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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.
This is a role for someone who wants to work on a hard problem, deliver real impact and be pushed to be the best version of themselves. As the Sr. Operations Analyst, Payments, you’ll be embedded in the Claims team and report directly to the Director of Claims. You will own Garner’s payments function end to end: making sure every member is paid accurately and on time, and building the processes, tools, and team that let payments scale. Your work will directly shape the member experience as Garner grows and launches new ways to reward members for choosing great care.
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 day-to-day payments function, ensuring member payments are accurate, timely, and well controlled
- Stand up and scale payment operations for new products as we launch them
- Leverage data analysis, process mapping, automation, and effective communication to analyze, build, and deploy processes that make our payments operations more effective and efficient as we scale
- Partner with Product and Engineering to launch and scale new payment capabilities, and work with diverse stakeholders—from operations specialists to account executives to external partners—to understand key workflows, align on solution design, and drive outcomes
- Develop and maintain reporting systems and identify trends for specific areas of improvement across payments KPIs such as accuracy and timeliness
- Analyze and solve complex issues raised by clients, members, and internal stakeholders that pertain to payments
- Serve as the cross-functional point of contact and owner for payments across Product, Engineering, Finance, and Account Management.
- Be a player-coach: lead and develop a small team while staying hands-on in the day-to-day work, including jumping into the queue yourself when volume spikes
- 3+ years of relevant experience in a strategic problem-solving role; prior experience in analytics, business or financial operations, operations at a fast-growing startup, or similar
- 2+ years of experience building within operational teams
- A strong ability to break down complex processes, recommend solutions, and work with cross-functional stakeholders to implement them
- Experience coaching or leading others, formally or informally, and comfort being a player-coach who does the work alongside the team
- Proficiency in quantitative analysis, generating meaningful insights, and data modeling; comfort working with financial data and reconciliations (payments experience is a plus, not a requirement)
- Experience with SQL, Excel/Google Sheets, and no-code/low-code AI automation tools
- A combination of high ownership mentality and detail orientation, including sound judgment and rigor on high-stakes, sensitive operational work, that has resulted in a track record of delivering operational initiatives on tight deadlines
- A willingness to “roll up your sleeves” and do whatever is necessary to ensure company success
- A methodical problem-solver who drives continuous improvement, readily gives and absorbs feedback, and operates with individual accountability and integrity as part of a mission-driven team.
- A desire to do work that matters: and to be held to a high standard while doing it. You're energized by a mission with measurable outcomes, not just good intentions. You engage with AI tools as part of how you do your best work, and hold yourself accountable to outcomes that matter beyond your team’s metrics.
Please note: we are unable to sponsor or take over sponsorship of an employment visa at this time.
Compensation Transparency:The base salary range for this position is $85,000 - $110,000. 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
- 3+ years of relevant experience in strategic problem-solving, analytics, business or financial operations, startup operations, or a similar field
- 2+ years of experience building within operational teams
- Ability to break down complex processes, recommend solutions, and implement them with cross-functional stakeholders
- Experience coaching or leading others, formally or informally
- Experience with quantitative analysis, meaningful insights, and data modeling
- Comfort working with financial data and reconciliations
- Experience with SQL, Excel or Google Sheets, and no-code or low-code AI automation tools
- High ownership, attention to detail, sound judgment, and operational rigor
- Track record of delivering operational initiatives on tight deadlines
- Methodical problem-solving, continuous improvement, accountability, integrity, and effective communication
- Payments experience
What the Team is Saying
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Garner Health Compensation & Benefits Highlights
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Healthcare Strength — The package includes medical, dental, and vision plus “Garner for Garner,” which reimburses eligible out-of-pocket costs up to $4,000 (individual) and $8,000 (family) when using Top Providers. Feedback suggests this structure can materially reduce employee expenses at the point of care.
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Leave & Time Off Breadth — Flexible PTO, a paid sabbatical after five years, and rest days around federal holidays indicate generous time-off policies. The offering also includes 12 weeks of parental leave for added coverage across life events.
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Equity Value & Accessibility — Equity is offered to every employee, with job postings and company materials describing broad eligibility across roles. This company-wide approach makes ownership accessible beyond a narrow set of positions.
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.
