Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner, we’ve developed a revolutionary approach to evaluating doctor performance and a unique incentive model that's reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs, we've experienced rapid adoption in the market and have more than doubled our revenue annually over the last 5 years, becoming the fastest growing company in our space. To support our continued growth, we're expanding our team by over 50% each year, seeking exceptional talent to shape our unique, award winning culture (for example, USA Today Top Workplaces 2025) designed to cultivate teamwork, trust, autonomy, exceptional results, and individual growth that creates an inflection point in your career.
The Senior Corporate Engineer is a foundational and highly technical role responsible for designing, building, and maintaining the internal systems that empower Garner's employees while solidifying our security and compliance posture. You will be a senior individual contributor focused on leveraging modern low-code/no-code platforms (like Retool, Okta Workflows, and Airtable) alongside traditional IT systems to drive operational maturity and efficiency. You will architect and own proactive automation efforts for high-impact IT workflows, including user lifecycle management, RBAC, and SaaS lifecycle management. This role demands an owner-mindset, deep technical competence, and a commitment to designing resilient, secure, and scalable internal systems. You will be part of the Business Technology - Corporate Engineering team and report to the Director of Business Technology.
Where you will work:This role will be based in our New York City office. You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.
What you will do:- Design, build, and maintain automation and integrations that significantly improve IT Service Delivery and user experience across Garner's IT ecosystem
- Manage the architecture and execution of complex user lifecycle automation, including sophisticated onboarding/offboarding workflows using Okta Workflows, HRIS, and low-code platforms
- Serve as a Subject Matter Expert for corporate identity and access management (IDP/Okta) and modern endpoint management (MDM, e.g., Jamf Pro, Intune, Kandji)
- Lead internal development projects using Retool (or similar tools like N8N, Budibase, AppSmith) to deliver bespoke, scalable internal tooling
- Contribute to Garner's high-compliance security posture by building workflows that enforce least-privilege access, auditability, and data protection (HIPAA, HITRUST, SOC2)
- Develop clear process maps (e.g., BPMN) to clarify system flows and align stakeholders on future-state system designs
- Serve as an escalation point for Service Desk escalations within your areas of expertise
- Senior competence in a similar role, with 3-5+ years of experience in enterprise IT, business systems, or internal tools engineering, particularly in a high-compliance environment
- Advanced hands-on experience with modern low-code platforms (e.g., Retool, Okta Workflows) and APIs to build custom integrations and applications
- Deep proficiency in Identity & Access Management (Okta, Azure AD/Entra) and Endpoint Management platforms (Jamf, Intune, Kandji, Google Advanced MDM); Okta Consultant certification preferred
- A proven systems thinker who can break down and re-architect complex, cross-functional workflows
- Experience in ITIL processes and service management (FreshService or similar ITSM tools)
- Proficiency with scripting/automation (e.g., Python, PowerShell) to manage systems at scale
- The ability to translate ambiguous and complex requests into well-defined objectives and deliverables
Okta, Okta Workflows, Retool, FreshService (ITSM), Google Workspace, Slack, MDM (Jamf Pro, Kandji, Intune), Airtable, AWS/GCP, Rippling (HRIS)
The target salary range for this position is (insert range). 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 email domain 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].
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What the Team is Saying
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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