> Markdown version of [/jobs/ext/4416427-senior-it-systems-engineer](https://www.wearedevelopers.com/jobs/ext/4416427-senior-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). --- # Senior 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, Computer Programming, Decision Support Systems, Human Resources Information System (HRIS), Identity and Access Management, Information Retrieval, Python (Programming Language), Routing, Node.Js, Windows PowerShell, Role-Based Access Control, Scripting, Cloud Platform System, Okta, Large Language Models, Information Technology, Build Tools, Api Design, Terraform, Security Orchestration, Automation & Response, Golang - **Published:** October 17, 2026 - **Apply:** https://www.thejobnetwork.com/job/32bcf0d0-f5ec-4efb-b4eb-032ef7f14bf6/senior-it-systems-engineer ## 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 What will make you stand out: * 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. What you will do: * 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