Garner Health

Senior Backend Engineer

Remote

Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health TechIndustries

Senior Backend Engineer - Payments Team

Position Overview

Garner is seeking a Senior Backend Engineer to join our Payments team. This role is crucial for accurately and efficiently managing financial transactions within the company and for our members. You will support or lead projects from inception to delivery with a high degree of autonomy and ownership, collaborating closely with Product and other engineers to ensure well-thought-out designs and effective implementations. This position is fully remote.

About Garner

Garner is revolutionizing the healthcare industry by improving quality and reducing costs for American families and businesses. Our innovative approach to doctor performance evaluation and incentive models is reshaping the healthcare economy. We have experienced rapid market adoption, doubling our revenue annually for the last five years, making us the fastest-growing company in our space. We are expanding our team by over 50% each year, seeking exceptional talent to cultivate our unique, 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 powering Garner’s core business.
  • Participate in an on-call rotation, responding to system outages and supporting escalations from internal stakeholders.
  • Collaborate across disciplines to provide timely and accurate 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 iteratively delivering for the short term.
  • Ideate on new features and leverage data to uncover new insights.
  • Research and work with the latest tools and technologies.
  • Collaborate using our tech stack, including Python, AWS, NATS, Terraform, Postgres, ElasticSearch, Snowflake, and Kubernetes.

Requirements

  • 5+ years of industry experience building and maintaining scalable, high-quality software.
  • Strong proficiency in Python is required.
  • Experience building both event-driven and request-driven microservices.
  • Familiarity with TypeScript is a bonus, but not required.
  • A strong understanding of the AWS menu of services.
  • Hands-on experience with SQL (Snowflake experience is a nice-to-have).
  • Experience deploying, supporting, operating, and scaling applications running on Kubernetes.
  • Familiarity working in cross-functional teams using Agile practices, including sprint ceremonies.
  • A willingness to “roll up your sleeves” and do whatever is necessary to ensure company success.
  • Experience in finance and/or payment systems is a bonus.
  • Experience working in a rapidly evolving startup environment.
  • A desire to be part of our mission to improve the U.S. healthcare system.
  • Authorized to work lawfully in the United States of America, as Garner does not currently engage in immigration sponsorship.

Compensation & Benefits

  • Target Salary Range: $185,000 - $220,000
  • Eligibility: Equity incentive and competitive benefits plans.
  • Benefits Include: Flexible PTO, Medical/Dental/Vision plan options, 401(k), Teladoc Health, and more.

Application Instructions

  • (No specific application instructions were provided in the original text, but typically this section would include details on how to apply, e.g., "Apply via our careers page" or "Submit your resume and cover letter to...")

Fraud and Security Notice

Please be aware of recent job scam attempts. Our recruiters exclusively use the getgarner.com email domain. If you have been contacted by someone claiming to be from Garner using a different email domain, please exercise caution.

Skills

Backend Development
System Design
API Design
Database Management
Problem Solving
Collaboration
Privacy and Security Best Practices

Garner Health

Healthcare data platform improving patient outcomes

About Garner Health

Garner Health focuses on improving patient outcomes and reducing healthcare costs by utilizing a vast database of medical records. With over 60 billion records from 320 million patients, Garner identifies healthcare providers who are known for accurate diagnoses and better patient care. Individuals and families can use Garner's app and Concierge team to find in-network healthcare providers that are available and conveniently located. Additionally, Garner offers a reimbursement service that covers out-of-pocket medical expenses for visits to these top providers. For corporate clients, Garner provides a solution that enhances employee benefits and lowers costs without altering existing plans or networks. This approach allows companies to achieve savings and improve value-based care through data-driven insights. Garner's goal is to leverage its extensive claims database to deliver valuable services that enhance healthcare experiences for both individual and corporate clients.

New York City, New YorkHeadquarters
2019Year Founded
$59.6MTotal Funding
SERIES_BCompany Stage
Data & Analytics, HealthcareIndustries
201-500Employees

Benefits

Company Equity
401(k) Company Match

Risks

Increased competition from similar healthcare data analytics companies threatens Garner's market share.
Stricter data privacy regulations may limit Garner's access to necessary datasets.
Direct-to-consumer healthcare apps could divert individual clients from Garner's employer-based solutions.

Differentiation

Garner Health leverages the largest claims database in the U.S. for accurate provider recommendations.
The company offers a unique reimbursement service for out-of-pocket medical costs.
Garner's non-disruptive corporate solutions enrich benefits without changing plans or networks.

Upsides

Increased telehealth adoption enhances Garner's platform for remote, high-quality care access.
The rise of personalized medicine aligns with Garner's data-driven provider identification approach.
Growing consumer-driven healthcare supports Garner's model of empowering individuals with data.

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