Vitalize
Full-time Engineer | Remote (US, SF in-person preferred)
hn · Remote (US, SF in-person preferred)
Jose is a strong full-stack engineer with proven ability to build and scale complex systems end-to-end, deep experience with data infrastructure (Trino, PostgreSQL, Elasticsearch), and demonstrated success in high-impact environments shipping to thousands of users. His healthcare/infrastructure background (NIST, FEMA, emergency response systems) and experience optimizing data pipelines align well with Vitalize's demand prediction and staffing optimization problems. However, he lacks explicit experience with TypeScript/Node.js at scale and the Effect.ts functional programming ecosystem that appears central to their stack.
Hook: Your experience architecting data pipelines and real-time systems for mission-critical infrastructure at NIST and building LLM agents for complex analytics directly translates to forecasting and optimization problems hospitals face.
Missing: TypeScript/Node.js production experience at scale, Effect.ts or functional programming frameworks, Healthcare domain expertise, Real-time staffing optimization or labor planning systems
Posting
Vitalize | Full-time Engineer | Remote (US, SF in-person preferred) What we do: We're a Series A, ~50 person company building the operating system for hospital labor and capacity. Hospitals today manually forecast patient volumes and staff reactively—losing efficiency, increasing costs, and compromising patient care. Vitalize automates demand prediction (leveraging ADT data, historical patterns, and acuity scores to forecast patient census) and real-time staffing optimization. Traction: $10M ARR < 2 years. Across 30+ hospitals Who we're looking for: Engineers who learn quickly, reason clearly about hard problems, and thrive in a high-impact environment. If you're interested, email ryan@vitalize.care Stack: Typescript + Postgres + Effect. Large focus on being able to learn quickly and solve difficult problems Comp: 160k - 270k + equity