Top IT Support & Helpdesk Jobs in St. Louis, MO

Provide frontline and second-level support for radiology, cardiology, neurology, and GI applications (PACS/MRI/CT), including troubleshooting, upgrades, vendor coordination, testing, documentation, on-call rotation, and participation in system projects to maintain uptime and align IT with clinical workflows.

Leads IT operations across change management, service desk, end-user support, incident and problem management, infrastructure monitoring, operational security, compliance, vendors, assets, and team development. Chairs the Change Advisory Board, oversees 24/7 operations, manages audit readiness for SOC and PCI controls, drives SLA and uptime performance, and provides executive-level operational reporting. This remote leadership role requires building scalable processes and developing a multifunctional IT operations team.

Provide expert MongoDB technical support, troubleshoot complex deployments, administer Linux systems, advise on schema/design, performance tuning, backups, monitoring, and collaborate on support content and product strategy while occasionally traveling for team or customer meetings.

Lead and scale a Support Engineering team handling complex API and payments issues, own incident response and SLAs, build operational processes, drive metrics and automation, partner cross-functionally, and hire and develop team members.

Build and lead a centralized IT function across a holding company and portfolio. Run acquisition IT workstreams and create a Day 1-100 integration playbook. Select and operate identity and access systems, build joiner/mover/leaver processes, maintain living inventory of tools/accounts/licenses, manage MSP relationships and vendor contracts, and connect back-end systems to the cross-portfolio data platform while engaging business stakeholders.

Provide Tier 1 helpdesk triage and support for DAI/Oracle Financials, develop training and communication materials, prepare bi-weekly metrics and monthly reports, and escalate complex issues to appropriate teams.

Provide day-to-day technical support for a complex B2B SaaS product: troubleshoot integrations and configurations, resolve tickets end-to-end, communicate clearly with varied audiences, escalate appropriately, and contribute to projects that improve support workflows and automation. Participate in a rotating schedule requiring one weekend day.

Provide mainframe operations and application support across IBM and Unisys environments (OS2200, z/OS, z/VM). Monitor and troubleshoot batch jobs, scheduling (OpCon/BMC), tape systems, and incidents using ITSM tools, perform IPLs, change management, RCA, and coordinate with government and customer personnel. Work 3rd shift and follow DISA processes and SLAs.

Support, configure, and maintain enterprise clinical and administrative applications (primarily Epic Ambulatory). Serve as first-line support, troubleshoot system and performance issues, update master files, design and test screens/reports/interfaces, and assist with project task planning and prioritization.

Provide remote technical support for Precisely data integration and coding-focused products (Code-1, VeriMove, Finalist, DIS SaaS). Troubleshoot data transformation, ETL/batch workflows, integrations and APIs; analyze logs and job output; collaborate with Engineering for escalations; create knowledge base content; participate in on-call rotations and use AI tools to automate and improve support workflows.