Garner Health

Garner Health

Senior IT Systems Engineer

New York City, New York · Senior

No sponsorship$189k-$220kDetected 13 days ago
PythonGoPowerShellNode.jsAWSGCPCloud PlatformsTerraformPlatform EngineeringLLMsSOARComplianceJiraConfluenceHRISSystems EngineeringHIPAA

About the role

  • 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 be part of the Business Technology - Corporate Engineering team and report to the Director of Business Technology.

Responsibilities

  • 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
  • Experience building API-driven automation across multiple systems
  • Ability to design and implement workflows that span multiple tools and teams

Requirements

  • You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.
  • Hands-on experience with identity and access systems (Okta, SSO, SCIM, RBAC), including implementation and ongoing management
  • 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
  • The ideal candidate has:

Nice to have

  • 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 with infrastructure-as-code such as Terraform or similar

Compensation

  • The target salary range for this position is $189,000 - $220,000.
  • 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.

Benefits

  • Garner's mission is to transform the healthcare economy, delivering high-quality and affordable care for all.
  • We are fundamentally reimagining how healthcare works in the U.S. by partnering with employers to redesign healthcare benefits using clear incentives and powerful, data-driven insights.
  • Patients achieve better health outcomes, employers spend healthcare dollars more effectively, and physicians are rewarded for delivering exceptional care rather than performing more procedures.
  • Garner is one of the fastest-growing healthcare technology companies in the country.
  • Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace.
  • Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process.

Equal opportunity

  • 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.
  • If you need assistance or an accommodation due to a disability, you may contact us at talent@garnerhealth.com.

Visa & Work Authorization

  • we are unable to sponsor or take over sponsorship of an employment visa at this time.
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This listing is sourced directly from Garner Health's careers page and normalized into a canonical job model.