Staff Machine Learning Operations Engineer

Garner HealthNew York City, NY
Hybrid

About The Position

Garner is on a mission to transform the U.S. healthcare system by partnering with employers to redesign how healthcare works. They apply proprietary clinical metrics to a large patient dataset to identify the best-performing doctors and use incentives to guide members to the most effective care, resulting in better health outcomes and lower costs. The company has experienced significant growth and recently raised Series E funding. This role is crucial for scaling the impact of AI in healthcare transformation. The Staff Machine Learning Operations Engineer will join the Platform Engineering team and will be responsible for the reliability, performance, and cost-efficiency of production machine learning systems. This role will lead the development of a robust platform for secure and consistent model deployment, emphasizing the critical need for high production quality due to the direct influence on patient health outcomes and cost-effectiveness.

Requirements

  • 7+ years of software engineering experience, with significant time spent operating ML or data-intensive systems in production at scale.
  • Deep experience with the modern ML production stack: model serving (e.g., Sagemaker, Triton, or equivalent), feature stores, model registries, and CI/CD for ML.
  • Strong infrastructure and platform engineering fundamentals: Kubernetes, containerization, cloud (AWS preferred), Terraform/IaC, observability, and incident response.
  • Experience designing ML platforms or significant components of one (not strictly consuming SaaS) and the judgment to know when to build vs. buy.
  • Strong collaboration with ML, data, platform engineers, data scientists, and product engineering teams, with the ability to set technical direction as the most senior MLOps voice in the org.

Nice To Haves

  • Healthcare, regulated-data, or other high-stakes production ML experience is a plus but not required.
  • 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.

Responsibilities

  • Own the reliability, performance, functionality, and cost-efficiency of Garner's production ML systems, including establishing SLOs, observability, and on-call responsibilities.
  • Architect Garner's ML platform including required data infrastructure (including feature store, model registry and CI/CD for models), and standardized service patterns.
  • Implement ML-specific CI/CD pipelines: Transition our deployment process from manual notebook hand-offs to automated, PR-driven CI/CD workflows that include automated data quality checks and statistical model validation prior to deployment.
  • Drive down cost and latency through improved architecture, hardware choices, and model optimization as appropriate.
  • Lay the foundation for a future Garner MLOps team, including workflows, standards, and KPIs that enables rapid teammate onboarding and helps stakeholders and teammates quickly identify the health of the team’s products, allowing engineers to focus on areas where issues reside.
  • Establish Drift Monitoring: Design and implement automated data drift and concept drift monitoring systems that alert the team when models degrade, laying the groundwork for future Continuous Training (CT) architectures.

Benefits

  • flexible PTO
  • Medical/Dental/Vision plan options
  • 401(k)
  • Teladoc Health
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