Senior Full-Stack Engineer

Title: Senior Full-Stack Engineer

Location: San Francisco, CA, US / Remote (US)

## **🏥 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