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Vitalize is building the labor and capacity operating system for health systems. The company helps hospitals intelligently forecast staffing demand, match the right staff automatically, and coordinate patients across the hospital. Hospitals currently manage these critical functions with spreadsheets, phone calls, and gut instinct—Vitalize replaces this with intelligent software that saves hospitals millions in unnecessary labor spend and gives clinical leaders back 10–20 hours weekly.
As a Senior Full Stack Engineer, you'll own the decision engine behind staffing recommendations, alerts, and workflows. You'll design and build the logic that helps clinical leaders make hundreds of staffing decisions daily under time pressure. Your work will transform messy operational reality into software that hospitals trust with some of their most important decisions.
Key responsibilities include: designing decision logic for staffing recommendations and alerts; owning systems that balance staffing rules, hospital policies, patient needs, and operational constraints; partnering with Product, Design, and other Engineers on complex solutions; working directly with clinical leaders to understand decision-making processes; building explainable software that users can trust, validate, or override; and defining the boundary between automation and human judgment as Vitalize safely automates more hospital operations.
You'll bring expertise in TypeScript, strong systems thinking, and the ability to reason through complicated edge cases. You're comfortable working across the entire tech stack and engaging directly with customers to understand problems and rapidly improve the product. The tech stack includes Bun, TypeScript, Effect, React, TanStack Router, and Planetscale.
Vitalize has raised over $32M from top investors and customers. The company values ownership, customer obsession, candor, and experimentation. Benefits include medical/dental/vision insurance, 401(k) match, flexible PTO, unlimited travel budget for customer visits, bi-annual off-sites, free meals, $5,000 relocation bonus, desk setup reimbursement, commuter benefits, and monthly wellness stipend. The office is located in Jackson Square, San Francisco.
