Backend Engineer II

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:

Were looking for a Backend Engineer II who is excited about our mission can deliver across the tech stack and is eager to learn and apply new techniques and technologies. This role reports to an Engineering Manager in our Clinical team.

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:

• Build and maintain the back-end services that power Garners core business
• Participate in an on-call rotation by responding to system outages and support escalations from internal stakeholders
• Collaborate across disciplines to provide timely and accurate technical designs work estimates and answers to technical questions
• Protect our users privacy and security through best practices
• Design and optimize for the long term while moving fast and iteratively deliver for the short term
• Ideate on new features and work with data to find new insights
• Research and work with the latest tools and technologies
• Collaborate using our tech stack

What you will bring to the team:

• 3 years of industry experience building and maintaining scalable high-quality software
• Proficiency in Python is required
• Experience building building both event-driven and request-driven microservices
• A strong understanding of the AWS menu of services
• Hands-on experience with SQL
• Experience deploying supporting and operating applications running on Kubernetes
• Familiarity working in cross-functional teams using Agile practices
• A willingness to roll up your sleeves and do whatever is necessary to ensure company success
• Experience working in a rapidly evolving startup environment
• A desire to be a part of our mission to improve the U.S. healthcare system
• Authorization to work lawfully in the United States of America as Garner does not engage in immigration sponsorship at this time

Technologies we use:

• Python AWS NATS Terraform Postgres ElasticSearch Snowflake and Kubernetes

Compensation Transparency:

The target salary range for this position is $137000 - $160000. 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:

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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 .