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Garner Health

Identifies in-network providers via big data

Director – Engineering

Engineering LeadershipConfirmed live in the last 24 hours
Full-timeNew York, NY, USA$395k - $414k

About the Job

Requirements

  • At least 10 years of experience building and operating high-scale, high-reliability backend systems, ideally processing large data volumes or moving money.
  • At least 5 years of experience leading engineering teams, including managing managers, in a high-accountability, high-urgency environment.
  • Technical credibility at scale, including the ability to reason through design documents, schemas, and incident timelines and write validation criteria that catch failures.
  • A point of view on agent-first and AI-native engineering, including how to make it the default operating model and safely mature it from assisted toward autonomous.
  • Experience with sensitive data such as regulated PHI, PII, and financial data; unvalidated third-party inputs; encryption; access; and audit, plus a reconciliation-first design instinct.
  • Fluency in distributed systems and modern cloud, including event-driven architecture, idempotency, fault tolerance, backpressure, and data consistency under load, as well as AWS and API design.

Responsibilities

  • Own outcomes across ingestion through payment, defining correctness for adjudication and money movement and being accountable for adjudication accuracy, payment timeliness, ledger reconciliation, ingestion service-level agreements, and the roadmap.
  • Establish validation standards and the definition of done, prioritize high-value work, automate manual toil, and hold engineers accountable for outcomes.
  • Participate in difficult design reviews, read code, investigate incidents, and hold defensible technical positions on adjudication logic, event contracts, data modeling, and money movement.
  • Make AI-native engineering the default by building harnesses, validation frameworks, and Claude Skills that help squads ship faster and safer, and mature the organization from assisted toward autonomous operation with guardrails.
  • Guide backend technical direction toward event-contract boundaries that enable independent team delivery and scaling to tens of millions of claims, with fault tolerance to prevent dropped or duplicate payments.
  • Own security and data-integrity posture where partner data enters and funds leave, validating, quarantining, and reconciling inputs.
  • Hire, level, and develop Engineering Managers and senior individual contributors; own interviewer calibration; and design the organization’s structure and decision rights.
  • Partner with the CTO, Product, Finance, Operations, and payment partners to translate business needs into technical plans and communicate risks and tradeoffs.

Desired Qualifications

  • Experience with backend systems processing large data volumes or moving money is ideal.

About the Company

Garner Health

Identifies in-network providers via big data

Garner Health uses big data from the largest U.S. claims database to help people find in-network providers who diagnose accurately and deliver better patient outcomes, while offering reimbursement of out-of-pocket costs. Its app plus Concierge service guides individuals and families to top providers that are in-network, available, and nearby. For corporate clients, Garner provides a non-disruptive solution that uses data-driven insights to enrich benefits and reduce costs without changing plans or networks, delivering value-based care. The company generates revenue from its consumer app and Concierge service as well as its corporate solutions. Overall, Garner aims to improve patient outcomes and lower healthcare costs for individuals and organizations by turning extensive medical-record data into actionable provider recommendations and cost-saving reimbursement programs.

Company size
501-1,000
Company stage
Series E
Total funding
$279.3M
Headquarters
New York City, New York
Founded
2019

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