Vitalize

The problem Hospitals still run their most important operations — staffing, labor planning, and capacity — on paper, spreadsheets, and guesswork. It’s a system that wastes thousands of hours and millions of dollars every year. Vitalize replaces this with intelligent, automated staffing operations. Our platform brings real-time decision support to clinical leaders, eliminating manual work, reducing unnecessary labor spend, and unlocking patient capacity for hospitals. We’re building the core operating system for hospital workforce operations — competing directly with legacy HR/ERP platforms. And we’re winning. We’re already live across 20+ hospitals, near 8-figures in revenue, and have raised funding from top investors. We’ve 3x’ed revenue in the last 3 months, and are scaling fast. The role You'll be the second product designer at Vitalize, joining our founding designer to scale how we design, build, and ship product. You'll own complex product surfaces. The core of this role is designing data-dense interfaces that hospital staff rely on every day, like shift schedules, staffing dashboards, configuration tools, recommendation systems. You'll simplify these workflows and flatten the learning curves. You'll build the design system alongside the founding designer. We're at the beginning of this journey. We have a component library in Figma, a Tailwind codebase, and a growing gap between them. You'll help close that gap: building reusable components, establishing color and spacing standards, creating patterns that let engineers build correctly without waiting for design. You'll work directly with customers. Design at Vitalize starts with real workflows, not requirements docs. You'll visit hospitals, observe how nurses and staffing offices actually work, and use that context to shape what we build. You'll partner closely with engineering. Our Senior engineers ship fast. Your job is to collaborate through the build, make tradeoffs together, and care about what actually ships to production. At Vitalize, quality is everyone's responsibility. Who you are You have 6+ years of product design experience , ideally on complex, workflow-heavy B2B SaaS products. You've shipped real features to real users and can talk about the business impact of your work, not just the design rationale. You have strong product instincts. You rethink problems from first principles rather than layering fixes on top of existing patterns. When you see a crowded interface, your instinct is to question whether the information architecture is right. You're opinionated and direct. You form a point of view quickly, back it up with evidence, and aren't afraid to push back when you think the product is heading in the wrong direction. You have design systems experience. You've built or contributed to component libraries, token systems, or pattern documentation. You understand how design infrastructure scales and why it matters for engineering velocity. You're customer-obsessed in practice. You've done field research: you've gone to where users work, seen the problems they face, and used that context to shape what you build. You might not be the right fit if: You've only worked on consumer products You need detailed specs or PRDs to start designing You're looking for a remote role Your portfolio doesn't include shipped work that contributed to business outcomes Experience in healthcare, logistics, or similarly complex operational domains is a plus, but not required. The domain is deep but learnable. Why now We're at the stage where every design decision compounds. The patterns we set today, in the design system, in how we collaborate with engineering, in the quality bar we hold, will shape the product for years. You'd be joining at the moment where the team is small enough that you can influence everything, and the company is growing fast enough that your work will scale to thousands of users across dozens of hospitals. You'd be working alongside a founding designer

TL;DR At Vitalize, we’re building toward a future where hospital operations are safe, autonomous, fair, and cost-effective. Today, hospitals still run their most critical workflows (staffing, labor planning, capacity management) on spreadsheets, paper, and gut instinct. This creates massive waste, burnout, and poor patient outcomes. Vitalize replaces this with an intelligent operating system for the hospital workforce. We bring real-time decision support to clinical leaders, eliminate manual work, reduce unnecessary labor spend, and unlock patient capacity across health systems. We are a team of Stanford, Cambridge, and Columbia dropouts, former math champs, and repeat founders. We’re live across 20+ hospitals, approaching eight figures in revenue, and backed by top investors. We’ve 3x’ed revenue in the last 3 months, and are scaling fast. This is a chance to build foundational infrastructure for healthcare at a moment of real momentum. Role Overview We’re hiring a Senior Software Engineer to help build the core systems that power hospital operations at enterprise scale, and re-imagine how hospitals work. You’ll work closely with the founders, ops team, and customers to own and lead high-impact features end-to-end. Your work will directly affect thousands of clinicians and operational leaders across entire health systems. This is a high-autonomy role. You’ll be expected to operate independently, make