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 looking for an engineer who can walk into messy, cross-functional workflows and turn them into clean, automated systems that scale. This role focuses on identifying high-friction operational processes across the company and replacing them with durable, API-driven automation. You will work across IT, Security, Engineering, and Business teams to reduce manual work, improve reliability, and build systems that scale with the company.
This is not a ticket-driven IT role. You will operate with a high degree of ownership, driving initiatives end-to-end from problem discovery through implementation and rollout. 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 (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:- Identify and automate high-impact operational workflows across onboarding, offboarding, access management, and service delivery
- Replace manual, fragmented processes with scalable, API-driven systems
- Build and maintain integrations across HRIS, identity providers, SaaS platforms, and cloud environments
- Develop internal tools and automation using platforms like Retool, Okta Workflows, and custom scripts or services
- Apply infrastructure-as-code to manage and version system configurations
- Incorporate AI into workflows to improve efficiency in areas like ticket routing, knowledge retrieval, and decision support
- Design and automate access and security workflows that enforce least-privilege and auditability
- Own and drive cross-functional initiatives end-to-end, from problem definition through implementation and rollout
- 4–7+ years of experience in IT, platform engineering, automation, or similar roles
- Strong scripting or programming ability in Python, Go, Node.js, PowerShell, or similar
- Experience building API-driven automation across multiple systems
- Ability to design and implement workflows that span multiple tools and teams
- Experience with infrastructure-as-code such as Terraform or similar
- 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
- Hands-on experience with identity and access systems (Okta, SSO, SCIM, RBAC), including implementation and ongoing management
- Proven ability to build and scale internal tools using platforms like Retool or other low-/no-code solutions
- Familiarity with security automation and orchestration (e.g., Tines), with an eye toward reducing manual effort and risk
- Practical experience leveraging AI/LLMs to streamline and enhance operational workflows
- Strong understanding of compliance and security standards (HIPAA, SOC 2, HITRUST) and how they shape systems and processes
- Focused on driving meaningful outcomes
- Able to identify root-cause, system-level issues and design durable solutions rather than quick fixes
- Comfortable navigating cross-functional environments with competing priorities and constraints
- Operates with urgency while building scalable, maintainable solutions
- Defaults to automation and efficiency wherever possible
Okta, Okta Workflows, Retool, FreshService (ITSM), Google Workspace, Slack, Atlassian (Confluence and Jira), MDM platforms (Jamf Pro, Kandji/Iru, Intune), Airtable, AWS and GCP, Terraform, Rippling (HRIS), SOAR (Tines), and AI-enabled operational tooling (Claude, Gemini, OpenAI)
This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.
Please note: we are unable to sponsor or take over sponsorship of an employment visa at this time.
Compensation Transparency:The target salary range for this position is $153,000 - $190,000. 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
- 4-7+ years of experience in IT, platform engineering, automation, or similar roles
- Strong scripting or programming ability in Python, Go, Node.js, PowerShell, or similar
- Experience building API-driven automation across multiple systems
- Experience with infrastructure-as-code such as Terraform or similar
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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