Senior Site Reliability Engineer, Garner Health
$191-226k
+ equity
Data-powered doctor search tool
Be an early applicant
Data-powered doctor search tool
201-500 employees
Be an early applicant
$191-226k
+ equity
201-500 employees
Company mission
To transform the healthcare economy, delivering high quality and affordable care for all.
Role
Who you are
- 4+ 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)
- A strong track record with production observability: defining SLOs, building monitoring and alerting, and leading incident response and blameless post-incident reviews
- Strong software engineering fundamentals in Python or Go, applied to infrastructure automation (experience with Kubernetes APIs a plus)
- Experience driving cloud cost-efficiency and performance optimization across compute, storage, and networking
- 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
- Fluency with AI tools (e.g., Claude) applied to real engineering and operations workflows, or strong motivation to build it fast
- 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
What the job involves
- We are seeking a Senior Site Reliability Engineer to own the reliability, performance, and resilience of the cloud infrastructure powering Garner’s products and AI/ML workloads
- This role sits on our Platform Engineering team. You will run the machine: defining and upholding SLOs, leading incident response, and driving the automation and standards that let every Garner engineer ship faster and more reliably. 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, so the role gets more leveraged as you build
- Run the Machine: Own the end-to-end reliability, performance, and resilience of Garner’s cloud environments (AWS, Kubernetes), including those powering AI/ML workloads; define, measure, and uphold SLOs across our critical services
- Lead Incident Response: Serve in the on-call rotation, lead incident response, and drive deep-dive root cause analysis, seeing corrective actions through to resolution and rigorously reviewing infrastructure changes
- Own Observability: Build and maintain the monitoring, alerting, and observability systems that let us detect and resolve issues before users feel them
- Scale & Optimize: Translate ambiguous, high-performance scaling requirements 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
- Automate Away Toil: Pay down impactful tech debt and reduce operational toil, using AI tools and automation to convert repetitive operational work into hands-free, monitored processes, and holding our internal platform to the same rigorous standards as our customer-facing products
- Enable Engineering: Build and maintain the deployment and observability standards that empower the broader engineering team to ship AI features faster and more reliably; communicate complex cloud and reliability concepts clearly to technical and non-technical stakeholders
- Uphold Security & Compliance: Ensure our infrastructure and operations meet Garner’s security and HIPAA compliance obligations
- AWS, Kubernetes, Terraform, Istio, Python, Go, TypeScript, Postgres, NATS, Datadog, GitLab
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 5 rounds)
May 2026
$100m
SERIES E
Feb 2026
$118m
SERIES D
Total funding: $279.3m
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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