Garner Health

Director, Engineering

New York City, New York · Director

Sponsorship not specified$395k-$414kDetected 2 days ago

TypeScriptPythonReactNode.jsDistributed SystemsPostgreSQLElasticsearchAWSKubernetesTerraformRESTHIPAA

About the role

Financial Incentives (FIN) is where Garner's promise becomes real for a member: the moment they are paid back for choosing better care.
Behind that simple experience sits one of the hardest problems in the company.
FIN ingests claims and eligibility feeds from third-party administrators, adjudicates them against benefit rules, accumulates member benefit, and moves real funds through payments and treasury.

Own the outcomes, ingestion through payment. Define what "correct" means for adjudication and money movement, and be accountable for adjudication accuracy, payment timeliness, ledger reconciliation, ingestion SLAs, and the roadmap that moves them.
Stay close to the work. Join the hard design reviews, read the code, dig into incidents, and hold defensible technical positions on adjudication logic, event contracts, data modeling, and money movement.
Make AI-native engineering how FIN works, not a side experiment: build the harnesses, validation frameworks, and Claude Skills that let squads ship faster and safer, and mature the org from assisted toward autonomous with real guardrails.
Build and grow the team. Hire, level, and develop Engineering Managers and senior ICs, own interviewer calibration, and design the org's structure and decision rights so ownership is clear.
Translate across the business. Partner with the CTO, Product, Finance, Operations, and payment partners to turn business needs into technical plans and communicate risk and tradeoffs in terms leaders can act on.
10+ years building and operating high-scale, high-reliability backend systems, ideally ones that process large data volumes and/or move money.
Own the technical direction.

You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.
Experience with the demands of sensitive data (regulated PHI/PII/financial data, unvalidated third-party inputs, encryption, access, audit) and an instinct for reconciliation-first design.
The ideal candidate has:

5+ years leading engineering teams, including managing managers, in a high-accountability, high-urgency environment.

Python, TypeScript, React, NodeJS, Kubernetes, Istio, Postgres, ElasticSearch, NATS, AWS, Terraform

The target salary range for this position is $395,000 - $414,000 inclusive of bonus.
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.

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.

We are hiring a Director to lead FIN Engineering, accountable for the full function (ingestion, eligibility, adjudication, accumulation, and payments/treasury): its correctness, reliability, security, and the pace at which it improves.

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.

This listing is sourced directly from Garner Health's careers page and normalized into a canonical job model.