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Garner is on a mission to transform the U.S. healthcare system — and we’re the only proven player doing exactly that. We partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, then using compelling incentives to steer members to the care that helps them get healthier, faster.
The result is a rare “win win” — better care and lower costs for both members and employers. In just five years, our work has helped over 2.5 million people access higher-quality care and saved $1B in healthcare costs. We recently raised our Series E and have doubled five years running. If you've ever wanted your work to solve a problem that touches every person in this country, this is the opportunity to do exactly that. You'd be joining a team fundamentally reimagining healthcare in the U.S. — and using AI to scale that impact further and faster than anyone else can.
We are seeking an Engineering Manager for our Business Technology area who will lead the engineering efforts that power Garner’s internal customer support engine. This role reports to the VP of Platform Engineering and is critical to ensuring our internal employee-facing systems scale seamlessly as we enter our next phase of hyper-growth.
You will be responsible for the technical vision and execution that allows Garner to maintain its industry-leading efficiency while supporting a rapidly expanding employee base.
Where you will work:This role will be based in our New York City office (in the Financial District). You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.
What you will do:- Own Garner’s identity provider solution end to end ensuring the optimal onboarding and off-boarding experience for our employees and contractors while maintaining the proper security bar
- Own Garner’s internal network end to end, ensuring a seamless networking experience for employees in our NYC HQ
- Grow and develop the business technology team, owning the capacity planning, hiring, development, and termination of support and systems engineering resources
- Provide and nurture meaningful metrics that demonstrate your organization’s health at a glance, including Support SLA adherence, etc.
- Mastery in managing high-impact, strategic relationships with internal stakeholders, ensuring technical roadmaps which are aligned with Garner’s internal / employee experience objectives
- The capacity to accurately identify and correct employee misallocations, ensuring the team is focused on the highest-leverage opportunities
- A systematic approach that drives innovation and improves how Garner delivers our internal employee experience
- A commitment to operating with intense urgency, owning results through individual accountability and providing authentic, direct feedback to elevate the rest of your team
- A desire to be a part of a high-performing, mission-driven team that operates with intense urgency, a strong sense of individual accountability, and a commitment to authentic feedback
- Okta, Iru, Crowdstrike, Serval / Ravenna, Claude, GWS, MacOS
This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.
Compensation Transparency:The target salary range for this position is $239,000 - $292,000. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTO, Medical/Dental/Vision plan options, 401(k), Teladoc Health and more.
Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to [email protected].
Equal Employment Opportunity:Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected].
Skills Required
- Mastery of managing strategic relationships with internal stakeholders and aligning technical roadmaps with employee experience objectives
- Ability to identify and correct employee misallocation and focus teams on high-leverage opportunities
- Systematic approach to driving innovation and improving internal employee experience
- Commitment to urgency, individual accountability, and providing direct feedback
- Willingness to work in the New York City office three days per week on Tuesday, Wednesday, and Thursday
- Experience managing identity provider and internal network solutions
- Experience with Okta, Iru, CrowdStrike, Serval, Ravenna, Claude, Google Workspace, or macOS
What the Team is Saying
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Garner Health Compensation & Benefits Highlights
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Healthcare Strength — The package includes medical, dental, and vision plus “Garner for Garner,” which reimburses eligible out-of-pocket costs up to $4,000 (individual) and $8,000 (family) when using Top Providers. Feedback suggests this structure can materially reduce employee expenses at the point of care.
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Leave & Time Off Breadth — Flexible PTO, a paid sabbatical after five years, and rest days around federal holidays indicate generous time-off policies. The offering also includes 12 weeks of parental leave for added coverage across life events.
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Equity Value & Accessibility — Equity is offered to every employee, with job postings and company materials describing broad eligibility across roles. This company-wide approach makes ownership accessible beyond a narrow set of positions.
Garner Health Insights
What We Do
Garner is on a mission to fundamentally change the U.S. healthcare system by building an AI-first marketplace that solves the cost and quality crisis at its core. We analyzed claims records from millions of patients, using data science to objectively measure physician performance and identify the doctors who deliver meaningfully better outcomes at lower cost. We use that data to steer people to those doctors within their existing insurance network. Our products span a member-facing search experience that makes choosing a doctor simple, plus a financial incentive layer — if a member sees a top-performing doctor through Garner, their employer covers all or most of their out-of-pocket costs. Employers keep their existing plan and see lower healthcare costs alongside healthier employees.
Why Work With Us
Our values connect us in caring deeply about doing something different and hard — transforming the healthcare economy. They create an actionable set of norms for how we operate, including how we make decisions and support one another. Learn about our values here: https://www.getgarner.com/about.
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Employees work remotely.
