Senior Full-Stack Engineer
Senior Full-Stack Engineer at Vitalize ā San Francisco, CA, US
- Company: Vitalize
- Location: San Francisco, CA, US
- Employment type: FULL_TIME
- Salary: USD 180000ā260000 / year
- Posted: 2026-07-17
About this role
š„ What We Do
At Vitalize, we are building the OS for hospital operations, starting with staffing & scheduling optimization.
Currently, hospitalsā core processes to manage and optimize labor live on paper, spreadsheets, or through departments of 20+ FTEs. Vitalizesās 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.
šŖĀ 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.
š§ 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
š§Ā 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 ā 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 ā 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 āCopilot for Nurse Scheduling.ā
š„ Skills
Nice-to-have: TypeScript, React, Postgres
Our stack: Vite, tRPC, Effect, Drizzle, Supabase. Weāre also exploring sync engines to build a local-first experience like Linear or Superhuman.
š 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