident response, cost optimization, IaC deployments (Bicep/ARM/Terraform), automation with PowerShell/Azure CLI, governance (Azure Policy/RBAC), and collaborate across teams to maintain standardized, secure, and observable cloud platforms.

Facilitates IT demand intake, evaluation, prioritization, and portfolio governance. Develops business cases, dashboards, scoring frameworks, capacity views, and executive decision materials. Administers demand lifecycles and ServiceNow Strategic Portfolio Management workflows while coordinating compliance, risk, resource planning, and portfolio health activities. Partners with IT, business, PMO, project, and operational leaders to align initiatives with strategy, funding, capacity, and organizational priorities.

Administer and optimize Databricks workspaces across development, test, and production environments. Manage clusters, jobs, workflows, security, governance, monitoring, backups, performance, and cost controls. Automate provisioning and policy enforcement using infrastructure as code, integrate CI/CD pipelines, troubleshoot platform issues, and provide Tier 2/3 support. Collaborate with data, analytics, security, and IT teams while documenting procedures, onboarding users, and promoting Databricks best practices.

Leads business process reengineering and modernization projects for Defense Logistics Agency initiatives. Responsibilities include process mapping, data modeling, requirements analysis, stakeholder interviews, change management, training, methodology development, performance measurement, and quality improvement. The specialist collaborates with process, product, development, and functional owners to define system requirements, user stories, business rules, and acceptance criteria while tracking project risks, issues, milestones, and deliverables.

Analyzes financial and ERP data using statistical analysis, data mining, predictive modeling, and advanced algorithms. Supports Oracle financial shared services, data conversion, business continuity, disaster recovery, and contingency planning. Develops analytical outputs that improve agency KPIs and identifies trends and business opportunities. Requires collaboration with systems, network, hosting, and disaster recovery teams, plus participation in COOP exercises and Oracle environment upgrades.

Leads global IT internal audits, SOX testing, control assessments, audit reporting, remediation tracking, and co-sourced team management. Evaluates ITGCs, application controls, ERP, cloud, cybersecurity, data governance, OT/ICS, third-party risks, and digital transformation initiatives. Develops audit methodologies, supports risk assessment and audit planning, reviews SOC 1 reports, and presents findings to senior leadership and external auditors.

Leads national IT and non-clinical recruiting operations, manages and develops recruiters, establishes KPIs, monitors production, improves staffing processes, and partners with sales and account management to fulfill client hiring needs.

Designs and executes integration, acceptance, system, regression, end-to-end, performance, and automated software tests. Develops test scripts, frameworks, test data, and documentation; analyzes security and evaluates results against requirements and design. Integrates automated testing into CI/CD pipelines and maintains test cases using tools such as Selenium, Cypress, Appium, or Robot Framework. Requires five or more years of testing and automation experience, relevant technical certification, and IT-II clearance or current NACLC.

Develop and integrate production AI/ML capabilities into Oracle E-Business Suite on OCI for federal financial management. Build NLP and document-processing solutions, REST API integrations, ML lifecycle workflows, cognitive performance metrics, and data-mining capabilities. Participate in SAFe Agile delivery, author user stories, support DevSecOps integration, resolve technical impediments, and contribute to transition and knowledge-transfer materials. The role requires collaboration with architecture, product, and government teams in a cleared defense environment.