Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner, we’ve developed a revolutionary approach to evaluating doctor performance and a unique incentive model that's reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs, we've 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, we're 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:

Garner is entering our next phase of scale, and we are looking for engineers who can help us build the systems we need to keep up with our customer demand. As a Staff Backend Engineer, you will be a key architect of our technical direction and processes, serving as a high-level problem-solver and mentor to other engineers on the 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 data pipelines that power our business
• Collaborate across disciplines to provide timely and accurate information
• Protect our users’ privacy and security through best practices
• Support our production operations and come up with solutions to lighten the operational load
• 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, including Python, AWS, NATS, Terraform, Postgres, ElasticSearch, Snowflake, and Kubernetes.

What you will bring to the team:

• Strong Computer Science fundamentals
• 6+ years of industry experience building and maintaining scalable high-quality software
• 3+ years of hands-on experience building data pipelines
• Expertise in Python
• Expertise in SQL
• Expertise with Kubernetes
• Expertise with workflow engines (Argo preferred, but not required)
• Experience working with back-end APIs, and distributed event-driven architectures
• Experience with one or more database systems, especially PostgreSQL
• Experience working in a team using Agile methodologies
• Familiarity with data warehousing

Compensation Transparency:

The target salary range for this position is $230,000-$250,000 annually. 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.