• Desenvolver e manter sistemas utilizando principalmente SQL e PL/SQL em banco de dados Oracle. • Realizar modelagem e otimização de bancos de dados relacionais. • Atuar eventualmente no desenvolvimento e manutenção de aplicações web, incluindo backend e webservices, preferencialmente em Java. • Prestar suporte técnico para identificação e resolução de problemas em sistemas existentes. • Contribuir para a evolução de soluções personalizadas conforme as necessidades dos clientes. • Apoiar a sustentação de sistemas de maior complexidade, incluindo contextos de ERP de gestão pública.

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. About the role:We are seeking an exceptional GTM Systems Manager to join our Revenue team. This role will report to our VP, Revenue Operations. This role is the primary operational expert for our GTM systems, focused on driving rapid, high-velocity enhancements and solutions. In this role, you will translate immediate GTM team needs into efficient system adjustments, designs practical configurations, and guide technical implementation to ensure quick, accurate deployment and continuous operational efficiency. This role prioritizes swift execution and problem-solving across a high volume of GTM system requests, ensuring our revenue engine runs smoothly day-to-day. Where you will work:Garner is headquartered in NYC, but this position is available for individuals who are comfortable with remote work and occasional travel to HQ. What you will do: - Rapid Operational Solutioning - Drive continuous improvement by quickly identifying GTM process inefficiencies and translating them into practical, executable system adjustments that deliver immediate efficiency gains for revenue teams - RevOps Data Hygiene & Utility - Establish and enforce robust data hygiene practices for all Salesforce data; guarantee accuracy and consistency for reliable reporting, forecasting, and decision-making - Vendor & License Management - Manage relationships, contracts, pricing, and licensing for GTM technology vendors (e.g., Salesforce, Outreach, ZoomInfo); ensure cost-effective procurement and optimal utilization of all tools - RevOps Tech Advisory - Stay current with the latest developments in Salesforce, Outreach, HubSpot, and other emerging RevOps tools; advise on potential new technologies or enhancements to optimize our RevOps stack - Systems Performance & Health - Monitor RevOps system performance, troubleshoot issues, and implement proactive measures to ensure stability, reliability, and consistent operational uptime for revenue teams The ideal candidate has: - 4+ years of proven experience in RevOps or Sales Ops, with a strong background in translating business needs into technical system configurations and solutions - Experience as a Salesforce Administrator and building complex Salesforce flows; Salesforce credentials are a plus, but not required - Expertise in the core GTM tech stack, including Salesforce, Outreach, Clay, Gong, and other similar tools - Able to think from first principles to develop high-quality, simple solutions to difficult problems - Undergraduate degree in Business or STEM disciplines required. Graduate degree is a plus but not required - 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 This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare. Please note: we are unable to sponsor or take over sponsorship of an employment visa at this time. Compensation Transparency:The base salary range for this position is $140,000 - $185,000. 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. Fraud and Security Notice: Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com 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 here and to candidateprotection@garnerhealth.com. Equal Employment Opportunity: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 talent@garnerhealth.com.

We are looking for a Senior MSP Engineer is responsible for designing, implementing, and supporting client IT infrastructure across on‑premises and cloud environments within a managed services model. They act as a senior technical escalation point, lead complex projects and migrations, and help standardize and improve service delivery processes. Key Responsibilities - Provide Tier 2/3 escalation support for servers, networks, cloud services, and line‑of‑business applications. - Design, implement, and support Windows Server, Active Directory, virtualization (VMware/Hyper‑V), storage, and backup solutions. - Plan and execute migrations and deployments (e.g., Microsoft 365/Exchange Online, Azure/AWS workloads, server upgrades, network refreshes). - Configure and manage networking: firewalls, switches, VLANs, VPNs, Wi‑Fi, and routing for SMB/enterprise clients. - Administer cloud platforms such as Microsoft 365, Azure AD, Intune, and other SaaS services commonly used in MSP environments. - Use RMM and PSA tools to monitor systems, remediate alerts, manage tickets, and document all work accurately. - Perform security hardening and remediation: patching, configuration baselines, identity and access controls, backup/DR validation, and endpoint protection. - Lead or participate in client onboarding, technical assessments, and standardization initiatives. - Create and maintain technical documentation, runbooks, and diagrams for client environments. - Mentor junior engineers and service desk staff, providing guidance on best practices and troubleshooting approaches. - Participate in on‑call rotations and provide after‑hours support for critical incidents when required. - Collaborate with account management to provide technical input for roadmaps, proposals, and client strategy. Required Qualifications - 5+ years of experience in an MSP or multi‑client IT services environment in a systems/network engineering role. - Strong hands‑on experience with Microsoft Windows Server, Active Directory, Group Policy, DNS, DHCP, file/print services. - Proficiency with virtualization technologies (VMware and/or Hyper‑V). - Solid networking knowledge: TCP/IP, VLANs, VPNs, firewalls, routing, switching, and Wi‑Fi. - Experience administering Microsoft 365 (Exchange Online, SharePoint, OneDrive, Teams) and Azure AD/Entra ID. - Familiarity with RMM and PSA platforms used in MSPs (e.g., ConnectWise, Autotask, N‑able, Datto, etc.). - Strong troubleshooting skills across servers, networks, and endpoints in heterogeneous environments. - Excellent documentation, communication, and customer‑facing skills. - Ability to prioritize and manage multiple tickets and projects in a fast‑paced, SLA‑driven environment. Preferred Qualifications - Experience designing and executing cloud migrations (Microsoft 365, Azure, or AWS). - Experience with security tools and concepts (MFA, conditional access, email security, EDR, zero‑trust principles). - Relevant certifications such as MCSA/MCSE, AZ‑104/305, CCNA/CCNP, VMware, or similar. - Prior experience in a senior, lead, or mentoring role within an MSP. Core Competencies - Customer‑centric mindset and strong sense of ownership. - Analytical and systematic problem solving. - Clear written and verbal communication with non‑technical stakeholders. - Team collaboration and willingness to coach others.

• Owns the technical execution of client onboarding and offboarding engagements; serves as the lead technical contact for the client and internal project team • Understands and supports the implementation of managed IT services (servers and networking, endpoints, communications, security services, and cloud solutions) • Partners with the Client Onboarding Project Manager and stakeholders to plan and coordinate technical workstreams for onboarding and decommission projects • Ensures deployed components are inventoried in internal tools and documented in customer management systems • Participates in post-project reviews (lessons learned) to identify wins, gaps, and process improvements • Supports planning, testing, and training activities as new products and services are developed and standardized • Improves team processes by providing actionable feedback to peers and leadership • Builds strong relationships with cross-functional peers and internal team members • Communicates clearly, verbally and in writing, with stakeholders at all levels (leadership, vendors, field technicians, and customers) • Escalates complex technical issues to Client Onboarding Systems Engineers and escalates risks, issues, and blockers appropriately and in a timely manner • Performs other related duties as assigned