Backend Engineer II

Position Overview

• Location Type: Remote
• Employment Type: Full-time
• Salary: $135,000 - $165,000 (Target Range)

Garner is revolutionizing the healthcare economy by evaluating doctor performance and offering an incentive model to control costs. The company has experienced rapid growth, doubling revenue annually for the past five years and is expanding its team by over 50% each year. This role offers an opportunity to join an award-winning culture (USA Today Top Workplaces 2025) focused on teamwork, trust, autonomy, exceptional results, and individual growth.

Responsibilities

• Build and maintain the back-end services that power Garner’s core business.
• Participate in an on-call rotation, responding to system outages and support escalations.
• Collaborate across disciplines to provide technical designs, work estimates, and answers to technical questions.
• Protect user privacy and security through best practices.
• Design and optimize for the long term while delivering iteratively.
• Ideate on new features and leverage data for insights.
• Research and work with the latest tools and technologies.
• Collaborate using the company’s tech stack.

Requirements

• Experience: 3+ years of industry experience building and maintaining scalable, high-quality software.
• Programming Language: Proficiency in Python is required.
• Microservices: Experience building both event-driven and request-driven microservices.
• TypeScript: Familiarity with TypeScript is a bonus (not required).
• AWS: Strong understanding of the AWS menu of services.
• SQL: Hands-on experience with SQL.
• Kubernetes: Experience deploying, supporting, and operating applications running on Kubernetes.
• Agile: Familiarity working in cross-functional teams using Agile practices.
• Attitude: A willingness to “roll up your sleeves” and do whatever is necessary to ensure company success.
• Environment: Experience working in a rapidly evolving startup environment.
• Mission Alignment: A desire to be a part of Garner’s mission to improve the U.S. healthcare system.

Technologies Used

• Python
• AWS
• NATS
• Terraform
• Postgres
• ElasticSearch
• Snowflake
• Kubernetes

Application Instructions

• Authorization to work lawfully in the United States of America is required (Garner does not engage in immigration sponsorship at this time).

Company Information

• Garner is reshaping the healthcare economy by evaluating doctor performance and offering an incentive model to control costs.
• The company has experienced rapid growth, doubling revenue annually for the past five years.
• Garner has been recognized as a USA Today Top Workplaces 2025.