Senior IT Systems Engineer at Garner Health

Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner weve developed a revolutionary approach to evaluating doctor performance and a unique incentive model thats reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs weve experienced rapid adoption in the market and have more than doubled our revenue annually over the last 5 years becoming the fastest growing company in our space. To support our continued growth were expanding our team by over 50% each year seeking exceptional talent to shape our unique award winning culture (for example USA Today Top Workplaces 2025) designed to cultivate teamwork trust autonomy exceptional results and individual growth that creates an inflection point in your career.About the role:The Senior Corporate Engineer (L3) is a foundational and highly technical role responsible for designing building and maintaining the internal systems that empower Garners employees. Your mission is to solidify the operational and security foundations focusing on abstracting common services (Identity Configuration Data Access) to reduce technical debt across the organization. You will leverage low-code platforms (Retool Okta Workflows) as key development tools for delivering bespoke solutions and driving automation. This role demands an owner-mindset deep technical competence and a commitment to designing resilient secure and scalable internal systems. You will be part of the Business Technology - Corporate Engineering team and report to the Director of Business Technology.Where you will work:This role will be based in our New York City office. You must be willing to work in the office 3 days per week on Tuesday Wednesday and Thursday.What you will do:Own the Internal Tooling Platform: Design and build the standards and reusable components for Garners growing internal tooling platform primarily using low-code/no-code frameworks (Retool AppSmith etc.)Develop Automation as a Service: Create and maintain resilient business process automation and integrations that enhance IT Service Delivery user experience and complianceArchitect Core Infrastructure: Serve as the SME for corporate identity (Okta) and modern endpoint configuration management (MDM) ensuring these systems function as the reliable foundation of our servicesStreamline ITSM Workflows: Proactively automate high-impact Service Delivery workflows including onboarding/offboarding RBAC enforcement and SaaS lifecycle managementEnforce Compliance: Contribute to Garners security posture by building workflows and controls that support least-privilege access auditability and data protection required for high-compliance environments (HIPAA HITRUST SOC2)Drive Architectural Clarity: Develop process maps (e.g. BPMN) to clarify system flows and align stakeholders around future-state platform designsWhat you will bring to the team:Corporate Engineering Mindset: L3 experience (3-5 years) in enterprise IT or internal tools engineering focusing on creating reusable scalable infrastructure components for internal customersLow-Code Mastery: Advanced experience designing and building automations in tools like Retool Okta Workflows or similar low-code platforms (N8N Budibase)Systems Architecture: Proven ability to break down and re-architect complex cross-functional workflows across IT and business functionsCore Competence: Deep proficiency in Identity Management (Okta) and/or Endpoint Management (Jamf Pro Intune)Operational Maturity: Experience with ITIL processes or service management principles (ITSM) in a growing organizationL3 Ownership: The ability to translate ambiguous and complex asks into well-defined objectives and deliverables.Technologies we use:Okta Okta Workflows Retool FreshService (ITSM) Google Workspace Slack MDM (Jamf Pro Kandji Intune) Airtable AWS/GCP Rippling (HRIS)Compensation Transparency:The target salary range for this position is $160000 - $190000. Individual compensation for this role will depend on various factors including qualifications skills and applicable 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 email domain 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 .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 .Required Experience:Senior IC Key Skills Clerical,Abinitio,Chiller,Application Engineering,ELV,AV Employment Type : Full Time Experience: years Vacancy: 1 Monthly Salary Salary: 160000 - 190000