Top Tech Jobs & Startup Jobs in Sacramento, CA

Lead and scale GTM enablement across sales, technical, and BDR teams by building an enablement operating system that shortens ramp time, improves pipeline generation and win rates, embeds AI-driven personalized coaching, uses call intelligence (e.g., Gong) to drive coaching, hires and develops the enablement team, and aligns cross-functionally to measurably improve rep productivity and deal execution.

Lead advanced accounting and reporting for record-to-report operations: review staff and offshore work, prepare complex journal entries, support monthly/quarterly closes, reconcile cash and intercompany transactions, perform variance analyses, ensure SOX and U.S. GAAP compliance, assist audits and tax reporting, and identify BlackLine automation opportunities.

Ensure accuracy, integrity, and compliance of master and reference data across enterprise systems. Enforce governance, validate and remediate Salesforce and other system records, perform audits/cleansing/de-duplication, support migrations and integrations, produce reports and insights, and partner with global teams to improve data processes and adoption of standards.

Lead and build the Customer Success function for enterprise value-based care customers. Drive customer satisfaction, retention, expansion, and usage growth by defining processes, KPIs, and cross-functional initiatives; manage enterprise relationships, identify upsell opportunities, and own revenue growth while cultivating customer advocates.

Build, operate, and scale core data services and APIs to process, store, and deliver large-scale patient health records with low latency and high availability. Provide technical leadership, contribute to architecture and design, collaborate with product and engineering teams, and coach engineers.

Design, develop, and support enterprise analytical and operational data solutions (ETL/ELT, data models, integrations, reports). Lead metric/technical design, manage medium-to-large projects, provide production support, documentation, training, and mentor junior team members. Maintain certifications and stay current with EHR/ERP, cloud, SQL, and BI technologies.

Develop and maintain scalable Node.js/JavaScript services on AWS (Lambda, Fargate), build and monitor RESTful APIs, manage data in S3, contribute infrastructure-as-code (CloudFormation/CDK), and support integrations with Salesforce (LWC, Apex). Collaborate with senior engineers and product managers, improve systems, and document work.

Design, build, and maintain AWS-hosted backend services (Lambda, Fargate) using JavaScript/Node.js. Develop and monitor RESTful APIs, create CloudFormation IaC, manage S3 data, integrate with Salesforce (refactor LWC/Apex), collaborate with Product, and document deployments.

Manage a portfolio of customer onboarding projects for Qualio, design and execute onboarding plans, communicate with customers and internal teams, educate customers on product best practices, track risks/issues, and ensure smooth handoffs to Sales and CSMs.

Conduct transaction monitoring and blockchain investigations to detect potential money laundering, terrorist financing, or illicit activity. Use blockchain analytics and open-source research to assess alerts, prepare clear case dispositions, escalate suspicious matters, and draft Suspicious Matter Reports (SMRs) within SLAs while collaborating with FIU and Compliance leadership.

Develop, maintain, and automate Twilio's Compute cloud infrastructure including scalable cloud-native environments, VM orchestration, hardened AMIs, ASG/EC2 management, container images, and OS libraries. Collaborate with architects and engineers, produce IaC-compliant implementations, author documentation and runbooks, participate in on-call rotation, and support legacy and new platform components using automation and best practices.

Lead technical pre-sales for Twilio.org: qualify opportunities, design architectures, run demos and POCs, produce technical proposals, mentor peers, and drive customer adoption across public sector, healthcare, and non-profit customers.

Administer and maintain CRM and GTM systems, manage integrations and data quality, co-administer DealHub CPQ, support system modernization and migrations, resolve revenue-blocking issues, and document and enable sales users.