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 seeking an exceptional Staff Site Reliability Engineer to own the reliability strategy for the cloud infrastructure powering Garner’s products and AI/ML workloads. This role sits on our Platform Engineering team. As the most senior reliability voice in the organization, you will set the technical direction for how Garner defines, measures, and upholds production quality, architecting the SLO framework, incident response program, and automation standards that every engineering team builds on. Because our systems directly influence health outcomes for millions of patients, maintaining the highest standards of production quality is imperative. This is an automation-first role: you will use AI tools to continuously convert manual operational work into monitored, hands-free processes, and build the platform that lets every Garner engineer do the same.
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 Strategy: Architect and own the end-to-end reliability, performance, and resilience of Garner’s cloud environments (AWS, Kubernetes), including those powering AI/ML workloads; design the SLO framework our critical services are measured against and lead the technical decision-making that keeps us ahead of scale
- Lead the Incident Response Program: Set the standard for how Garner responds to incidents: serve in and level up the on-call rotation, lead response for the most complex escalations, drive deep-dive root cause analysis, and build the review culture that sees corrective actions through to resolution
- Own Observability: Architect the monitoring, alerting, and observability platform that lets us detect and resolve issues before users feel them, and that lets stakeholders quickly identify the health of every team’s products
- Translate Ambiguity: Take high-level, ambiguous scaling and reliability requirements and transform them into well-defined, automated, and composable infrastructure-as-code deliverables (Terraform); proactively identify and implement cost-efficiency and performance gains across the stack to maximize cloud ROI
- Course-Correct Technical Direction: Proactively identify when infrastructure workflows or technical paths are inefficient or fragile and redirect efforts to ensure the highest ROI for the engineering function, paying down impactful tech debt and using AI tools and automation to convert repetitive operational work into hands-free, monitored processes
- Multiply the Engineering Team: Build and own the deployment and observability standards that empower the broader engineering team to ship AI features faster and more reliably; mentor engineers across the organization and provide high-quality feedback that raises the bar for operational rigor and discipline
- Uphold Security & Compliance: Ensure our infrastructure and operations meet Garner’s security and HIPAA compliance obligations, and lead rigorous review of infrastructure changes so platform work meets the same standards as our customer-facing products
- 7+ years of hands-on experience operating production cloud infrastructure at scale in an SRE, DevOps, or platform engineering role
- Deep expertise with Kubernetes and Terraform in a cloud-first environment (AWS preferred), with a track record of architecting reliability for systems at scale
- Experience designing an organization’s reliability practice (SLO frameworks, observability platforms, incident response programs, and blameless post-incident reviews) and the judgment to know when to build vs. buy
- Strong Python or Go skills applied to infrastructure automation (Kubernetes API experience a plus)
- Track record driving cloud cost-efficiency and performance optimization across compute, storage, and networking
- Mentorship experience and the ability to set technical direction as the senior reliability voice
- Excellent communication skills—able to make complex reliability concepts land with both technical and non-technical stakeholders
- Fluency with AI tools (e.g., Claude) applied to real engineering and operations workflows, or strong motivation to build it fast
- Experience supporting AI/ML or data-intensive workloads in production is a plus
- Experience operating in a security-conscious or regulated environment (HIPAA, SOC 2) is a plus
- 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
- AWS, Kubernetes, Terraform, Istio, Python, Go, TypeScript, Postgres, NATS, Datadog, GitLab
This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.
Compensation Transparency:The target salary range for this position is $241,000 - $270,000. 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
- 7+ years of hands-on experience operating production cloud infrastructure at scale in an SRE, DevOps, or platform engineering role
- Deep expertise with Kubernetes and Terraform in a cloud-first environment, preferably AWS
- Experience architecting reliability for systems at scale
- Experience designing SLO frameworks, observability platforms, incident response programs, and blameless post-incident reviews
- Strong Python or Go skills applied to infrastructure automation
- Track record driving cloud cost-efficiency and performance optimization across compute, storage, and networking
- Mentorship experience and ability to set technical direction as the senior reliability voice
- Excellent communication skills with technical and non-technical stakeholders
- Fluency with AI tools applied to engineering and operations workflows, or strong motivation to build this capability quickly
- Experience supporting AI/ML or data-intensive workloads in production
- Experience operating in a security-conscious or regulated environment, such as HIPAA or SOC 2
- Kubernetes API experience
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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