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 looking for a FP&A Senior Manager - Headcount to join our team. You will be on the front lines of informing company strategy through financial analysis and responsible for building up scalable processes to match company growth. This role reports to the Director, FP&A.
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:- Develop and maintain dynamic, driver-based financial models to support business decisions, scenario planning, cash forecasting, and long-range strategic planning
- Own the budgeting and forecasting process for headcount expenses - the largest expense category for the Company
- Oversee and evolve Garner’s job architecture and commensurate compensation programs (cash, equity incentive plans, bonus/commission structures, etc.)
- Own bi-annual compensation planning cycles
- Own the design and administration of healthcare benefits, ancillary benefits, 401k plan, and perks
- 6-10 years of experience; ideally in investment banking, private equity, consulting or a startup FP&A function
- Bachelor’s degree in Finance, Accounting, Economics, or a related field
- Strong financial modeling and analytical skills, with advanced proficiency in Excel / Claude
- Ability to manage multiple priorities in a fast-paced, ambiguous environment
- Strong communication and presentation skills, with the ability to partner effectively across departments
- Demonstrated ability to improve processes and build scalable reporting infrastructure
- Intellectual curiosity and a structured, problem-solving approach to breaking down complex challenges
- A proactive, hands-on mindset with a willingness to roll up your sleeves and take ownership
- 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
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 base salary range for this position is $190,000 - $230,000. 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
- 6-10 years of experience in finance, FP&A, investment banking, private equity, consulting, or startup FP&A
- Experience ideally in investment banking, private equity, consulting, or startup FP&A function
- Bachelor's degree in Finance, Accounting, Economics, or related field
- Strong financial modeling and analytical skills
- Advanced proficiency in Excel and familiarity with Claude
- Ability to manage multiple priorities in a fast-paced, ambiguous environment
- Strong communication and presentation skills and ability to partner across departments
- Demonstrated ability to improve processes and build scalable reporting infrastructure
- Experience with compensation planning, equity incentive plans, bonus/commission structures
- Experience designing and administering healthcare benefits, ancillary benefits, and 401(k) plans
- Proactive, hands-on mindset with willingness to take ownership
- Intellectual curiosity and structured, problem-solving approach
What the Team is Saying
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Garner Health Compensation & Benefits Highlights
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Healthcare Strength — Employees enrolled in a Garner medical plan can use the “Garner for Garner” benefit to receive reimbursements toward eligible out‑of‑pocket expenses when using Top Providers, with caps listed as up to $4,000 for individuals and $8,000 for families. Company materials present this as enabling near‑zero out‑of‑pocket costs for many situations alongside comprehensive medical/dental/vision coverage.
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Leave & Time Off Breadth — Company materials outline flexible PTO for salaried staff and a fully paid six‑week sabbatical after five years. These time‑away benefits are highlighted as unusual for a company of this size.
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Parental & Family Support — Materials specify 12 weeks of paid parental leave for all paths to parenthood. Family medical leave support is also included as part of the core package.
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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