Full-Stack Engineer at Vitalize (W23)
$180K - $260K  •  0.10% - 0.50%
The OS for Hospital Operations
San Francisco, CA, US / Remote (US)
Full-time
US citizen/visa only
1+ years
About Vitalize

Vitalize Care is solving the most pressing clinical operations problems for health systems, starting with optimizing staffing and scheduling. We help hospitals dramatically reduce labor spend, improve operational efficiency, and unburden clinical leaders from hours of work per day.

We're partnered with some of the country's most innovative health systems, and are excited to share more details soon!

About the role
Skills: React, TypeScript, SQL

🏥 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 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
Technology

T3 Stack: Next.js 15, TailwindCSS, Supabase (Postgres), Drizzle, tRPC

Interview Process

Other jobs at Vitalize

fulltimeSan Francisco, CA, US$200K - $300K0.50% - 0.90%1+ years

fulltimeSan Francisco, CA, US$140K - $180K0.10% - 0.20%Any (new grads ok)

fulltimeSan Francisco, CA, US / Remote (US)Full stack$180K - $260K0.10% - 0.50%1+ years

Hundreds of YC startups are hiring on Work at a Startup.

Sign up to see more ›