Senior Full-Stack Engineer

About the role

## **🏥 What We Do**

**At Vitalize, we are building the OS for hospital operations, starting with staffing & scheduling optimization.**

Currently, hospitals’ core processes to manage and optimize labor live on paper, spreadsheets, or through departments of 20+ FTEs. **Vitalizes’s technology transforms these processes from painstakingly tedious to autonomous**, freeing up thousands of hours and reducing labor costs by 8-figures.

In less than 6 months, Vitalize has **reached 7-figures in ARR** and is backed by top investors, including Y Combinator and top health systems.

# 🪓 **About the role**

We're hiring for a Senior full-stack engineer to work closely with co-founders and early customers to ship product and iterate _fast._

In this role, you have the opportunity to take end-to-end ownership over features that with every customer launch will touch thousands of users across the enterprise, and ultimately help health systems operate more efficiently and deliver better patient care.

## 🧭 **Responsibilities**

* Work directly with co-founders to ship features and meet ambitious customer goals * Talk to customers and end-users to iterate on product features based on feedback (occasionally visit on-site!) * Shape the engineering culture and the product roadmap

## 🧐 **Technical Challenges**

* **Vitalize Intelligence:** A real-time, event-driven engine that integrates and reconciles messy, high-latency data across EHRs, HRIS, timekeeping, and payroll systems — creating a dynamic digital twin of hospital operations. * **Predictive Modeling:** Forecasting future patient volume and staffing needs using AI/ML models trained on historical census trends, patient throughput, and real-time movement across departments (e.g., ED → ICU). * **Optimization & Recommendations Engine:** A real-time decision layer that recommends optimal staffing actions based on dozens of dynamic factors: cost, acuity, patient safety, skill mix, sick calls, fairness, and more. * **Autonomous Scheduling:** A first-of-its-kind prompt-based scheduling system that automates manual workflows for charge nurses and staffing coordinators. This is “Copilot for Nurse Scheduling.”

## 🥇 **Skills**

* Nice-to-have: TypeScript, React, Postgres * Our stack: Vite, tRPC, Effect, Drizzle, Supabase. We’re also exploring sync engines to build a local-first experience like Linear or Superhuman.

## **🙌 Benefits**

* Medical, dental, and vision insurance * 401k and 401k match * Unlimited PTO * Bi-annual company retreats * Free Lunch and Dinner in-office * Relocation Bonus ($5000) * Reimbursement for desk setup, gym subscription, and commute

Posting text as published by Vitalize.

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senior From the job title

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full time

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San Francisco, CA, US / Remote (US)

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Stated pay

$180k–260k/yr Employer field

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