Staff Machine Learning Engineer

Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable care for all.

We are fundamentally reimagining how healthcare works in the U.S. by partnering with employers to redesign healthcare benefits using clear incentives and powerful, data-driven insights. Our approach guides employees to higher-quality, lower-cost care, creating a system that works better for everyone. Patients achieve better health outcomes, employers spend healthcare dollars more effectively, and physicians are rewarded for delivering exceptional care rather than performing more procedures.

Garner is one of the fastest-growing healthcare technology companies in the country. Our products are trusted by the most sophisticated employers and providers in the industry, and we are building a team of talented, mission-driven individuals who are motivated to make a meaningful impact on healthcare at scale.

About the role:

We are seeking an exceptional Staff Machine Learning Engineer to join our organization. Garner’s Engineering team tackles incredibly hard technical problems for a mission that truly matters. Our systems analyze billions of medical records to rank healthcare providers across the country. We are an AWS + Kubernetes shop, and we are constantly introducing new technologies as our system load doubles every year. We expect our engineers to champion cutting-edge industry practices as we aggressively embrace AI in every facet of our operations and norms. We are seeking teammates who take pride in delivering their best work while fostering a strong team culture.

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:

• Lead team-level technical strategy and execution on multi-quarter time horizons

• Use AI to build, optimize, and maintain ML, data, and software systems

• Uplevel engineers across the organization by raising the technical barCollaborate across disciplines to understand our domain and iterate on projects

• Protect our users’ privacy and security through best practices

The ideal candidate has:

• 6+ years of software engineering experience, especially with ML systems

• 2+ years of MLOps experience

• Experience leading teams of engineers with demonstrated impact on technical strategy

• A generalist software engineering mindset ready to learn new languages, frameworks, and techniques required for a fast paced startup environment

• Demonstrated ability to build complex systems using AI coding agents (we use Claude Code)

• Familiarity with data security and HIPAA compliance

• 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:

• Claude Code, Kubernetes, AWS, Airflow, dlt, dbt

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 base comp range for this position is $270,000 - $310,000. 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) with company match, flexible spending accounts, 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 [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].