Senior IT IAM and Automation Engineer, Garner Health
$153-190k
+ 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
$153-190k
+ 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
- 4–7+ years of experience in enterprise IT, IAM, cloud, platform, or security automation roles
- Deep expertise in Identity & Access Management (Okta strongly preferred), including SAML, OIDC, SCIM, OAuth, group automation, and lifecycle design
- Strong experience building automation using APIs
- Meaningful experience with infrastructure-as-code tools (Terraform strongly preferred) for managing cloud, identity, or SaaS resources
- Strong scripting or programming proficiency (Python, Go, Node.js, Ruby, PowerShell, or similar)
- Experience designing secure RBAC models and least-privilege architectures in high-scale environments
- Exposure to Security Operations automation or SOAR platforms (e.g., Tines) preferred
- Experience integrating or evaluating AI/LLM-enabled tooling in operational workflows
- Strong systems thinking ability — capable of decomposing ambiguous, cross-functional workflows into scalable architectures
- Experience operating in high-compliance environments (HIPAA, HITRUST, SOC2) preferred
- Familiarity with ITIL processes and ITSM tooling (FreshService or similar)
- Familiarity with BPMN or similar visual workflow documentation language
What the job involves
- The IT IAM and Automation Engineer is a highly technical individual contributor responsible for architecting, automating, and scaling the internal systems that power Garner
- This role treats Internal Corporate IT Engineering as infrastructure — designing durable identity systems, enterprise workflow automation, AI-enabled operations, and security process automation within a high-compliance healthcare environment
- You will lead high-impact initiatives across identity architecture, RBAC automation, infrastructure-as-code adoption, internal tooling, AI enablement, and Security Operations automation
- You will partner closely with Security, Engineering, and Operations to reduce operational fragility and replace manual processes with scalable, version-controlled systems
- This role demands strong systems thinking, hands-on engineering ability, and an owner mindset
- Architect and implement scalable identity and access systems (SSO, SCIM, RBAC, attribute-based access, device trust)
- Design and automate complex user lifecycle workflows integrating HRIS, IdP, SaaS applications, and cloud environments
- Implement and expand infrastructure-as-code practices (e.g., Terraform) to manage identity, SaaS configuration, and cloud resources in a version-controlled, auditable manner
- Build enterprise workflow automation across onboarding, offboarding, procurement, service intake, and cross-functional business processes
- Develop API-driven integrations and internal tooling using platforms such as Retool, Okta Workflows, and other automation frameworks
- Lead AI enablement initiatives across IT and operational workflows, including intelligent service routing, incident triage, knowledge retrieval, and support automation
- Partner with Security to design and automate Security Operations processes using platforms such as Tines and related tooling
- Build automation that enforces least-privilege access, continuous auditability, and control monitoring aligned with HIPAA, HITRUST, and SOC2 requirements
- Contribute to SaaS and cloud governance by integrating identity controls and automation across AWS and GCP environments
- Serve as a senior escalation point within your domain, helping evolve systems rather than perpetuate manual operations
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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