Top Senior Level Jobs in Des Moines, IA

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.

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.

Leads wholesale strategy, growth planning, strategic partnerships, commercial deal support, pricing coordination, sales process improvement, CRM and marketplace enablement, contract coordination, and team development. Analyzes revenue, margin, pipeline, partner, and market data to guide decisions. Coordinates with Product, Finance, Legal, IT, Engineering, Operations, and Delivery teams while managing carrier, buyer, supplier, and last-mile relationships.

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.

Supports strategic healthcare network partners by improving MTM performance and adoption of paid solutions. Builds partner relationships, analyzes performance data, recommends clinical and operational improvements, manages platform changes, triages issues, leads performance meetings and complex projects, and supports contracting, implementation, integration, and process development. Requires independent decision-making, strong communication, analytical skills, healthcare and account management experience, and familiarity with clinical pharmacy programs and Outcomes solutions.

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.

Lead multidisciplinary mechanical engineering teams and multiple Justice + Civic projects, overseeing design quality, construction documents, budgets, schedules, deliverables, and client expectations. Coordinate with architects, engineers, consultants, vendors, and owners; review interdisciplinary designs; guide staff on justice facility requirements; and support business development, RFPs, client interviews, and relationship management. Apply expertise in smoke control, mechanical and plumbing systems, security integration, facility operations, building codes, and sustainable design standards.

Manage strategic district partnerships and lead curriculum implementation across a Midwest territory. Develop implementation plans, monitor progress and outcomes, provide onsite coaching and professional learning, facilitate leadership networks, document customer insights, and collaborate with sales on adoption and implementation services. The remote role requires extensive travel, customer presentations, educational consulting, and expertise in curriculum implementation and instructional leadership.

Oversee tax planning, compliance, research, and engagement delivery for diverse clients. Review business and individual tax returns, analyze complex transactions, manage budgets and deadlines, supervise and mentor tax staff, communicate strategies to clients, improve tax processes, and support business development. The role requires maintaining current tax knowledge, meeting regulatory requirements, and ensuring high-quality client deliverables.

Leads the planning, execution, monitoring, and closure of commercial insurance projects. Coordinates stakeholders, project teams, resources, deliverables, milestones, and portfolio activities. Supports Agile adoption through Scrum or Kanban, facilitates iterative planning and continuous improvement, reports project progress and risks, escalates issues, and mentors project management staff at the Project Manager II level.