Director, Engineering

The role

You will lead the Financial Incentives (FIN) Engineering function, overseeing ingestion, eligibility, adjudication, accumulation, and payments. You will manage a large, multi-team function of Engineering Managers and senior individual contributors to ensure correctness, reliability, and security.

What you will do

• Own outcomes from ingestion through payment
• Define adjudication and money movement correctness
• Establish validation standards and definition of done
• Stay close to technical work including design reviews, code, and incidents
• Build AI-native engineering processes and validation frameworks
• Guide backend technical direction and event-contract boundaries
• Hire, level, and develop Engineering Managers and senior ICs
• Partner with CTO, Product, Finance, and Operations to translate business needs

Required qualifications

• 10+ years building and operating high-scale, high-reliability backend systems
• 5+ years leading engineering teams, including managing managers
• Technical credibility at scale
• Opinionated point of view on agent-first / AI-native engineering
• Experience with sensitive data (regulated PHI/PII/financial data, encryption, access, audit)
• Fluency in distributed systems and modern cloud (event-driven architecture, idempotency, fault tolerance, backpressure, data consistency, AWS, and API design)
• Ownership mindset

Nice to have

• Systems that process large data volumes and/or move money

Benefits

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

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 better care.