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.
We’re looking for a Senior Backend Engineer to join our Payments team. The Payments team’s core responsibilities include accurately and efficiently moving money within the company and externally to our members. We are expanding the team to add new core functionality to scale with the companies expanding products for our clients. As a Senior Backend Engineer, you will be supporting or leading projects from inception to delivery with a high degree of autonomy and ownership. This role will work closely with Product and other engineers to ensure a well thought out design leads to an effective implementation.
This position is fully remote.
What you will do:- Build and maintain the back-end services that power Garner’s 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 delivering 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
- 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 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 a 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 engage in immigration sponsorship at this time
The target salary range for this position is $182,000 - $224,000. 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.
Please be aware of recent job scam attempts. Our recruiters use getgarner.com 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 [email protected].
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 [email protected].
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