What you'll be part ofGarner is on a mission to transform the U.S. healthcare system - and we're the only proven player doing exactly that. We partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, then using compelling incentives to steer members to the care that helps them get healthier, faster.
The result is a rare "win win" - better care and lower costs for both members and employers. In just five years, our work has helped over 2.5 million people access higher-quality care and saved $1B in healthcare costs. We recently raised our Series E and have doubled five years running. If you've ever wanted your work to solve a problem that touches every person in this country, this is the opportunity to do exactly that. You'd be joining a team fundamentally reimagining healthcare in the U.S. - and using AI to scale that impact further and faster than anyone else can.
About the role:We are seeking an exceptional
Platform Engineering Manager to lead our
Cloud Infrastructure Squad within the Engineering organization. This role will report to the
VP of Platform Engineering. As the owner of Garner's cloud infrastructure platform, you will be responsible for the reliability, scalability, and security of the foundational systems and services that every engineering team depends on.
Where you will work:This role will be based in our New York City office (in the Financial District). You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.
What you will do:- Own the reliability, performance, and security of Garner's cloud infrastructure on AWS, serving as the accountable party for platform uptime, incident response, and operational excellence
- Define and execute the technical roadmap for the cloud infrastructure squad, prioritizing investments across Kubernetes, Terraform, Istio, Postgres, NATS, and observability tooling
- Lead and develop a high-performing team of infrastructure engineers. Hire exceptional talent, set clear expectations, provide rigorous feedback, and hold the team accountable to Garner's high standards
- Partner closely with product engineering, data engineering, and security teams to ensure the platform enables fast, safe, and scalable delivery across the organization
- Establish and monitor key reliability and performance metrics (SLOs, SLAs, error budgets); use data to drive decisions and continuously improve platform quality
- Manage quarterly planning and delivery for the squad, translating Garner's engineering priorities into a clear roadmap, while coordinating dependencies, and escalating tradeoffs proactively and appropriately
The ideal candidate has:- 5+ years of hands-on cloud infrastructure or platform engineering experience, with at least 2 years in an engineering management role leading cloud-based infrastructure teams
- Deep expertise with AWS and modern infrastructure tooling, including Kubernetes, Terraform, and at least a working familiarity with Istio, Postgres, and NATS
- A track record of building and scaling reliable, secure, and cost-efficient cloud platforms, including experience setting and managing SLOs/SLAs and driving incident response processes
- Strong people management skills with the ability to hire great engineers, deliver candid developmental feedback, and build a culture of ownership and high standards
- Excellent cross-functional communication, articulating technical tradeoffs clearly to engineering peers and non-technical stakeholders alike, while holding stakeholders accountable with clarity and directness
- Sound judgment in balancing engineering velocity with reliability and security, knowing when to slow down or speed up and the skill to cut through complexity and ambiguity
- A desire to be a part of a high-performing, mission-driven team that operates with intense urgency, a strong sense of individual accountability, and a commitment to authentic feedback
Technologies we use: - Python, Go, Terraform, Kubernetes, Istio, Postgres, ElasticSearch, NATS, AWS, Claude
This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.
Compensation Transparency:The target salary range for this position is $310,000 to $385,000. 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.
Fraud and Security Notice: Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains 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
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