{"id":182546,"url":"https://alion.io/job/vitalize-senior-full-stack-engineer-2","title":"Senior Full Stack Engineer","company":{"id":1255,"name":"Vitalize","domain":"vitalize.care","url":"https://alion.io/company/vitalize","size_band":"1-10","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":195000,"max":275000,"currency":"USD","period":"year","gross":null,"usd_annual":275000},"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"TypeScript","optional":false},{"name":"JavaScript","optional":true},{"name":"TanStack Router","optional":true}],"status":"live","first_seen_at":"2026-08-31T20:19:16Z","employer_posted_date":"2026-08-31","last_verified_at":"2026-10-16T10:08:06Z","board_verified":true,"closed_at":null,"days_open":45,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":45},"description":"About Vitalize\nOur Vision: Unlock Healthcare's Full Capacity\nHealth systems still run critical operations like staffing, labor planning, and capacity on spreadsheets, phone calls, and guesswork.\nVitalize is building the AI operating system for how health systems manage labor and capacity. 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.\nWe’re trusted by leading health systems across the country and have raised more than $31M from top healthcare and technology investors, including our own customers..\nOur Values\nWe hire and grow everyone against the same four values. Each one comes from a real Vitalize story-interview with us to hear them!\nPush 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. People can count on us.\n\nPremier 1K. We show up for our customers, always. Nearly everyone visits a customer site in their first month, and customer feedback informs everything we do.\n\nRun Towards the Ugly. Name the ugliest truth first, then propose the fix. Candor over comfort-we call out what's broken, and never get complacent. This shapes our craft.\n\nThink Bigger Fridays. See the gap, fill it-no permission required. Every decision is an experiment: we run it, let the results decide, and drive real impact from day one.\n\nAbout Vitalize’s Engineering Team\nEvery 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.\nThis is where Vitalize evolves from software that reports what’s happening into software that actively runs hospital operations.\nThe Role\nClinical 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.\nYou’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.\nWhat You’ll Do\nDesign and build the decision logic behind staffing recommendations, alerts, and workflows\n\nOwn systems that balance staffing rules, hospital policies, patient needs, and operational constraints\n\nPartner with our Product Managers, Designers, and other Engineers to build complex software solutions that are easy for our customers to use\n\nWork directly with clinical leaders to understand how staffing decisions are made\n\nBuild software that explains why it reached a recommendation so users can trust, validate, or override it\n\nDefine where automation ends and human judgment begins, helping Vitalize safely automate more hospital operations over time\n\nContinuously improve the system using customer feedback, production data, and real-world outcomes\n\nWhat You’ll Bring\nTechnical expertise-You have expertise with TypeScript\n\nProblem-solving instinct-You instinctively dive into the why\n\nFull-stack experience-You have experience working across the entire tech stack\n\nSystems thinking-You can reason through complicated edge cases\n\nCustomer orientation-You’re comfortable working directly with customers to understand problems and rapidly improve the product\n\nOwnership and communication-You communicate clearly and take strong ownership of your work\n\nOur Stack\nBun\nTypeScript\nEffect\nReact\nTanStack Router\nPlanetScale\nBenefits\nMedical, dental, and vision insurance\n\n401(k) with company match\n\nFlexible PTO\n\nUnlimited travel budget to visit customer sites\n\nBi-annual company off-sites\n\nFree meals in-office\n\n$5,000 relocation bonus\n\nDesk setup reimbursement\n\nCommuter benefits\n\nMonthly gym/wellness 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