Senior IT Systems Engineer

The role

You will identify and automate high-impact operational workflows across the company. You will replace manual processes with API-driven systems and build integrations across various platforms.

What you will do

• Identify and automate high-impact operational workflows across onboarding, offboarding, access management, and service delivery
• Replace manual, fragmented processes with scalable, API-driven systems
• Build and maintain integrations across HRIS, identity providers, SaaS platforms, and cloud environments
• Develop internal tools and automation using platforms like Retool, Okta Workflows, and custom scripts or services
• Apply infrastructure-as-code to manage and version system configurations
• Incorporate AI into workflows to improve efficiency
• Design and automate access and security workflows
• Own and drive cross-functional initiatives end-to-end

Required qualifications

• 4–7+ years of experience in IT, platform engineering, automation, or similar roles
• Strong scripting or programming ability in Python, Go, Node.js, PowerShell, or similar
• Experience building API-driven automation across multiple systems
• Ability to design and implement workflows that span multiple tools and teams
• Experience with infrastructure-as-code such as Terraform or similar

Nice to have

• Hands-on experience with identity and access systems (Okta, SSO, SCIM, RBAC)
• Proven ability to build and scale internal tools using platforms like Retool or other low-/no-code solutions
• Familiarity with security automation and orchestration (e.g., Tines)
• Practical experience leveraging AI/LLMs to streamline and enhance operational workflows
• Strong understanding of compliance and security standards (HIPAA, SOC 2, HITRUST)

Benefits

• Equity incentive
• Flexible PTO
• Medical/Dental/Vision plan options
• 401(k)
• Teladoc Health

Before you apply

• We are unable to sponsor or take over sponsorship of an employment visa at this time

About the company

Garner is on a mission to transform the U.S. healthcare system by partnering with employers to redesign how healthcare works. They use proprietary clinical metrics and AI to identify best-performing doctors and steer members to higher-quality care.