- Job title
- Senior Full-Stack Engineer
- Job location
- San Francisco, CA, US / Remote (US)
- Job description
- ## **🏥 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
