SVP

Position: SVP, People
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.

Garner's mission is to fundamentally improve how the US healthcare system works. By helping employers restructure their healthcare benefits to provide clear incentives and data-driven insights, we get employees to higher-quality and lower-cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are the fastest-growing healthcare technology company in the country, our products are used by the most sophisticated employers and providers in the industry and we are looking for talented, driven individuals to join our team.

We are seeking an exceptional Senior Vice President of People & Talent to lead the full people lifecycle at Garner from recruiting and onboarding to development, performance, engagement, and retention. This leader will report directly to the CEO and will oversee both the People Operations and Talent Acquisition teams. They will be responsible for building scalable systems, fostering a high-performance culture, and ensuring we continue to attract and grow extraordinary talent as the company scales.

This is a unique opportunity for a mission-driven leader who thrives in fast-paced environments and is passionate about building exceptional teams and organizational systems.

This role will be based in our New York City office. You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.

Responsibilities will include:

• Lead and scale the People and Talent Acquisition functions, building systems that support the full employee lifecycle, including recruiting, onboarding, performance management, compensation, learning and development, and engagement.
• Partner closely with the CEO and leadership team on organizational design, headcount planning, hiring priorities, and company-wide goal setting.
• Ensure a consistently high talent bar and cultural alignment across the organization, embedding our values in hiring, performance management, and manager practices.
• Establish and monitor key people metrics, including time-to-hire, ramp time, engagement scores, performance distribution, and attrition, to guide decision-making and drive accountability.
• Build and run scalable processes for performance review cycles, compensation planning, leveling frameworks, internal mobility, and career pathing.
• Develop and implement programs that strengthen culture, manager capability, and employee engagement, with clear follow-through and measurable outcomes.
• Ensure compliance with employment law, lead employee relations practices, and maintain consistent policies and risk mitigation across jurisdictions.
• Own HR systems and tools (e.g., HRIS, ATS), ensuring accuracy, clean data, process automation, and strong operating rhythms across teams.

The ideal candidate has:

• 12+ years of progressive experience in People/HR roles, with 5+ years leading both People Operations and Talent Acquisition at a high-growth company.
• Proven expertise in designing and scaling people systems, including recruiting, performance management, compensation, and engagement.
• Experience managing and developing high-performing teams across people and talent functions.
• Strong analytical and metrics-driven mindset, with…