Staff Software Engineer

What you’ll be part of

Garner is on a mission to transform the U.S. healthcare system — and we’re the only proven player doing exactly that. We partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, then using compelling incentives to steer members to the care that helps them get healthier, faster.

The result is a rare “win win” – better care and lower costs for both members and employers. In just five years, our work has helped over 2.5 million people access higher-quality care and saved $1B in healthcare costs. We recently raised our Series E and have doubled five years running. If you've ever wanted your work to solve a problem that touches every person in this country, this is the opportunity to do exactly that. You'd be joining a team fundamentally reimagining healthcare in the U.S. — and using AI to scale that impact further and faster than anyone else can.

We are seeking an exceptional Staff Software Engineer to join our organization. Garner’s Engineering team tackles incredibly hard technical problems for a mission that truly matters. Our systems analyze billions of medical records to rank healthcare providers across the country. We are an AWS + Kubernetes shop, and we are constantly introducing new technologies as our system load doubles every year. We expect our engineers to champion cutting-edge industry practices as we aggressively embrace AI in every facet of our operations and norms.

We are seeking teammates who take pride in delivering their best work while fostering a strong team culture.

• Lead team-level technical strategy and execution on multi-quarter time horizons
• Use AI to build, optimize, and maintain software systems
• Uplevel engineers across the organization by raising the technical bar
• Collaborate across disciplines to understand our domain and iterate on projects
• Protect our users’ privacy and security through best practices

• 6+ years of software engineering experience
• Experience leading teams of engineers with demonstrated impact on technical strategy
• A generalist software engineering mindset ready to learn new languages, frameworks, and techniques required for a fast paced startup environment
• Demonstrated ability to build complex systems using AI coding agents (we use Claude Code)
• Able to learn quickly and mentor others
• Familiarity with data security and HIPAA compliance
• 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 you’ll get here

You’ll work on problems that matter, at a company working to change healthcare at scale. You’ll work at the intersection of AI and systemic healthcare reform, where the problems we solve are as interesting and compelling as the mission.

At Garner, you’ll take on real, ambitious problems with real ownership and autonomy, alongside exceptional, principles-based people who genuinely want you to win. It’s demanding by design. You’ll be challenged to stretch beyond what you thought possible and receive consistent coaching to help you grow and do the best work of your career. This isn't the right fit for everyone, and that's intentional. The people here are driven by what's at stake for real people, and that's what gives our intensity its purpose.

Technologies we use

• Claude Code, Kubernetes, AWS, Airflow, DBT, Python, TypeScript, React, Go

This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.

This role will be based in our New York City office (in the Financial District). You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.

The target salary range for this position is $312,000 - $356,000. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTO, Medical/Dental/Vision plan options, 401(k), Teladoc Health and more.