technical decisions, and own outcomes. The problems are ambiguous, the constraints are real, and correctness matters. Problems You’ll Work On Real-time workforce intelligence Event-driven infrastructure that reconciles high-latency, multi-source healthcare data into a coherent operational model, effectively a dynamic digital twin of the hospital. Forecasting and planning Systems that predict patient volume and staffing demand based on historical trends and real-time patient movement. Optimization and recommendations A decision layer that produces actionable staffing recommendations under tight constraints and partial information. Autonomous scheduling Prompt-driven automation for nurse scheduling that replaces brittle manual workflows. What You Have 3+ years of experience shipping production software in a product-focused engineering role, ideally in fast-moving SaaS environments. Strong proficiency in modern frontend and backend development. Proven ability to build and scale user-facing products that are fast, intuitive, and reliable. You care deeply about UX, correctness, and polish. Experience designing backend systems that support multiple products or workflows, with an eye toward extensibility and long-term maintainability. A track record of ownership. You have taken ambiguous problems from idea to production and iterated based on real user feedback. Comfort operating in early-stage environments. You move quickly, unblock yourself, and stay focused when structure is limited and stakes are high. Our Stack Typescript monorepo, Effect, Vite, Tanstack, Bun, Planetscale Postgres, and Drizzle Benefits: Medical, dental, and vision insurance 401k and 401k match Unlimited PTO Bi-annual company retreats Free Lunch and Dinner in-office Relocation Bonus Reimbursement for desk setup, gym subscription, and commute

TL;DR You’ll work directly with the founders to own success, ROI, and executive relationships across our largest customers (6–7 figure accounts, thousands of patient beds). You’ll start as a hands-on IC— deep in accounts, data, and escalations— while building the systems that ensure our customers win, renew, expand, and become long-term champions. As we scale, you'll be responsible for building out the team. The Company Hospitals still run their most important operations—staffing, labor planning, and capacity—on paper, spreadsheets, and guesswork. The result: thousands of wasted hours, millions in unnecessary labor spend, and frontline teams stretched thin. Vitalize replaces this with intelligent, automated staffing operations. Our platform gives clinical leaders real-time decision support to reduce manual work, lower labor costs, and unlock patient capacity across the enterprise. Labor accounts for ~60% of hospital costs, and our research shows over 20% of that spend is preventable. By proactively aligning labor supply with patient demand, Vitalize helps health systems operate more efficiently, safely, and sustainably. We’re building the core operating system for hospital workforce operations—competing directly with legacy incumbents, and winning. We’re live across 20+ hospitals, near eight figures in revenue, have raised from top investors, and have 3×’d revenue in the last three months. The Role You’ll own post–go-live success for our largest customers: managing executive relationships, controlling the ROI narrative, and ensuring customers realize and understand the value Vitalize delivers. You’ll act as a player–coach—personally managing key accounts while building the systems, tooling, and operating cadence that will scale Customer Success as we grow past our next phase. You’ll work directly with the founders, Deployments, and Customer Ops to ensure we are proactive, data-driven, and disciplined in how we manage customer health and expansion opportunities. We strongly believe gold-standard customer success can truly be a real differentiator. You will define what gold-standard looks like in this role. What You’ll Do Own customer outcomes and ROI Define, track, and communicate ROI across all customers (time savings, financial impact, operational outcomes) Ensure executives understand and can clearly articulate the value Vitalize delivers Anchor value during renewals, expansions, and moments of risk Manage deep executive relationships Personally manage several large enterprise accounts with CNOs, CFOs, CIOs, CHROs, and operational leaders Ensure the right stakeholders are engaged at the right times with the right narrative Maintain executive-level trust from implementation through steady state Build the customer health system Design and implement a customer health framework that blends usage, ROI, and executive sentiment Build the operating cadence for renewals, upsells, and expansions Partner closely with Deployments to maintain continuity of executive relationships and ensure strong documentation Be in the weeds with Customer Ops and act as a player-coach Work closely with the Customer Ops team on escalations, trends, and recurring issues Get hands-on when situations are complex or high-stakes Use frontline signals to inform executive conversations and long-term strategy Enable Customer Ops to focus on execution by owning the broader success narrative Who You Are You’ve managed large enterprise accounts and navigated complex, multi-stakeholder executive relationships You’ve owned or directly influenced renewals, expansions, and ROI conversations You’re a clear, confident communicator who can hold the room with senior executives You’re data-driven and comfortable building systems, dashboards, and frameworks from scratch You’re calm under pressure, high-judgment, and comfortable making hard calls You thrive in ambiguity and prefer ownership over instruction You’re excited to st

