Backend Engineer II

Backend Engineer II

Join to apply for the Backend Engineer II role at Garner Health.

Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner, we’ve developed a revolutionary approach to evaluating doctor performance and a unique incentive model that’s reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs, we’ve experienced rapid adoption in the market and have more than doubled our revenue annually over the last 5 years, becoming the fastest growing company in our space.

To support our continued growth, we’re expanding our team by over 50% each year, seeking exceptional talent to shape our unique, award‑winning culture (for example, USA Today Top Workplaces 2025) designed to cultivate teamwork, trust, autonomy, exceptional results, and individual growth that creates an inflection point in your career.

We’re looking for a Backend Engineer II who is excited about our mission, can deliver across the tech stack, and is eager to learn and apply new techniques and technologies. This role reports to an Engineering Manager in our Clinical team.

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.

• Build and maintain the back‑end services that power Garner’s core business
• Participate in an on‑call rotation by responding to system outages and support escalations from internal stakeholders
• Collaborate across disciplines to provide timely and accurate technical designs, work estimates, and answers to technical questions
• Protect our users' privacy and security through best practices
• Design and optimize for the long term while moving fast and iteratively deliver for the short term
• Ideate on new features and work with data to find new insights
• Research and work with the latest tools and technologies
• Collaborate using our tech stack

• 3+ years of industry experience building and maintaining scalable high‑quality software
• Proficiency in Python is required
• Experience building both event‑driven and request‑driven microservices
• A strong understanding of the AWS menu of services
• Hands‑on experience with SQL
• Experience deploying, supporting, and operating applications running on Kubernetes
• Familiarity working in cross‑functional teams using Agile practices
• A willingness to "roll up your sleeves" and do whatever is necessary to ensure company success
• Experience working in a rapidly evolving startup environment
• A desire to be a part of our mission to improve the U.S. healthcare system
• Authorization to work lawfully in the United States of America (Garner does not engage in immigration sponsorship at this time)

• Python, AWS, NATS, Terraform, Postgres, Elastic Search, Snowflake, and Kubernetes

The target salary range for this position is $137,000 - $160,000. 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.

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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

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• Mid‑Senior level

• Full‑time

• Engineering and Information Technology
• Software Development