Senior Full Stack Engineer
Hybrid (San Francisco HQ)$195k - $275k + equityFull-timePosted 1mo ago
About the role
Senior Full Stack Engineer at Vitalize, focusing on the decision engine behind staffing recommendations and hospital operations automation. You will design and build the decision logic for staffing, collaborate with product, design, and clinical leads, and help explain why recommendations are made to users.
Responsibilities
- 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
Qualifications
- Technical expertise—TypeScript
- Problem-solving instinct—dive into the why
- Full-stack experience—experience across the entire tech stack
- Systems thinking—reason through complicated edge cases
- Customer orientation—comfortable working directly with customers to understand problems and rapidly improve the product
- Ownership and communication—clear communication and strong ownership of work
Skills
Required:TypeScriptFull-stack development
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
- Awesome office in Jackson Square, steps from the water
Last updated Oct 7, 2026. Interested? Apply on the company site.

About Vitalize
The OS for Hospital Operations
Vitalize Care is solving the most pressing 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!
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