Principal Engineer

Vitalize Care

San Francisco (CA)

On-site

USD 150,000 - 190,000

Full time

2 days ago

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Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k) with company match

Flexible PTO

Travel budget to visit customer sites

Bi-annual company off-sites

Free meals in-office

Relocation bonus

Desk setup reimbursement

Commuter benefits

Monthly gym/wellness stipend

Office in Jackson Square

Job summary

Vitalize Care in San Francisco is building the labor and capacity operating system for health systems. You will design and own the decision engine that recommends staffing actions and integrates with workflows, while collaborating with product, design, and other engineers to deliver intuitive software for clinicians.

You’ll work directly with clinical leaders to understand how staffing decisions are made, and you’ll help explain why recommendations are made, supporting trust and override when

Qualifications

Expertise with TypeScript and modern web frameworks.
Strong systems thinking and the ability to reason through edge cases.
Experience working across the full technology stack.
Comfort working with customers to understand problems and rapidly improve the product.

Responsibilities

Design and build the decision logic behind staffing recommendations, alerts, and workflows.
Own systems balancing staffing rules, hospital policies, patient needs, and constraints.
Partner with Product Managers, Designers, and Engineers to deliver complex, user-friendly software solutions.
Collaborate with clinical leaders to understand how staffing decisions are made.
Build explanations for why a recommendation was made to enable trust and override when needed.
Define boundaries for automation vs. human judgment to scale hospital operations safely.
Continuously improve the system using customer feedback and real-world outcomes.

Skills

TypeScript

Systems thinking

Full stack experience

Customer interaction

Ownership mindset

Tools

Bun

React

Planetscale

TanStack Router

Job description

Our Vision: Unlock Healthcare’s Full Capacity

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 5–15× 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.

Company Values — What We Look For

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.
🏥 Premier 1K. We show up for our customers, always. Customer feedback shapes everything we build.
🗣️ Run Towards the Ugly. Name the hardest problem first, then fix it. Candor beats comfort.
💡 Think Bigger Fridays. See the gap, fill it. We experiment, learn quickly, and create outsized impact.

Read more about how we think about building teams: https://vitalize.care/blog/our-thoughts-on-building-a-team

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 to use by our customers.
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 of hospital operations over time.
Continuously improve the system using customer feedback, production data, and real-world outcomes.

What You’ll Bring

Expertise with Typescript
Instinct to dive into the Why
Experience working across the entire tech stack.
Strong systems thinking and the ability to reason through complicated edge cases.
Comfort working directly with customers to understand problems and rapidly improve the product.
Clear communication and a high ownership mindset.

If these problems excite you, we’d love to talk, even if your background doesn’t perfectly match every bullet above.

Our Stack

Bun • TypeScript • Effect • React • TanStack Router • Planetscale

Benefits