# Staff Engineer

**Company:** [Vitalize](https://hotfix.jobs/companies/vitalize)
**Location:** San Francisco, CA
**Role:** Fullstack Engineering
**Salary:** $195k – $275k/yr
**Experience:** 7+ years
**Skills:** TypeScript, Bun, Effect, React, Tanstack Router, Planetscale, Systems Thinking
**Posted:** 2026-08-31

> Staff Engineer building the decision engine that powers hospital staffing recommendations, alerts, and workflows. The role requires strong TypeScript expertise, full-stack experience, systems thinking, and close collaboration 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, user-friendly software.
- Work directly with clinical leaders to understand staffing decisions.
- Build explainable software that shows why it reached a recommendation, enabling users to trust, validate, or override it.
- Define the boundary between automation and human judgment to safely automate hospital operations.
- Continuously improve the system using customer feedback, production data, and real-world outcomes.

## Requirements
- Expertise with TypeScript.
- Experience working across the entire technology stack.
- Strong systems thinking and ability to reason through complicated edge cases.
- Comfort working directly with customers to understand problems and improve the product rapidly.
- Clear communication and a high-ownership mindset.

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

## Compensation and Benefits
- Annual salary: $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 meals in the office.
- $5,000 relocation bonus.
- Desk setup reimbursement.
- Commuter benefits.
- Monthly gym and wellness stipend.

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