Staff Product Manager, Payment Foundations

Healthcare quality is declining and soaring costs are crushing American families and businesses. At Garner, we’ve developed a revolutionary approach to evaluating doctor performance and a unique incentive model that’s reshaping the healthcare economy to ensure everyone can afford high quality care. By providing organizations relief from surging healthcare costs, we’ve experienced rapid adoption in the market and have more than doubled our revenue annually over the last 5 years, becoming the fastest growing company in our space. To support our continued growth, we’re expanding our team by over 50% each year, seeking exceptional talent to shape our unique, award winning culture (for example, USA Today Top Workplaces 2025) designed to cultivate teamwork, trust, autonomy, exceptional results, and individual growth that creates an inflection point in your career.

About the role

We’re looking for a Staff Product Manager to lead our Payment Foundations team, a new 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 incentive experience, which drives best-in-class health and financial outcomes for patients and employers. This role reports to the Director of Product Management.

Where you will work

This role is open to remote candidates across the U.S. For candidates based in New York City, the position follows a hybrid schedule with in-office work required Tuesday, Wednesday, and Thursday each week.

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 5+ partners and growing
• 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 0-1 payments products and use cases
• Example projects might 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
  • Expanding reimbursement methods for members through Paypal and Venmo

Please note: we are unable to sponsor or take over sponsorship of an employment visa at this time.

The ideal candidate has

• 6+ years product management experience
• Exceptional systems thinking and detail orientation, with demonstrated experience building technical products and platforms at scale
• A strong technical background, with experience designing APIs, integrations, and data systems
• Superb communication and stakeholder management skills, both written and verbal, with the ability to clearly articulate vision and drive execution across internal and external stakeholders
• Domain expertise building financial or other highly-regulated products, and/or large-scale financial systems
• Authorized to work lawfully in the United States of America as Garner does not engage in immigration sponsorship at this time

Technologies we use

• Python, TypeScript, React, NodeJS, Kubernetes, Istio, Postgres, ElasticSearch, NATS, AWS, Terraform

Compensation Transparency

The target salary range for this position is $237,000 - $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

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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

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