TL;DR - Who You Are + What You’ll Do You’re owning one of the most critical functions in the company: the deployments that activate 6–7 figure revenue, unlock ROI for hospital executives, and determine whether our product becomes the operating system for an entire health system. You’ll be embedded on-site with leaders across nursing, operations, finance, and IT, mapping their most complex workflows, driving organizational change, and architecting rollouts that transform how hospitals run. You’ll build the playbook for how Vitalize scales from 20 to 200+ hospitals — and your insights will directly shape our product and company strategy. This is a role for a top 1% operator who wants to build a category-defining enterprise motion from scratch. The Company Hospitals still run their most important operations — staffing, labor planning, and capacity — on paper, spreadsheets, and guesswork. It’s a system that wastes thousands of hours and millions of dollars every year. Vitalize replaces this with intelligent, automated staffing operations. Our platform brings real-time decision support to clinical leaders, eliminating manual work, reducing unnecessary labor spend, and unlocking patient capacity for hospitals. Labor drives ~60% of hospital costs, and our research shows more than 20% of that spend is preventable. By proactively aligning labor supply with patient demand, Vitalize helps health systems operate efficiently, safely, and sustainably. We’re building the core operating system for hospital workforce operations — competing directly with legacy HR/ERP platforms. And we’re winning. We’re already live across 20+ hospitals, near 8-figures in revenue, and have raised funding from top investors. We’ve 3X revenue in the last 3 months, and are scaling fast. The Role You're not here to “implement software.” You're here to transform how hospitals run. You own the entire journey between contract signing and full adoption. You’ll be on-site constantly with CNOs, nursing directors, IT, ops leaders, and frontline staff — mapping workflows, aligning stakeholders, driving change, and ensuring Vitalize becomes mission-critical. You are our customer's first true interface with the company, and the single biggest driver of revenue activation and ROI. We believe deployments can be a key differentiator. We charge mid–six figures just for deployment because hospitals rely on this process to unlock millions in savings. You’ll be the person designing, executing, and improving that engine. Your mandate is threefold: Build the deployment playbook for 200+ hospitals. We don't have a mature playbook yet — you’ll architect it. Discovery, training, rollout sequencing, change management, risk escalation. You’re not afraid to drive a deployment yourself, and translate learnings into a repeatable system that scales. Make ROI real for executives. Your job is to show hospital leaders how Vitalize directly impacts their world — unlocking millions in labor savings, giving clinical leaders time back, reducing staffing chaos, and helping hospitals recover patient capacity. You run deep discovery, understand every nuance of their staffing model, and align the C-suite on what success looks like. You lay the foundation for ROI from day one. The quality of your deployment determines whether the hospital sees the operational and financial transformation they were promised — and you’re the one who gives executives confidence that it will happen. Be the bridge customers and product You’ll see the truth on the ground: workflow gaps, adoption friction, and patterns across large systems. You’ll bring that signal straight to engineering and design — shaping what we build and why. Select Deployment Strategists may be given responsibility of joining internal, cross-functional “Palantir-style” teams solving complex operational and product problems. Operationally, You Will: Lead multi-stakeholder rollouts across 5–20 hospital sites Run training for thousands of clinician

The problem Hospitals still run their most important operations — staffing, labor planning, and capacity — on paper, spreadsheets, and guesswork. It's a system that wastes thousands of hours and millions of dollars every year. Vitalize replaces this with intelligent, automated staffing operations. Our platform brings real-time decision support to clinical leaders, eliminating manual work, reducing unnecessary labor spend, and unlocking patient capacity for hospitals. We're building the core operating system for hospital workforce operations — competing directly with legacy HR/ERP platforms. And we're winning. We're already live across 20+ hospitals, near 8-figures in revenue, and have raised funding from top investors. We've 3x'ed revenue in the last 3 months, and are scaling fast. The role You'll be responsible for ensuring our hospitals can successfully operate their most critical workflows on Vitalize. This isn't just answering tickets — it's about deeply understanding complex data-driven staffing operations and going above and beyond to ensure that our users