Discover Iowa’s highest-paying jobs for 2024. From healthcare to trucking, explore diverse careers offering competitive salaries and growth opportunities.
Iowa’s heartland charm isn’t just about rolling cornfields and friendly faces—it’s also home to a thriving job market with diverse opportunities for applicants. As the state’s economy continues to evolve, Iowans are finding exciting and lucrative paths across various industries. But which careers are truly worthwhile in the Hawkeye State?
To answer this question, we’ve analyzed data from the U.S. Bureau of Labor Statistics, job posting sites Zip Recruiter, Indeed, and Zippia to compile a comprehensive list of Iowa’s highest-paying jobs. Our ranking considers factors such as average annual salary, job growth projections, and the number of available positions across the state. Whether you’re a recent graduate plotting your career course or a seasoned professional looking to make a change, this guide will illuminate the most rewarding career paths Iowa has to offer in 2024.

Iowa’s high-earners in healthcare
When it comes to high-paying careers in Iowa, the healthcare sector takes center stage. Specialized medical professionals command some of the highest salaries in the state, with dermatologists leading the pack. These skin specialists earn an average of $304,101 per year by diagnosing and treating various skin conditions, performing procedures, and detecting signs of other health issues through skin examinations. Beyond the impressive salary, dermatologists enjoy the satisfaction of improving patients’ quality of life, often boosting their self-esteem along with their physical health.
Close behind are surgeons, with an average annual salary of $299,834. These professionals perform life-saving operations across various specialties, from general surgery to specialized fields like neurosurgery and cardiothoracic surgery. The role of a surgeon is not only financially rewarding but also provides unparalleled opportunities to directly impact patients’ lives.
Orthodontists also rank among the top earners, with an impressive average salary of $268,531 per year. Their work combines medical expertise with aesthetic considerations to improve patients’ oral health and confidence.

Tech and business leadership: High rewards for expertise
The technology sector and upper management positions offer another avenue for lucrative opportunities in Iowa. Senior software engineers, earning an average of $112,221 per year, lead development teams and tackle complex coding challenges. Their expertise is highly valued in an increasingly digital economy. Beyond their financial rewards, these roles offer the excitement of working with cutting-edge technologies and creating solutions that can impact millions of users.
At the top of the corporate ladder, Chief Executive Officers (CEOs) in Iowa earn an average of $147,425 annually. These executives steer companies through strategic decision-making and leadership, shaping the state’s business landscape. The role of a CEO is not just about the paycheck; it offers the chance to leave a lasting legacy, influence industry trends, and drive economic growth in local communities.
Chief Financial Officers (CFOs) also command high salaries, taking home an average of $98,410 per year. They manage company finances and guide financial strategy, playing a crucial role in organizational success. CFOs have the unique opportunity to see the big picture of a company’s operations, making strategic decisions that can ensure long-term sustainability and growth.

Surprising high-rollers: Trucking and specialized jobs
Iowa’s economy presents some unexpected high-paying career paths, particularly in the transportation sector. Operators and truck drivers top Zippia’s list with an astounding average salary of $192,157, highlighting the critical importance of logistics in Iowa’s economy. This career offers the freedom of the open road, the chance to see different parts of the country, and a vital role in keeping the economy moving.
Owner/operators, independent truckers who own their vehicles, aren’t far behind, earning an impressive average of $160,722 annually. This showcases the potential for entrepreneurship in the transportation sector. Being an owner/operator provides the benefits of being your own boss, setting your own schedule, and having direct control over your earning potential.
Lucrative opportunities for skilled professionals
These high-paying jobs not only offer financial stability but also provide opportunities for personal growth, community impact, and professional satisfaction. They allow individuals to contribute meaningfully to Iowa’s economy while building rewarding careers that align with their passions and skills. Whether it’s saving lives in an emergency room, shaping the future of technology, or ensuring the smooth flow of goods across the state, these roles are essential to Iowa’s continued prosperity and offer fulfilling paths for those who invest in the necessary education and training.
This article may have been created with the assistance of AI.