IT IAM and Automation Engineer, Garner Health
$160-190k
+ Eligible to participate in our equity incentive
More information about location
3 days a week in office
Data-powered doctor search tool
Open for applications
Data-powered doctor search tool
201-500 employees
Open for applications
$160-190k
+ Eligible to participate in our equity incentive
More information about location
3 days a week in office
201-500 employees
Company mission
To transform the healthcare economy, delivering high quality and affordable care for all.
Role
Who you are
- Corporate Engineering Mindset: L3 experience (3-5+ years) in enterprise IT or internal tools engineering, focusing on creating reusable, scalable infrastructure components for internal customers
- Low-Code Mastery: Advanced experience designing and building automations in tools like Retool, Okta Workflows, or similar low-code platforms (N8N, Budibase)
- Systems Architecture: Proven ability to break down and re-architect complex, cross-functional workflows across IT and business functions
- Core Competence: Deep proficiency in Identity Management (Okta) and/or Endpoint Management (Jamf Pro, Intune)
- Operational Maturity: Experience with ITIL processes or service management principles (ITSM) in a growing organization
- L3 Ownership: The ability to translate ambiguous and complex asks into well-defined objectives and deliverables
- 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
- Technologies we use:
- Okta, Okta Workflows, Retool, FreshService (ITSM), Google Workspace, Slack, MDM (Jamf Pro, Kandji, Intune), Airtable, AWS/GCP, Rippling (HRIS)
What the job involves
- We are seeking an exceptional IT IAM and Automation Engineer for a foundational and highly technical role responsible for designing, building, and maintaining the internal systems that empower Garner's employees.
- Your mission is to solidify the operational and security foundations, focusing on abstracting common services (Identity, Configuration, Data Access) to reduce technical debt across the organization.
- You will leverage low-code platforms (Retool, Okta Workflows) as key development tools for delivering bespoke solutions and driving automation. 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
- Own the Internal Tooling Platform: Design and build the standards and reusable components for Garner's growing internal tooling platform, primarily using low-code/no-code frameworks (Retool, AppSmith, etc.)
- Develop Automation as a Service: Create and maintain resilient business process automation and integrations that enhance IT Service Delivery, user experience, and compliance
- Architect Core Infrastructure: Serve as the SME for corporate identity (Okta) and modern endpoint configuration management (MDM), ensuring these systems function as the reliable foundation of our services
- Streamline ITSM Workflows: Proactively automate high-impact Service Delivery workflows, including onboarding/offboarding, RBAC enforcement, and SaaS lifecycle management
- Enforce Compliance: Contribute to Garner's security posture by building workflows and controls that support least-privilege access, auditability, and data protection required for high-compliance environments (HIPAA, HITRUST, SOC2)
- Drive Architectural Clarity: Develop process maps (e.g., BPMN) to clarify system flows and align stakeholders around future-state platform designs
Our take
An overworked US healthcare system has resulted in long waits and expensive prices, meaning that patients can't access the care that they need. Garner Health creates digital services that allow patients to find a medical expert that fits their specific needs, whatever their insurance circumstances are.
The startup provides an app that analyses local health-insurance claims history through AI. This data is used to recommend local medical professionals that will work with a patient's circumstances whilst providing direct communication channels for liaising. This helps patients to identify the highest-quality doctors and helps doctors improve how they practice medicine.
Despite other companies providing similar bespoke healthcare services, Garner Health shows a cutting edge by partnering with patient employers. This provides the financial incentive that employers must cover all or a portion of medical expenses, making healthcare financially accessible for all involved. The company has good funding at its back, and back in 2022 partnered with Marathon Health towards reducing the inefficiencies of specialty referrals.
Steph
Company Specialist at Welcome to the Jungle
Insights
142% employee growth in 12 months
Company
Funding (last 2 of 4 rounds)
Feb 2026
$118m
SERIES D
Dec 2021
$45m
SERIES B
Total funding: $179.3m
Company benefits
- Flexible PTO
- Garner for Garner (employees enrolled in a Garner medical plan gain access to the Garner benefit to find Top Providers and get reimbursed for eligible expenses)
- Hybrid and remote work
- Team meets twice each year to spark innovation and foster belonging
- Variety of social programs beyond work hours
- Equal paid parental leave (12 weeks) following the birth, adoption or placement of a child
- 401(k) plan with a 2% company match and immediate vesting
- Other financial benefits such as Flexible Spending Accounts and mortgage assistance
Company HQ
Flatiron District, New York, NY
Leadership
Nick Reber
(CEO & Founder)Studied Mathematics at Brown before joining Bridgewater Associates as a Senior Investment Associate in 2006. Left Bridgewater in 2016 to join Oscar Health's Leadership Team. Founded Garner in 2018.
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