Senior Full Stack Engineer

Our Vision

Hospitals run on three things: their people, their beds, and their supplies… and all are still managed with spreadsheets, phone calls, and gut instinct. Vitalize is building the system that runs it all intelligently, starting with labor—the biggest cost (nearly 60% of a hospital’s P&L) and the hardest operational problem.

We’re building the labor and capacity operating system for health systems—forecasting demand, matching the right staff to it automatically, and coordinating patients across the hospital.

The impact is real: we save hospitals millions in unnecessary labor spend, give clinical leaders back 10–20 hours every week, and are often the reason staff and leaders stay. This isn’t a nice-to-have—our customers pay 5–15x more than legacy incumbents because Vitalize is mission-critical software their hospitals rely on every single minute.

We’ve raised over $32M from top investors, and even our own customers.

Our Values

We hire and grow everyone against the same four values. Each one comes from a real Vitalize story—interview with us to hear them!

🚗 Push the Car. Step in regardless of role. We help wherever we're needed, own problems end to end, and don't stay in our lane. People can count on us.

🏥 Premier 1K. We show up for our customers, always. Nearly everyone visits a customer site in their first month, and customer feedback informs everything we do.

🗣️ Run Towards the Ugly. Name the ugliest truth first, then propose the fix. Candor over comfort—we call out what's broken, and never get complacent. This shapes our craft.

💡 Think Bigger Fridays. See the gap, fill it—no permission required. Every decision is an experiment: we run it, let the results decide, and drive real impact from day one.

About Vitalize’s Engineering Team

Every recommendation Vitalize makes flows through this team. We build the intelligence that helps hospitals decide who should float, when to call someone in, when staffing is becoming unsafe, and eventually when the system can safely make those decisions on its own.

This is where Vitalize evolves from software that reports what’s happening into software that actively runs hospital operations.

The Role

Clinical leaders make hundreds of staffing decisions every day under time pressure using disconnected systems. We’re replacing that with software that reasons through the problem, recommends, and eventually executes the best next actions.

You’ll own the decision engine behind those recommendations, turning messy operational reality into software customers trust with some of the most important decisions inside a hospital.

What You’ll Do

Design and build the decision logic behind staffing recommendations, alerts, and workflows

Own systems that balance staffing rules, hospital policies, patient needs, and operational constraints

Partner with our Product Managers, Designers, and other Engineers to build complex software solutions that are easy for our customers to use

Work directly with clinical leaders to understand how staffing decisions are made

Build software that explains why it reached a recommendation so users can trust, validate, or override it

Define where automation ends and human judgment begins, helping Vitalize safely automate more hospital operations over time

Continuously improve the system using customer feedback, production data, and real-world outcomes

What You’ll Bring

Technical expertise—You have expertise with TypeScript

Problem-solving instinct—You instinctively dive into the why

Full-stack experience—You have experience working across the entire tech stack

Systems thinking—You can reason through complicated edge cases

Customer orientation—You’re comfortable working directly with customers to understand problems and rapidly improve the product

Ownership and communication—You communicate clearly and take strong ownership of your work

Our Stack

Bun • TypeScript • Effect • React • TanStack Router • PlanetScale

Benefits

Medical, dental, and vision insurance

401(k) with company match

Flexible PTO

Unlimited travel budget to visit customer sites

Bi-annual company off-sites

Free meals in-office

$5,000 relocation bonus

Desk setup reimbursement

Commuter benefits

Monthly gym/wellness stipend

An awesome office in Jackson Square, steps from the water