> Markdown version of [/jobs/ext/2710094-it-systems-engineer](https://www.wearedevelopers.com/jobs/ext/2710094-it-systems-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # IT Systems Engineer - **Company:** Garner Health - **Location:** New York, NY, United States - **Experience:** Expert - **Salary:** $189,000.0 - $220,000.0 - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Software as a Service, Decision Support Systems, Human Resources Information System (HRIS), Identity and Access Management, Python (Programming Language), Node.Js, Windows PowerShell, Role-Based Access Control, Scripting, Cloud Platform System, Okta, Large Language Models, Build Tools, Api Design, Terraform, Security Orchestration, Automation & Response, Golang - **Published:** September 4, 2026 - **Apply:** https://startup.jobs/senior-it-systems-engineer-garner-health-7948648 ## About the Role * 4-7+ years of experience in IT, platform engineering, automation, or similar roles * Strong scripting or programming ability in Python, Go, Node.js, PowerShell, or similar * Experience building API-driven automation across multiple systems * Ability to design and implement workflows that span multiple tools and teams * Experience with infrastructure-as-code such as Terraform or similar * 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, * Hands-on experience with identity and access systems (Okta, SSO, SCIM, RBAC), including implementation and ongoing management * Proven ability to build and scale internal tools using platforms like Retool or other low-/no-code solutions * Familiarity with security automation and orchestration (e.g., Tines), with an eye toward reducing manual effort and risk * Practical experience leveraging AI/LLMs to streamline and enhance operational workflows * Strong understanding of compliance and security standards (HIPAA, SOC 2, HITRUST) and how they shape systems and processes * Focused on driving meaningful outcomes * Able to identify root-cause, system-level issues and design durable solutions rather than quick fixes * Comfortable navigating cross-functional environments with competing priorities and constraints * Operates with urgency while building scalable, maintainable solutions * Defaults to automation and efficiency wherever possible ## Description We are looking for an engineer who can walk into messy, cross-functional workflows and turn them into clean, automated systems that scale. This role focuses on identifying high-friction operational processes across the company and replacing them with durable, API-driven automation. You will work across IT, Security, Engineering, and Business teams to reduce manual work, improve reliability, and build systems that scale with the company. This is not a ticket-driven IT role. You will operate with a high degree of ownership, driving initiatives end-to-end from problem discovery through implementation and rollout. You will be part of the Business Technology - Corporate Engineering team and report to the Director of Business Technology. 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., * Identify and automate high-impact operational workflows across onboarding, offboarding, access management, and service delivery * Replace manual, fragmented processes with scalable, API-driven systems * Build and maintain integrations across HRIS, identity providers, SaaS platforms, and cloud environments * Develop internal tools and automation using platforms like Retool, Okta Workflows, and custom scripts or services * Apply infrastructure-as-code to manage and version system configurations * Incorporate AI into workflows to improve efficiency in areas like ticket routing, knowledge retrieval, and decision support * Design and automate access and security workflows that enforce least-privilege and auditability * Own and drive cross-functional initiatives end-to-end, from problem definition through implementation and rollout ## Related Videos - [What if your HR software adapted to you, not the other way around?](https://www.wearedevelopers.com/videos/100259-what-if-your-hr-software-adapted-to-you-not-the-other-way-around) - [Go with the Flow: Stop the Leaks Before Your Memory's a Waterfall!](https://www.wearedevelopers.com/videos/100073-go-with-the-flow-stop-the-leaks-before-your-memory-s-a-waterfall) - [Stop using Node.js like in 2020! What changed and what you can do today with Node.js](https://www.wearedevelopers.com/videos/100011-stop-using-node-js-like-in-2020-what-changed-and-what-you-can-do-today-with-node-js) - [HR Tech: An Essential Ingredient for Tech-Driven Business Transformation](https://www.wearedevelopers.com/videos/1482-hr-tech-an-essential-ingredient-for-tech-driven-business-transformation) - [Scoring 2000 Products per Request: Performance Pitfalls in Golang](https://www.wearedevelopers.com/videos/2073-scoring-2000-products-per-request-performance-pitfalls-in-golang) - [Stop Using Node.js Like It’s 2020! - Alfonso Graziano](https://www.wearedevelopers.com/videos/1863-stop-using-node-js-like-it-s-2020-alfonso-graziano) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [The Best X (Twitter) Accounts for Developers](https://www.wearedevelopers.com/magazine/294-the-best-x-twitter-accounts-for-developers) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [Navigating the AI Shift](https://www.wearedevelopers.com/magazine/629-navigating-the-ai-shift) - [Dev Digest 120 - Apple and peers](https://www.wearedevelopers.com/magazine/455-dev-digest-120-apple-and-peers)