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Senior Full-Stack Engineer

Compensation
$180,000–$260,000/year

Job Description

đŸ„ 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.

đŸȘ“ 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.”

đŸ„‡ 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

Interview Process

Vitalize Care Engineering Interview Process

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Job Details

Location
San Francisco, CA, US / Remote (US) (Remote Available)
Posted
Mar 24, 2026, 04:30 PM
Listed
Mar 24, 2026, 04:30 PM
Compensation
$180,000 - $260,000 per year

About Vitalize

Part of the growing space & AI ecosystem pushing the frontiers of technology.

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Senior Full-Stack Engineer
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