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 Systems Administrator to join our Business Technology team as a key member of our growing organization. This is an opportunity to directly shape the future of Garner’s IT infrastructure by owning and improving the systems, processes, and controls that enable us to scale securely and efficiently.

In this role, you’ll manage core enterprise platforms and networks, ensure consistent and compliant service delivery, and drive initiatives that strengthen our security and operational foundation. You’ll play a critical role in implementing frameworks such as Role-Based Access Control (RBAC), maintaining HITRUST and SOC 2 readiness, and optimizing system performance across Garner’s environment.

This position is ideal for someone who thrives in a fast-paced, high-growth company and enjoys building scalable systems and processes that support both operational excellence and regulatory compliance.

Where You Will Work

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.

What You Will Do

Administer and maintain core IT systems (Okta, Google Workspace, Atlassian, Zoom, Slack, Zoom Rooms, Unifi Nnetwork,, FreshService)
Manage full MDM lifecycle for macOS/iOS through Jamf Pro, ensuring secure device configuration and compliance
Maintain and improve network infrastructure (Ubiquiti UniFi) for performance, reliability, and security
Support and optimize conference room and A/V systems (Zoom Rooms)
Handle escalated L2/L3 tickets, uphold SLAs, and drive service quality improvements
Manage user lifecycle operations — provisioning, deprovisioning, RBAC, and access reviews
Support compliance initiatives (HITRUST, SOC 2, HIPAA) through documentation, access reviews, and audit evidence
Create and maintain SOPs and internal knowledge base content
Coordinate with vendors and MSPs on service delivery and transition projects
Identify and implement process improvements and automation opportunities

The Ideal Candidate Has

5+ years in IT Operations within a cloud-centric environment
Deep hands-on experience with MDM platforms (Jamf Pro, Kandji, Intune, Google Advanced MDM). Certifications preferred
Expertise in Okta Workforce Identity and core SaaS administration (Google Workspace, Slack, Atlassian, Zoom, Zendesk, FreshService, Salesforce); Okta-certified Admin+ preferred
Strong knowledge of network management (Ubiquiti UniFi or Cisco), including VLANs, DNS, DHCP; network certification a plus
Proven experience as L2/L3 escalation point under an ITSM framework (FreshService or Jira Service Management); ITIL certification a plus
Familiarity with low-code automation (Okta Workflows, Retool, Airtable, Zapier); scripting or REST API skills preferred
Experience supporting compliance frameworks (HITRUST, SOC 2, HIPAA)
Strong project management, documentation, and communication skills; PMP or similar a plus
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

FreshService, Okta Workforce Identity, Okta Workflows, Jamf Pro, Intune/O365, Google Workspace, Airtable, Retool, Atlassian Jira, Slack, Zoom & Zoom Rooms, Snowflake, Looker, Salesforce, AWS, Datadog

This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.

Compensation Transparency

The target salary range for this position is $140,000 - $170,000. 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.

Garner Health, LLC

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Senior Systems Administrator