Senior Product Engineer

Department: Product & Eng

Location: San Francisco HQ, Remote

Compensation: $195K – $275K • Offers Equity

Employment Type: FullTime

TLDR

At Vitalize, we’re building toward a future where hospital operations are safe, autonomous, fair, and cost-effective.

Today, hospitals still run their most critical workflows (staffing, labor planning, capacity management) on spreadsheets, paper, and gut instinct. This creates massive waste, burnout, and poor patient outcomes.

Vitalize replaces this with an intelligent operating system for the hospital workforce. We bring real-time decision support to clinical leaders, eliminate manual work, reduce unnecessary labor spend, and unlock patient capacity across health systems.

We are a team of Stanford, Cambridge, and Columbia dropouts, former math champs, and repeat founders. We’re live across 20+ hospitals, approaching eight figures in revenue, and backed by top investors. We’ve 3x’ed revenue in the last 3 months, and are scaling fast. This is a chance to build foundational infrastructure for healthcare at a moment of real momentum.

Role Overview

We’re hiring a Senior Software Engineer to help build the core systems that power hospital operations at enterprise scale, and re-imagine how hospitals work.

You’ll work closely with the founders, ops team, and customers to own and lead high-impact features end-to-end. Your work will directly affect thousands of clinicians and operational leaders across entire health systems.

This is a high-autonomy role. You’ll be expected to operate independently, make technical decisions, and own outcomes. The problems are ambiguous, the constraints are real, and correctness matters.

Problems You’ll Work On

• Real-time workforce intelligence
  Event-driven infrastructure that reconciles high-latency, multi-source healthcare data into a coherent operational model, effectively a dynamic digital twin of the hospital.

• Forecasting and planning
  Systems that predict patient volume and staffing demand based on historical trends and real-time patient movement.

• Optimization and recommendations
  A decision layer that produces actionable staffing recommendations under tight constraints and partial information.

• Autonomous scheduling
  Prompt-driven automation for nurse scheduling that replaces brittle manual workflows.

What You Have

• 3+ years of experience shipping production software in a product-focused engineering role, ideally in fast-moving SaaS environments.

• Strong proficiency in modern frontend and backend development.

• Proven ability to build and scale user-facing products that are fast, intuitive, and reliable. You care deeply about UX, correctness, and polish.

• Experience designing backend systems that support multiple products or workflows, with an eye toward extensibility and long-term maintainability.

• A track record of ownership. You have taken ambiguous problems from idea to production and iterated based on real user feedback.

• Comfort operating in early-stage environments. You move quickly, unblock yourself, and stay focused when structure is limited and stakes are high.

Our Stack

Typescript monorepo, Effect, Vite, Tanstack, Bun, Planetscale Postgres, and Drizzle

Benefits

• Medical, dental, and vision insurance

• 401k and 401k match

• Unlimited PTO

• Bi-annual company retreats

• Free Lunch and Dinner in-office

• Relocation Bonus

• Reimbursement for desk setup, gym subscription, and commute