• Build platforms that scale: Design and operate foundational infrastructure—Kubernetes clusters, Kafka streaming platforms, Spark batch processing, observability systems—that handle billions of events and enable Metronome to grow with minimal friction. • Enable product velocity: Create golden paths, abstractions, and tooling that let engineers ship faster and more reliably without becoming infrastructure experts themselves. • Enable reliability as the product: Take accountability for system uptime, performance, and correctness. Build monitoring, alerting, and incident response systems that enable the entire team catch problems before customers notice. • Drive technical direction: Shape Metronome's infrastructure strategy, make platform-level architectural decisions, and mentor engineers across the organization.

• Design, develop, and maintain full stack web features for US and EU market websites • Build and integrate React-based front-end components with a focus on performance, accessibility, and responsiveness • Implement and manage content delivery pipelines using Contentful CMS, including content modeling, API integrations, and localized content management for multiple regional markets • Develop and optimize server-side rendered (SSR) pages using Next.js to ensure fast load times, strong SEO performance, and scalable architecture • Collaborate with UX/UI designers to translate wireframes and design specs into polished, production-ready web experiences • Support multi-region content strategies, including multi-language and multi-locale configurations within Contentful • Participate in code reviews, technical planning sessions, and agile ceremonies • Monitor and improve Core Web Vitals, page performance, and cross-browser compatibility • Troubleshoot, debug, and resolve production issues in a timely manner • Document technical implementations, component libraries, and integration workflows

• Design, develop, and support clinical trial software with emphasis on patient safety and integrity of clinical study data • Review product requirements and verify that all requirements can be implemented • Assist with the creation of technical design and implementation documentation • Design and code software applications and fix defects • Provide unit testing coverage for delivered code • Work with others to ensure timely delivery of high-quality code • Manage software deployment into all environments and complete all required documentation • Assist support team with troubleshooting and resolution of production issues • Manage a group of developers • Oversee and coordinate all development tasks of the group • Serve as main point of contact for all development-related requests and questions for the group • Provide continued mentorship and support for group members • Work with the group to provide task estimates • Ensure on-time delivery of high-quality work • Perform other related duties as required

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 Senior Software Engineer to join our Engineering team. Garner’s Engineering team tackles incredibly hard technical problems for a mission that truly matters. Our systems analyze billions of medical records to rank healthcare providers across the country. We are an AWS + Kubernetes shop, and we are constantly introducing new technologies as our system load doubles every year. We expect our engineers to champion cutting-edge industry practices as we aggressively embrace AI in every facet of our operations and norms. We are seeking teammates who take pride in delivering their best work while fostering a strong team culture. 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: - Lead technical strategy and decision-making on assigned domains - Use AI to build, optimize, and maintain software systems - Mentor and uplevel early-career engineers - Collaborate across disciplines to understand our domain and iterate on projects - Protect our users’ privacy and security through best practices The ideal candidate has: - 4+ years of software engineering experience - A generalist software engineering mindset ready to learn new languages, frameworks, and techniques required for a fast paced startup environment - Demonstrated ability to build complex systems using AI coding agents (we use Claude Code) - The ability to learn quickly and mentor others - Familiarity with data security and HIPAA compliance - 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 Technologies we use: - Claude Code, Kubernetes, AWS, Airflow, dlt, dbt, Python, TypeScript, React, Go Compensation Transparency:The target salary range for this position is $175,000 - $215,000. 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.