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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.
We are looking for a Service Desk Lead to own and operate Garner’s IT service desk and day-to-day SaaS administration. This is a hands-on, individual contributor role that combines technical support leadership with ITSM platform ownership. The role is focused on incident management, request fulfillment, and continuous improvement in a high-growth, compliance-driven environment.
You’ll act as the primary point of contact for IT support, oversee day-to-day operations in Freshservice, and ensure that Garner’s team receives fast, reliable, and secure tech support. This role is perfect for someone who enjoys improving service delivery, streamlining workflows, and proactively managing IT operations at scale.
Where you will work:This role will be based in our New York City office. You must be willing to work in the office 3 days per week on Tuesday, Wednesday and Thursday.
What you will do:- Operate Garner’s IT service desk in Freshservice, managing incidents and requests from intake to resolution.
- Monitor and report on SLA performance, service metrics, and ticket trends; escalate when necessary to prevent disruption.
- Maintain and improve service desk workflows, knowledge articles, and support documentation.
- Help manage IT Support response by our MSP for issues within their scope
- Fulfill IT service requests such as software access, hardware deployment, and system permissions, following structured, auditable workflows.
- Maintain and administer Garner’s key SaaS platforms, including Okta, Jamf Pro, Google Workspace, Slack, Zoom (incl. Zoom Rooms), and Atlassian (Jira/Confluence).
- Use service desk metrics to identify trends, reduce ticket volume, and improve the employee IT experience.
- Ensure Zoom Rooms, conference room AV setups, and office printers are fully operational
- 5+ years of IT administration experience in a fast-paced, high-growth environment (startup experience a plus).
- Proven experience running ITSM operations in Freshservice or similar ITSM platform, with strong knowledge of SLAs, reporting, and service workflows.
- Excellent communication and documentation skills to support scalable, user-focused IT operations.
- Hands-on experience with Okta, Jamf Pro, Google Workspace, Slack, Zoom (including Zoom Rooms), Atlassian, and other SaaS tools.
- Deep experience with macOS in the workplace.
- Familiarity with IAM, MDM, and endpoint security policies in a compliance-focused organization.
- Working knowledge of ITIL best practices and familiarity with compliance frameworks like SOC 2, HITRUST, and HIPAA.
- A willingness to “roll up your sleeves” and do whatever is necessary to ensure company success
- A desire to be a part of our mission to improve the U.S. healthcare system
- Authorization to work lawfully in the United States of America as Garner does not engage in immigration sponsorship at this time
The target salary range for this position is: $145,000 - $175,000. 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.
Please be aware of recent job scam attempts. Our recruiters use getgarner.com email domain exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to [email protected].
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 [email protected].
Garner Health New York, New York, USA Office
521 Broadway, New York, NY, United States, 10012
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