Senior Product Manager, Payment Foundations

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.

About the role:

We are seeking an exceptional Senior Product Manager to lead our Payment Foundations team, responsible for building a secure, reliable, and scalable platform for money movement across Garner. This role is the core platform enabling Garner’s financial incentives, which drives best-in-class health and financial outcomes for patients and employers. This role reports to the VP of Product Management.

Where you will work:

This role will be based in our New York City office (in the Financial District). You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.

What you will do:

Own Garner’s payments platform strategy and roadmap, including payment systems, financial ledger, payments data products, and payment operations tools.

Be the internal and external owner for Garner’s payment partner and vendor integrations, including our payment processing and card vendors, bank partners, and HSA provider integrations.

Drive development of APIs, integrations, and platform capabilities that enable teams across Garner to initiate, track, and reconcile money movement safely and reliably.

Establish company-wide standards for compliance, financial reporting, and incident response.

Partner with product, engineering, operations, legal, and finance to enable 0-to-1 payments products and use cases. Example projects include designing a financial ledger to record member account balances and transactions, developing automated integrations with Health Savings Account providers to make deposits on behalf of members, and expanding reimbursement methods for members through Paypal or Venmo.

The ideal candidate has:

5+ years of Product Management experience, including at least one role owning a technical or platform product end-to-end

Strong systems thinking and detail orientation — you instinctively look for edge cases and reason from first principles about how systems can fail

Strong technical background, with experience owning technical products APIs, integrations, and data systems

Superb written and verbal communication, with the ability to translate complex technical concepts for engineering, business, and external stakeholders

Bonus: experience building financial or other highly-regulated products, or large-scale financial systems

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.

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.

What you’ll get here:

You’ll work on problems that matter, at a company working to change healthcare at scale. You’ll work at the intersection of AI and systemic healthcare reform, where the problems we solve are as interesting and compelling as the mission.

At Garner, you’ll take on real, ambitious problems with real ownership and autonomy, alongside exceptional, principles-based people who genuinely want you to win. It’s demanding by design. You’ll be challenged to stretch beyond what you thought possible and receive consistent coaching to help you grow and do the best work of your career. This isn't the right fit for everyone, and that's intentional. The people here are driven by what's at stake for real people, and that's what gives our intensity its purpose.

Compensation Transparency:

The target salary range for this position is $222,000 - $245,000. 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 [email protected] .

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 [email protected] .