Vitalize Care
Principal Engineer
$195K–$275K
San Francisco HQ · Hybrid · Principal · Full-time · Posted Aug 31, 2026
About the job
Own the decision engine that recommends staffing actions for hospitals and helps automate operational decisions safely.
What you'll do
- Design and build staffing recommendation logic, alerts, and workflows that account for hospital policies, patient needs, and operational constraints.
- Work with clinical leaders and cross-functional teams to understand staffing decisions and build usable software that explains its recommendations.
- Improve the system using customer feedback, production data, and real-world outcomes; define where automation ends and human judgment begins.
What they ask for
- Expertise with TypeScript.
- Experience working across the entire tech stack.
- Ability to reason through complex edge cases.
- Comfort working directly with customers and clearly communicating while owning work.
Pay
$195K – $275K USD base salary
Tools
Bun, TypeScript, Effect, React, TanStack Router, PlanetScale
AI focus
Build decision logic that reasons through hospital staffing problems, explains recommendations, and supports progressively automating operational decisions while preserving human judgment.
Model-written summary · the original posting is authoritative