Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable care for all.
We are fundamentally reimagining how healthcare works in the U.S. by partnering with employers to redesign healthcare benefits using clear incentives and powerful, data-driven insights. Our approach guides employees to higher-quality, lower-cost care, creating a system that works better for everyone. Patients achieve better health outcomes, employers spend healthcare dollars more effectively, and physicians are rewarded for delivering exceptional care rather than performing more procedures.
Garner is one of the fastest-growing healthcare technology companies in the country. Our products are trusted by the most sophisticated employers and providers in the industry, and we are building a team of talented, mission-driven individuals who are motivated to make a meaningful impact on healthcare at scale.
We are seeking an exceptional Platform Engineering Manager to lead our Cloud Infrastructure Squad within the Engineering organization. This role will report to the VP of Platform Engineering. As the owner of Garner’s cloud infrastructure platform, you will be responsible for the reliability, scalability, and security of the foundational systems and services that every engineering team depends on.
Where you will work:Garner is headquartered in NYC, but this position is available for individuals who are comfortable with remote work and occasional travel to HQ.
What you will do:- Own the reliability, performance, and security of Garner’s cloud infrastructure on AWS, serving as the accountable party for platform uptime, incident response, and operational excellence
- Define and execute the technical roadmap for the cloud infrastructure squad, prioritizing investments across Kubernetes, Terraform, Istio, Postgres, NATS, and observability tooling
- Lead and develop a high-performing team of infrastructure engineers. Hire exceptional talent, set clear expectations, provide rigorous feedback, and hold the team accountable to Garner’s high standards
- Partner closely with product engineering, data engineering, and security teams to ensure the platform enables fast, safe, and scalable delivery across the organization
- Establish and monitor key reliability and performance metrics (SLOs, SLAs, error budgets); use data to drive decisions and continuously improve platform quality
- Manage quarterly planning and delivery for the squad, translating Garner’s engineering priorities into a clear roadmap, while coordinating dependencies, and escalating tradeoffs proactively and appropriately
- 5+ years of hands-on cloud infrastructure or platform engineering experience, with at least 2 years in an engineering management role leading cloud-based infrastructure teams
- Deep expertise with AWS and modern infrastructure tooling, including Kubernetes, Terraform, and at least a working familiarity with Istio, Postgres, and NATS
- A track record of building and scaling reliable, secure, and cost-efficient cloud platforms, including experience setting and managing SLOs/SLAs and driving incident response processes
- Strong people management skills with the ability to hire great engineers, deliver candid developmental feedback, and build a culture of ownership and high standards
- Excellent cross-functional communication, articulating technical tradeoffs clearly to engineering peers and non-technical stakeholders alike, while holding stakeholders accountable with clarity and directness
- Sound judgment in balancing engineering velocity with reliability and security, knowing when to slow down or speed up and the skill to cut through complexity and ambiguity
- 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
Python, Go, Terraform, Kubernetes, Istio, Postgres, ElasticSearch, NATS, AWS, Claude
This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.
The target salary range for this position is $219,000 to 250,000. 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
- 5+ years of hands-on cloud infrastructure or platform engineering experience
- At least 2 years in an engineering management role leading cloud-based infrastructure teams
- Deep expertise with AWS
- Deep expertise with Kubernetes
- Deep expertise with Terraform
- Working familiarity with Istio
- Working familiarity with Postgres
- Working familiarity with NATS
- Experience building and scaling reliable, secure, cost-efficient cloud platforms, including setting and managing SLOs/SLAs and driving incident response
- Experience with observability tooling and monitoring platform reliability metrics
- Strong people management skills: hiring, delivering candid feedback, and building a high-performance team
- Excellent cross-functional communication and ability to articulate technical tradeoffs to technical and non-technical stakeholders
- Experience managing roadmaps, quarterly planning, coordinating dependencies, and escalating tradeoffs appropriately
What the Team is Saying
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Garner Health Compensation & Benefits Highlights
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Healthcare Strength — Healthcare reimbursement layered on the company’s medical plan steers members to top-rated in‑network doctors and reimburses many eligible costs, with caps noted up to $4,000 individual or $8,000 family. When used as designed, typical services can approach near‑zero out‑of‑pocket.
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Parental & Family Support — Equal paid parental leave of 12 weeks following birth, adoption, or placement is provided. Feedback suggests this offers meaningful support for new families.
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Leave & Time Off Breadth — Flexible PTO for salaried employees is paired with a fully paid six‑week sabbatical after five years. This combination expands time‑off options beyond standard policies.
Garner Health Insights
What We Do
Garner Health is a health tech startup that is transforming the healthcare economy by enabling patients to receive high-quality and affordable care. Garner Health has two core offerings: Garner, a benefit program that uses a new approach to data science and incentive accounts to help employees find the best doctors in their communities, and Garner DataPro, a provider recommendation platform that serves referrals based on the most accurate provider performance and directory data in the industry. Garner Health’s offerings utilize over 75% of the medical claims data in the United States to objectively examine patient outcomes based on more than 500 specialty-specific quality and efficiency measures. By analyzing millions of healthcare journeys across 82 distinct medical specialties, Garner Health sets a new industry standard in delivering reliable, actionable referrals and navigating patients to the highest-quality providers. Garner Health is a remote-first company based in NYC.
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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Garner Health Offices
Remote Workspace
Employees work remotely.
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