SVP, People

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.

Garner’s mission is to fundamentally improve how the US healthcare system works. By helping employers restructure their healthcare benefits to provide clear incentives and data-driven insights, we get employees to higher-quality and lower-cost healthcare providers. The result is that patients get better health outcomes while doctors are rewarded for practicing well, not performing more procedures. We are the fastest-growing healthcare technology company in the country, our products are used by the most sophisticated employers and providers in the industry and we are looking for talented, driven individuals to join our team.

We are seeking an exceptional Senior Vice President of People & Talent to lead the full people lifecycle at Garner from recruiting and onboarding to development, performance, engagement, and retention. This leader will report directly to the CEO and will oversee both the People Operations and Talent Acquisition teams. They will be responsible for building scalable systems, fostering a high-performance culture, and ensuring we continue to attract and grow extraordinary talent as the company scales. This is a unique opportunity for a mission-driven leader who thrives in fast-paced environments and is passionate about building exceptional teams and organizational systems.

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. 

Responsibilities will include:

• Lead and scale the People and Talent Acquisition functions, building systems that support the full employee lifecycle, including recruiting, onboarding, performance management, compensation, learning and development, and engagement.
• Partner closely with the CEO and leadership team on organizational design, headcount planning, hiring priorities, and company-wide goal setting.
• Ensure a consistently high talent bar and cultural alignment across the organization, embedding our values in hiring, performance management, and manager practices.
• Establish and monitor key people metrics, including time-to-hire, ramp time, engagement scores, performance distribution, and attrition, to guide decision-making and drive accountability.
• Build and run scalable processes for performance review cycles, compensation planning, leveling frameworks, internal mobility, and career pathing.
• Develop and implement programs that strengthen culture, manager capability, and employee engagement, with clear follow-through and measurable outcomes.
• Ensure compliance with employment law, lead employee relations practices, and maintain consistent policies and risk mitigation across jurisdictions.
• Own HR systems and tools (e.g., HRIS, ATS), ensuring accuracy, clean data, process automation, and strong operating rhythms across teams.

The ideal candidate has:

• 12+ years of progressive experience in People/HR roles, with 5+ years leading both People Operations and Talent Acquisition at a high-growth company.
• Proven expertise in designing and scaling people systems, including recruiting, performance management, compensation, and engagement.
• Experience managing and developing high-performing teams across people and talent functions.
• Strong analytical and metrics-driven mindset, with experience building dashboards, defining KPIs, and making data-informed decisions.
• Demonstrated ability to partner with executives, influence leaders, and hold teams accountable to people and hiring goals.
• A hands-on, builder mindset with the ability to operate strategically while diving into details when needed.
• A passion for Garner’s mission and a commitment to creating an environment where team members can do the best work of their careers.

This is a unique opportunity to join a fast-gro