Staff Site Reliability Engineer, Garner Health
$241-270k
+ Equity
More information about location
Data-powered doctor search tool
Be an early applicant
Data-powered doctor search tool
201-500 employees
Be an early applicant
$241-270k
+ Equity
More information about location
201-500 employees
Company mission
To transform the healthcare economy, delivering high quality and affordable care for all.
Role
Who you are
- 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
What the job involves
- 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
- 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
- Technologies we use:
- 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
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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