Senior 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. About the role: We are seeking an exceptional Senior Software Engineer to join our Engineering team. 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. Where you will work: Garner is headquartered in NYC, but this position is available for individuals who are comfortable with remote work and occasional travel to HQ What you will do: Lead technical strategy and decision-making on assigned domains Use AI to build, optimize, and maintain software systems Mentor and uplevel early-career engineers Collaborate across disciplines to understand our domain and iterate on projects Protect our users’ privacy and security through best practices The ideal candidate has: 4+ years of software engineering experience 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) The ability 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, dlt, dbt, Python, TypeScript, React, Go Compensation Transparency: The target salary range for this position is $200,000 - $255,000. 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. Fraud and Security Notice: Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to candidateprotection@garnerhealth.com . Equal Employment Opportunity: Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics. Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at talent@garnerhealth.com .