Staff Engineer

Vitalize is hiring a Staff Engineer for a remote role open to applicants in United States. It pays $195k-$275k a year and Level rates it ; you can apply on Vitalize.

Level's read on this job

Level rates this role Works on AI ●●●○: the daily work is on AI products, without building the model.
This is listed as a remote role.
The posting mentions system design, decision engines and software architecture among its tools and skills.
Level classes it as a lead role.
Vitalize has 19 other open roles on Level.

AI in this role

Design and build the decision logic and recommendation systems for an AI-driven hospital labor platform.

system-designdecision-enginessoftware-architecture

About Vitalize

Our Vision: Unlock Healthcare's Full Capacity

Health systems still run critical operations like staffing, labor planning, and capacity on spreadsheets, phone calls, and guesswork.

Vitalize 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.

We’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.

Our Values

We hire and grow everyone against the same four values. Each one comes from a real Vitalize story—interview with us to hear them!

🚗 Push 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.
🏥 Premier 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.
🗣️ Run 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.
💡 Think 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.

About Vitalize’s Engineering Team

Every 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.

This is where Vitalize evolves from software that reports what’s happening into software that actively runs hospital operations.

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 for our customers to use
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 hospital operations over time
Continuously improve the system using customer feedback, production data, and real-world outcomes

What You’ll Bring

Technical expertise—You have expertise with TypeScript
Problem-solving instinct—You instinctively dive into the why
Full-stack experience—You have experience working across the entire tech stack
Systems thinking—You can reason through complicated edge cases
Customer orientation—You’re comfortable working directly with customers to understand problems and rapidly improve the product
Ownership and communication—You communicate clearly and take strong ownership of your work

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
Twice-yearly company off-sites
Free meals in the office
$5,000 relocation bonus for eligible employees
Desk setup reimbursement
Commuter benefits
Monthly gym/wellness stipend
An awesome office in Jackson Square, steps from the water

How we rate this

Staff Engineer at Vitalize rates 75 out of 100 for how much of the daily work is AI. That makes it Works on AI (AI Level 3 of 4). The level is about AI in the job, not seniority.

Classification

Works on AI. The daily work is on AI products, without building the model.

●●●● Builds AI80 to 100
●●●○ Works on AI60 to 79
●●○○ Uses AI40 to 59
●○○○ Little AI0 to 39

Levels come from how often the tools, models and workflows of the role are named in the posting itself. Read the description and count the AI tools, models and workflows it names.

Key facts

Staff Engineer is an open job at Vitalize.
Level rates this role AI Level 3 of 4: Works on AI.
The listed salary is $195k-$275k a year.
The role is based in San Francisco HQ and is marked remote.
The job was posted on August 31, 2026.
Seniority: lead.
Applications are handled by Vitalize. Apply on Vitalize

Prepare for this job

Built from this posting and from similar jobs on Level.

Skills and AI tools this role asks for

System DesignDecision EnginesSoftware Architecture

Questions you could be asked

Tell me about a project where system design was part of your work. What did you do?
Tell me about a project where decision engines was part of your work. What did you do?
Tell me about a project where software architecture was part of your work. What did you do?
Describe a typical day in a role like this one: which parts run through AI directly?
If you removed AI from this role, what would be left, and how do you decide what still needs a human?

Adapt your resume

List these exact terms on your resume: System Design, Decision Engines, and Software Architecture. An applicant tracking system matches the wording, not the idea.
Attach one line of real, concrete experience to at least one of them. A tool named with nothing behind it rarely survives a human read.
Show where AI is part of your daily process, not a one-off project. This role expects it to be a running habit.

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