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Senior Operations Analyst, Payments

Garner Health - Remote - Remote - posted 2026-10-09

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Salary: USD 85,000 - 110,000 / annual

Garner Health is transforming the U.S. healthcare system by partnering with employers to redesign healthcare delivery. The company uses 550+ proprietary clinical metrics across 80+ specialties and a dataset of 320M+ patients to identify top-performing doctors and steer members to higher-quality care. This has helped 2.5 million people access better care and saved $1B in healthcare costs in five years. As Senior Operations Analyst, Payments, you will be embedded in the Claims team, reporting directly to the Director of Claims. You will own Garner's payments function end-to-end, ensuring every member is paid accurately and on time while building the processes, tools, and team infrastructure to scale payments as the company grows and launches new member reward programs. Key responsibilities include: - Own day-to-day payments operations, ensuring accuracy, timeliness, and strong controls - Stand up and scale payment operations for new products as they launch - Use data analysis, process mapping, automation, and stakeholder communication to build and deploy increasingly efficient payment processes - Partner with Product and Engineering to launch and scale new payment capabilities; work with operations specialists, account executives, and external partners to align on solution design - Develop and maintain reporting systems; identify trends and improvements across payments KPIs (accuracy, timeliness) - Analyze and solve complex payment issues raised by clients, members, and internal stakeholders - Serve as cross-functional point of contact for payments across Product, Engineering, Finance, and Account Management - Lead and develop a small team while remaining hands-on in day-to-day work, including jumping into the queue during volume spikes The role is remote with occasional travel to NYC headquarters. Garner is Series E-funded and has doubled five years running. Requirements: - 3+ years of relevant experience in a strategic problem-solving role (analytics, business operations, financial operations, or fast-growing startup operations) - 2+ years of experience building within operational teams - Strong ability to break down complex processes, recommend solutions, and implement them cross-functionally - Experience coaching or leading others (formally or informally); comfort as a player-coach - Proficiency in quantitative analysis, generating insights, and data modeling; comfort with financial data and reconciliations (payments experience is a plus, not required) - Experience with SQL, Excel/Google Sheets, and no-code/low-code AI automation tools - High ownership mentality and detail orientation; sound judgment on high-stakes, sensitive operational work; track record of delivering initiatives on tight deadlines - Willingness to roll up sleeves and do whatever is necessary for company success - Methodical problem-solver who drives continuous improvement, absorbs feedback, and operates with accountability and integrity - Desire to do meaningful work held to high standards; energized by missions with measurable outcomes; comfort engaging with AI tools as part of work - Note: Unable to sponsor or take over sponsorship of employment visas at this time.

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