have accurate staffing data to take care of real patient lives. You'll own the customer support experience. You'll answer customer questions spanning product features, data integrations, workflow configuration, and technical troubleshooting. You'll work across all channels — email, SMS, video calls, and in-person when needed. You'll unblock data-driven workflows. Hospital staffing operations depend on accurate, real-time data. When something breaks — an integration fails, data doesn't sync, or a calculation looks wrong — you'll investigate root causes, partner with engineering to resolve issues, and ensure customers can get back to running their operations. You'll talk directly with customers. You'll regularly interact with nurses, staffing coordinators, and hospital leaders to understand their workflows, debug issues, and gather feedback. You'll want to visit hospitals when needed to see problems in context. You'll shape the product. You'll surface trends and insights from customer feedback to influence product decisions and roadmap priorities. You'll document knowledge base content, write troubleshooting guides, and help develop scalable support processes as we grow. You'll partner with engineering. You'll work closely with the product and engineering teams to reproduce bugs, document technical issues, and ensure fixes are shipped quickly. Your technical background will help you bridge the gap between customer problems and engineering solutions. Who you are You have 4+ years of customer-facing experience , ideally in technical support, customer success, or operations roles at B2B SaaS companies. You've supported complex, data-driven products and can talk about how you've unblocked critical customer workflows. You're technically capable or want to be. You can troubleshoot APIs, data integrations, and technical configurations. You're comfortable digging into logs, reproducing bugs across different environments, and explaining technical concepts to non-technical users. Familiarity with SQL, APIs, and integration setups is a plus. You go above and beyond for customers. When a hospital can't complete their staffing schedule because something's broken, you take ownership. You stay with the problem until it's resolved, even if that means coordinating across multiple teams or jumping on a call outside normal hours. You're excited about talking to customers. You're comfortable regularly interacting over chat, video, and in-person. You see customer conversations as opportunities to understand their workflows deeply, not just tickets to close. You have strong communication skills. You can adapt your approach based on who you're talking to — whether that's a nurse using the product in the field or a technical administrator configuring integrations. You might not be the right fit if: You're looking for a purely reactive support role You prefer to avoid customer conversations

🏥 What We Do At Vitalize, we are building the OS for hospital operations, starting with staffing & scheduling optimization. Currently, hospitals’ core processes to manage and optimize labor live on paper, spreadsheets, or through departments of 20+ FTEs. Vitalizes’s technology transforms these processes from painstakingly tedious to autonomous, freeing up thousands of hours and reducing labor costs by 8-figures. In less than 6 months, Vitalize has reached 7-figures in ARR and is backed by top investors, including Y Combinator and top health systems. 🪓 About the role We're hiring for a Senior full-stack engineer to work closely with co-founders and early customers to ship product and iterate fast. In this role, you have the opportunity to take end-to-end ownership over features that with every customer launch will touch thousands of users across the enterprise, and ultimately help health systems operate more efficiently and deliver better patient care. 🧭 Responsibilities Work directly with co-founders to ship features and meet ambitious customer goals Talk to customers and end-users to iterate on product features based on feedback (occasionally visit on-site!) Shape the engineering culture and the product roadmap 🧐 Technical Challenges Vitalize Intelligence: A real-time, event-driven engine that integrates and reconciles messy, high-latency data across EHRs, HRIS, timekeeping, and payroll systems — creating a dynamic digital twin of hospital operations. Predictive Modeling: Forecasting future patient volume and staffing needs using AI/ML models trained on historical census trends, patient throughput, and real-time movement across departments (e.g., ED → ICU). Optimization & Recommendations Engine: A real-time decision layer that recommends optimal staffing actions based on dozens of dynamic factors: cost, acuity, patient safety, skill mix, sick calls, fairness, and more. Autonomous Scheduling: A first-of-its-kind prompt-based scheduling system that automates manual workflows for charge nurses and staffing coordinators. This is “Copilot for Nurse Scheduling.” 🥇 Skills Nice-to-have: TypeScript, React, Postgres Our stack: Vite, tRPC, Effect, Drizzle, Supabase. We’re also exploring sync engines to build a local-first experience like Linear or Superhuman. 🙌 Benefits Medical, dental, and vision insurance 401k and 401k match Unlimited PTO Bi-annual company retreats Free Lunch and Dinner in-office Relocation Bonus ($5000) Reimbursement for desk setup, gym subscription, and commute