Senior IT Systems Engineer jobs in United States
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Garner Health, LLC · 1 day ago

Senior IT Systems Engineer

Garner Health is a rapidly growing company focused on reshaping the healthcare economy by evaluating doctor performance and providing organizations relief from healthcare costs. The Senior IT Systems Engineer will be responsible for designing, building, and maintaining internal systems to enhance operational and security foundations, leveraging low-code platforms and automation to streamline processes.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Own the Internal Tooling Platform: Design and build the standards and reusable components for Garner's growing internal tooling platform, primarily using low-code/no-code frameworks (Retool, AppSmith, etc.)
Develop Automation as a Service: Create and maintain resilient business process automation and integrations that enhance IT Service Delivery, user experience, and compliance
Architect Core Infrastructure: Serve as the SME for corporate identity (Okta) and modern endpoint configuration management (MDM), ensuring these systems function as the reliable foundation of our services
Streamline ITSM Workflows: Proactively automate high-impact Service Delivery workflows, including onboarding/offboarding, RBAC enforcement, and SaaS lifecycle management
Enforce Compliance: Contribute to Garner's security posture by building workflows and controls that support least-privilege access, auditability, and data protection required for high-compliance environments (HIPAA, HITRUST, SOC2)
Drive Architectural Clarity: Develop process maps (e.g., BPMN) to clarify system flows and align stakeholders around future-state platform designs

Qualification

Low-Code PlatformsIdentity ManagementSystems ArchitectureITIL ProcessesAutomation DevelopmentOperational MaturityL3 Ownership

Required

L3 experience (3-5+ years) in enterprise IT or internal tools engineering, focusing on creating reusable, scalable infrastructure components for internal customers
Advanced experience designing and building automations in tools like Retool, Okta Workflows, or similar low-code platforms (N8N, Budibase)
Proven ability to break down and re-architect complex, cross-functional workflows across IT and business functions
Deep proficiency in Identity Management (Okta) and/or Endpoint Management (Jamf Pro, Intune)
Experience with ITIL processes or service management principles (ITSM) in a growing organization
The ability to translate ambiguous and complex asks into well-defined objectives and deliverables

Benefits

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

Company

Garner Health, LLC

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Garner’s mission is to transform the healthcare economy, delivering high-quality and affordable care for all.

H1B Sponsorship

Garner Health, LLC has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2021 (1)
2020 (1)

Funding

Current Stage
Growth Stage
Company data provided by crunchbase