Senior IT Systems Engineer, Garner Health
$153-190k
+ Equity Incentive
More information about location
3 days a week in office
Data-powered doctor search tool
Be an early applicant
Data-powered doctor search tool
201-500 employees
Be an early applicant
$153-190k
+ 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 IT, platform engineering, automation, or similar roles
- Strong scripting or programming ability in Python, Go, Node.js, PowerShell, or similar
- Experience building API-driven automation across multiple systems
- Ability to design and implement workflows that span multiple tools and teams
- Experience with infrastructure-as-code such as Terraform or similar
- 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
Desirable
- Hands-on experience with identity and access systems (Okta, SSO, SCIM, RBAC), including implementation and ongoing management
- Proven ability to build and scale internal tools using platforms like Retool or other low-/no-code solutions
- Familiarity with security automation and orchestration (e.g., Tines), with an eye toward reducing manual effort and risk
- Practical experience leveraging AI/LLMs to streamline and enhance operational workflows
- Strong understanding of compliance and security standards (HIPAA, SOC 2, HITRUST) and how they shape systems and processes
- Focused on driving meaningful outcomes
- Able to identify root-cause, system-level issues and design durable solutions rather than quick fixes
- Comfortable navigating cross-functional environments with competing priorities and constraints
- Operates with urgency while building scalable, maintainable solutions
- Defaults to automation and efficiency wherever possible
What the job involves
- We are looking for an engineer who can walk into messy, cross-functional workflows and turn them into clean, automated systems that scale
- This role focuses on identifying high-friction operational processes across the company and replacing them with durable, API-driven automation
- You will work across IT, Security, Engineering, and Business teams to reduce manual work, improve reliability, and build systems that scale with the company
- This is not a ticket-driven IT role
- You will operate with a high degree of ownership, driving initiatives end-to-end from problem discovery through implementation and rollout
- You will be part of the Business Technology - Corporate Engineering team and report to the Director of Business Technology
- Identify and automate high-impact operational workflows across onboarding, offboarding, access management, and service delivery
- Replace manual, fragmented processes with scalable, API-driven systems
- Build and maintain integrations across HRIS, identity providers, SaaS platforms, and cloud environments
- Develop internal tools and automation using platforms like Retool, Okta Workflows, and custom scripts or services
- Apply infrastructure-as-code to manage and version system configurations
- Incorporate AI into workflows to improve efficiency in areas like ticket routing, knowledge retrieval, and decision support
- Design and automate access and security workflows that enforce least-privilege and auditability
- Own and drive cross-functional initiatives end-to-end, from problem definition through implementation and rollout
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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