Garner Health is a digital platform that identifies high-quality healthcare providers using large-scale claims data and aligns financial incentives to steer patients to those providers.
<div class="content-intro"><h2><strong>What you’ll be part of</strong></h2> <p>Garner 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.</p> <p>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.</p></div><h3><strong>About the role:</strong></h3> <p>We are seeking a <strong>Senior MLOps Engineer</strong> to join our <strong>Platform Engineering team</strong>. This role will report to the <strong>Platform Engineering Manager, Developer Experience</strong>. As an early member of Garner's MLOps function, you will help build and operate the production machine learning systems that power our products, partnering closely with our machine learning and data science teams to enable the secure and consistent deployment of models. Given that these models directly influence health outcomes and cost-effectiveness for millions of patients, maintaining the highest standards of production quality is imperative.</p> <h3><strong>Where you will work:</strong></h3> <p>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. </p> <h3><strong>What you will do:</strong></h3> <ul> <li>Help ensure the reliability, performance, functionality, and cost-efficiency of Garner's production ML systems, contributing to SLOs, observability, and on-call responsibilities.</li> <li>Build key components of Garner's ML platform, including data infrastructure (such as a feature store, model registry, and CI/CD for models) and standardized service patterns.</li> <li>Implement ML-specific CI/CD pipelines: Help transition our deployment process from manual notebook hand-offs to automated, PR-driven CI/CD workflows that include automated data quality checks and statistical model validation prior to deployment.</li> <li>Drive down cost and latency through improved architecture, hardware choices, and model optimization as appropriate.</li> <li>Contribute to the workflows, standards, and KPIs that support a growing MLOps function, helping teammates and stakeholders quickly identify the health of the team's products and focus on areas where issues reside.</li> <li>Help establish drift monitoring: Design and implement automated data drift and concept drift monitoring systems that alert the team when models degrade, laying the groundwork for future Continuous Training (CT) architectures.</li> </ul> <h3><strong>The ideal candidate has:</strong></h3> <ul> <li>5+ years of software engineering experience, with meaningful time spent operating ML or data-intensive systems in production.</li> <li>Hands-on experience with the modern ML production stack: model serving (e.g., Sagemaker, Triton, or equivalent), feature stores, model registries, and CI/CD for ML.</li> <li>Strong infrastructure and platform engineering fundamentals: Kubernetes, containerization, cloud (AWS preferred), Terraform/IaC, observability, and incident response.</li> <li>Experience building ML platforms or significant components of one (not strictly consuming SaaS), with sound judgment around when to build vs. buy.</li> <li>Strong collaboration with ML, data, platform engineers, data scientists, and product engineering teams, with the ability to lead projects and influence technical decisions.</li> <li>Healthcare, regulated-data, or other high-stakes production ML experience is a plus but not required.</li> <li>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</li> </ul> <h3><strong>Technologies we use: </strong></h3> <ul> <li>Python, Kubernetes, AWS, Sagemaker, Terraform, S3, Snowflake, Airflow, Datadog</li> </ul> <p>This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.</p> <p><strong>Please note: we are unable to sponsor or take over sponsorship of an employment visa at this time.</strong></p> <h3><strong>Compensation Transparency:</strong></h3> <p>The target salary range for this position is $256,000 - $285,000. 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.</p><div class="content-conclusion"><div> <h3><strong>Fraud and Security Notice: </strong></h3> <p>Please be aware of recent job scam attempts. Our recruiters use <a href="http://getgarner.com/">getgarner.com</a> and <a href="garnerhealth.com">garnerhealth.com</a> 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 <a href="https://www.ic3.gov/Home/ComplaintChoice">here</a> and to <a href="mailto:candidateprotection@getgarner.com">candidateprotection@garnerhealt