# Senior Full Stack Engineer

**Company:** [Vitalize](https://hotfix.jobs/companies/vitalize)
**Location:** San Francisco, CA
**Role:** Fullstack Engineering
**Salary:** $195k – $275k/yr
**Experience:** 5+ years
**Skills:** TypeScript, Bun, Effect, React, Tanstack Router, Planetscale, Systems Thinking
**Posted:** 2026-08-31

> Build the decision engine that powers explainable staffing recommendations and workflows for hospitals. The role requires strong TypeScript skills, full-stack experience, systems thinking, and comfort working directly with clinical customers.

## Job Description

## Responsibilities
- Design and build decision logic for staffing recommendations, alerts, and workflows.
- Own systems that balance staffing rules, hospital policies, patient needs, and operational constraints.
- Partner with Product Managers, Designers, and Engineers to build complex, customer-friendly software.
- Work directly with clinical leaders to understand staffing decisions.
- Build explainable software that helps users trust, validate, or override recommendations.
- Define the boundary between automation and human judgment as hospital operations become more automated.
- Improve the system using customer feedback, production data, and real-world outcomes.

## Requirements
- Expertise with TypeScript.
- Experience across the entire technology stack.
- Strong systems thinking and ability to reason through complex edge cases.
- Customer-facing problem-solving and rapid product iteration skills.
- Clear communication and a high-ownership mindset.

## Technology Stack
- Bun
- TypeScript
- Effect
- React
- TanStack Router
- PlanetScale

## Compensation and Benefits
- Annual salary range of $195,000–$275,000.
- 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 in-office meals.
- $5,000 relocation bonus.
- Desk setup reimbursement.
- Commuter benefits.
- Monthly gym and wellness stipend.

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**Canonical:** https://hotfix.jobs/jobs/0418276c-3a5a-432e-926c-a3c41f048dbe