Top Tech Jobs & Startup Jobs in Wilmington, NC

Manage end-to-end delivery of cross-functional Medicaid clinical operations projects: define scope, timelines, and metrics; mitigate risks; coordinate governance and stakeholder communications; ensure operational readiness, compliance, and adoption; apply PM methodologies and continuous improvement.

Design, scale, and optimize APIs, services, databases, and critical wagering, financial ledger, and regulatory systems. Lead complex technical initiatives, improve production performance and resilience, build integrations and migrations, manage monitoring, and mentor engineers. The role requires ownership of end-to-end delivery, on-call operations, scalable distributed systems, GraphQL, relational databases, Kubernetes, asynchronous processing, and highly accurate, auditable financial systems.

Owns Tern’s accounting function, including revenue recognition, P&L restructuring, unit economics, month-end close, burn management, tax exposure, commission payouts, and payment-product accounting requirements. This first accounting hire will establish the chart of accounts, controls, processes, and accounting policies for a growing fintech and SaaS business, partnering with finance and engineering while serving as the company’s accounting subject-matter expert.

Analyze merchant credit and fraud risk across payment portfolios, review losses and activity, manage risk parameters, identify trends, and recommend mitigation strategies. The role partners with underwriting, compliance, sales, and clients; conducts root-cause analysis; supports regulatory and payment-network compliance; coaches teams; and improves risk processes and operations.

Lead the architecture, development, deployment, and reliability of scalable APIs for Afresh’s flagship AI ordering product. Partner with product, account management, and engineering teams to deliver integrated solutions, support the existing iPad application, and shape future product direction. Drive projects from conception through launch, enforce testing and release best practices, mentor junior engineers, participate in Agile ceremonies, and provide constructive code reviews.

Leads the commercial data ecosystem, including data integration, warehousing, governance, quality, stewardship, MDM, CRM, BI, and omnichannel systems. Partners with IT, commercial leadership, vendors, and stakeholders to establish trusted data sources and scalable infrastructure. Oversees AI, machine learning, predictive analytics, and responsible AI governance for commercial use cases. Ensures compliance with privacy, security, promotional, and healthcare requirements while supporting launch planning, field performance, training, and commercial decision-making.

Identify and convert qualified leads into product demos by phone, email, and web chat. Build relationships with clinic decision-makers, respond to inbound sign-ups, overcome objections, meet sales goals, and support marketing campaigns. The role requires persistence, strong communication, punctuality, competitiveness, and the ability to handle rejection. Experience with SDR or equivalent sales work is required, while healthcare, physical therapy, SaaS, and relevant CRM experience are preferred.

Own the full sales lifecycle to grow territory via cold outreach and channel partners. Manage discovery, executive presentations, negotiations, and post-sale handoffs. Maintain pipeline and forecasts in Salesforce, meet quotas, and travel domestically for client meetings and events.

Manage client relationships throughout the partnership lifecycle, driving engagement, retention, renewals, account growth, and program adoption. Responsibilities include contract and financial coordination, client reporting, KPI analysis, executive communications, onboarding, training, strategic meetings, and cross-functional collaboration. The role translates performance data into recommendations, addresses client feedback, and supports expansions and seasonal program launches.

Leads Strategic and Growth Customer Success teams serving post-acute and outpatient facilities. Responsibilities include improving retention, reducing churn, driving expansion, developing account strategies and playbooks, coaching CSMs, forecasting capacity, analyzing customer health and market data, managing escalations, and representing customer insights to Product and executive leadership. The role is fully remote with occasional local and overnight travel.