Senior Full Stack Engineer

Vitalize Care

$140K — $170K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Expertise with Typescript
  • Instinct to dive into the Why
  • Experience working across the entire tech stack
  • Strong systems thinking with complex edge cases
  • Comfortable engaging directly with customers for feedback
  • Excellent communication and ownership mindset

Responsibilities

  • Design and build decision logic for staffing recommendations and workflows
  • Own systems balancing staffing rules and operational constraints
  • Collaborate with Product Managers, Designers, and Engineers to create user-friendly software
  • Engage with clinical leaders to understand staffing decision processes
  • Develop software that explains recommendations for user validation
  • Define the balance between automation and human judgment
  • Continuously enhance the system using feedback and real-world outcomes

Benefits

  • Medical, dental, and vision insurance
  • 401(k) with company match
  • Flexible PTO
  • Unlimited travel budget for customer site visits
  • Bi-annual company off-sites
  • Free meals in-office
  • $5,000 relocation bonus
  • Desk setup reimbursement
  • Commuter benefits
  • Monthly gym/wellness stipend
  • Office in Jackson Square, near the water
Full Job Description
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
  • 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

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