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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.
About the role:
We are seeking an exceptional Engineering Manager to join our Business Productivity team. This role will report to the VP of Platform Engineering. You will lead a team responsible for improving the efficiency of our internal lines of business by embedding AI into their core workflows.
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:
- Lead, mentor, and grow a high-performing engineering team through coaching, authentic feedback, and hiring
- Partner closely with internal business units to identify high-leverage opportunities and ship features end-to-end that deliver measurable employee productivity gains
- Drive the delivery of AI-native solutions
- Own core services and ensure secure, high-quality, and reliable experiences in a fast-moving environment
- Balance quality with delivery speed, identify bottlenecks, and clearly communicate tradeoffs across engineering, product, and business stakeholders
- Set technical direction across the team’s roadmap and its three bets: AI adoption, employee efficiency, and foundational improvements
The ideal candidate has:
- 6+ years of hands-on engineering experience and 2+ years managing engineering teams
- Experience building web applications and APIs on cloud infrastructure (AWS or similar)
- Strong sense of ownership and proactive problem-solving mindset
- The ability to partner with non-technical business stakeholders and translate their workflows into effective technical solutions
- Experience thriving in a startup or other fast-moving, high-accountability environment
- 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
Technologies we use:
Python, TypeScript, React, NodeJS, Kubernetes, Istio, Postgres, ElasticSearch, NATS, AWS, Terraform
This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.
What you'll get here:You’ll work on problems that matter, at a company working to change healthcare at scale. You’ll work at the intersection of AI and systemic healthcare reform, where the problems we solve are as interesting and compelling as the mission.
At Garner, you’ll take on real, ambitious problems with real ownership and autonomy, alongside exceptional, principles-based people who genuinely want you to win. It’s demanding by design. You’ll be challenged to stretch beyond what you thought possible and receive consistent coaching to help you grow and do the best work of your career. This isn't the right fit for everyone, and that's intentional. The people here are driven by what's at stake for real people, and that's what gives our intensity its purpose.
Compensation Transparency:
The target base salary range for this position is $310,000 – $385,000. 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) with company match, flexible spending accounts, 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
- 6+ years of hands-on engineering experience
- 2+ years managing engineering teams
- Experience building web applications and APIs on cloud infrastructure such as AWS
- Strong ownership and proactive problem-solving mindset
- Ability to partner with non-technical business stakeholders and translate workflows into technical solutions
- Experience in a startup or fast-moving, high-accountability environment
- Willingness to work in the New York City office three days per week
What the Team is Saying
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Garner Health Compensation & Benefits Highlights
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Healthcare Strength — The “Garner for Garner” reimbursement is described as meaningfully reducing out-of-pocket medical costs when using Top Providers, with caps up to $4,000 for individuals and $8,000 for families. Company and employer-verified materials present this as a standout element of the package.
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Leave & Time Off Breadth — Flexible/unlimited PTO, 12 weeks paid parental leave, and a fully paid six-week sabbatical after five years indicate broad time-away support. PTO is employer-verified and characterized positively in recent updates.
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Equity Value & Accessibility — Equity is granted to every employee, and stock options are often cited as a valuable component of total rewards. Company materials also reference recurring tender opportunities that can enhance access to equity value.
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.
