Senior Operations Analyst, Payments

What you'll be part of Garner is on a mission to transform the U.S. healthcare system — and we're the only proven player doing exactly that. We partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, then using compelling incentives to steer members to the care that helps them get healthier, faster. The result is a rare "win win" — better care and lower costs for both members and employers. In just five years, our work has helped over 2.5 million people access higher-quality care and saved $1B in healthcare costs. We recently raised our Series E and have doubled five years running. If you've ever wanted your work to solve a problem that touches every person in this country, this is the opportunity to do exactly that. You'd be joining a team fundamentally reimagining healthcare in the U.S. — and using AI to scale that impact further and faster than anyone else can.

Who we want

This is a role for someone who wants to work on a hard problem, deliver real impact and be pushed to be the best version of themselves. As the Sr. Operations Analyst, Payments, you'll be embedded in the Claims team and report directly to the Director of Claims. You will own Garner's payments function end to end: making sure every member is paid accurately and on time, and building the processes, tools, and team that let payments scale. Your work will directly shape the member experience as Garner grows and launches new ways to reward members for choosing great care.

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

* Own the day-to-day payments function, ensuring member payments are accurate, timely, and well controlled * Stand up and scale payment operations for new products as we launch them * Leverage data analysis, process mapping, automation, and effective communication to analyze, build, and deploy processes that make our payments operations more effective and efficient as we scale * Partner with Product and Engineering to launch and scale new payment capabilities, and work with diverse stakeholders—from operations specialists to account executives to external partners—to understand key workflows, align on solution design, and drive outcomes * Develop and maintain reporting systems and identify trends for specific areas of improvement across payments KPIs such as accuracy and timeliness * Analyze and solve complex issues raised by clients, members, and internal stakeholders that pertain to payments * Serve as the cross-functional point of contact and owner for payments across Product, Engineering, Finance, and Account Management. * Be a player-coach: lead and develop a small team while staying hands-on in the day-to-day work, including jumping into the queue yourself when volume spikes

What we're looking for

* 3+ years of relevant experience in a strategic problem-solving role; prior experience in analytics, business or financial operations, operations at a fast-growing startup, or similar * 2+ years of experience building within operational teams * A strong ability to break down complex processes, recommend solutions, and work with cross-functional stakeholders to implement them * Experience coaching or leading others, formally or informally, and comfort being a player-coach who does the work alongside the team * Proficiency in quantitative analysis, generating meaningful insights, and data modeling; comfort working with financial data and reconciliations (payments experience is a plus, not a requirement) * Experience with SQL, Excel/Google Sheets, and no-code/low-code AI automation tools * A combination of high ownership mentality and detail orientation, including sound judgment and rigor on high-stakes, sensitive operational work, that has resulted in a track record of delivering operational initiatives on tight deadlines * A willingness to "roll up your sleeves" and do whatever is necessary to ensure company success * A methodical problem-solver who drives continuous improvement, readily gives and absorbs feedback, and operates with individual accountability and integrity as part of a mission-driven team. * A desire to do work that matters: and to be held to a high standard while doing it. You're energized by a mission with measurable outcomes, not just good intentions. You engage with AI tools as part of how you do your best work, and hold yourself accountable to outcomes that matter beyond your team's metrics.

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 $85,000 - $110,000. 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 View email address on click.appcast.io.

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 View email address on click.appcast.io.