---
title: 'Senior Product Engineer at Vitalize'
canonical: 'https://feeny.ai/job/senior-product-engineer-vitalize-san-francisco-xbk2g37n84bw'
type: 'job'
last_seen: '2026-10-19'
---

# Senior Product Engineer at Vitalize

- **Company:** Vitalize
- **Location:** San Francisco, CA
- **Compensation:** $195k–$275k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-06-03
- **Last confirmed live:** 2026-10-19
- **Apply:** https://jobs.ashbyhq.com/vitalize/ad6831f1-c0a9-4f6a-9a4c-6a78c48a3ce9

## Job description

## 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

## About Vitalize

## Company Overview
- **One-liner**: Vitalize provides an AI-powered platform that unifies staffing, scheduling, flow, and capacity for health systems, replacing manual processes with proactive, optimized operations.
- **Entity Type**: Private (Seed stage; Y Combinator Winter 2023 batch)
- **Headquarters**: San Francisco, California, USA
- **Founded**: 2021 (per LinkedIn) / 2023 (per Y Combinator batch)
- **Founders**: Sanketh Andhavarapu (Co-Founder & CPO), Veeraj Shah (Co-Founder & CEO), Nikhil D'Souza (Co-Founder & CTO, departed April 2026)

## Core Business
- **Primary industry**: Healthcare operations technology (staffing, scheduling, workforce management)
- **Target customers**: B2B – health systems, hospitals, acute, procedural, and ambulatory care organizations
- **Mission**: Build a world where hospital operations are safe, autonomous, fair, and cost-effective

## Products & Services
- **AI-Powered Scheduling**: Automates shift creation and filling, reducing manual scheduling time by ~70%.
- **Predictive Analytics**: Proactive insights on workforce strategy, volume, acuity, and cost to optimize staffing decisions.
- **Flow and Capacity Optimization**: Integrates volume, acuity, cost, skills, and patient flow into every staffing decision.
- **Command Center for Staffing Offices**: Centralized dashboard enabling optimal decisions while removing manual processes and subjectivity.
- **Integrations**: Connects with existing HR, payroll, T&A, and EMR systems so teams can see value without changing workflows.

All offerings are delivered as a SaaS platform with deep change management support.

## Market Standing
- **Valuation/Market Cap**: Not disclosed
- **Key Metric**: Total funding – seed rounds in 2022 (1 investor) and April 2023 (8 investors, led by Y Combinator); amount not publicly stated.
- **Notable Investors/Partners**: Y Combinator (lead), Tom Blomfield (primary YC partner), and other top healthcare/technology investors. Customers include MemorialCare and Hendrick Health.
- **Growth Signals**:
  - Grew 8× in under 18 months
  - Deployed across dozens of hospitals, used by tens of thousands of clinical staff
  - Headcount grew 168% YoY to ~30 employees (as of mid-2026)
  - Operating in 5 countries (US, Brazil, India, Nigeria, South Africa)
  - Active job postings: 9 (as of July 2026), with monthly posting growth of +12.5%

## Competitive Advantages
- **Unified platform** covering staffing, scheduling, flow, and capacity – not a point solution.
- **On-site change management** – team embeds with customers from day one to drive adoption and ROI.
- **Deep integrations** with existing hospital systems (HR, payroll, EMR) minimize disruption.
- **Predictive AI** that proactively identifies gaps and recommends best-fit staff, reducing premium shift use and FTE leakage.
- **Demonstrated ROI** within 90 days, with customer testimonials citing massive improvements in productivity and labor cost reduction.

## Strategic Focus
- Continue expanding across acute, procedural, and ambulatory care within health systems.
- Deepen integrations and predictive capabilities to further automate labor operations.
- Scale the customer base and headcount, particularly in engineering, product, and deployment roles.

## Why Work Here
- **Culture**: Customer-obsession to the extreme – team members have moved on-site to live at customer sites and taken flights with 2 hours’ notice to visit users.
- **Autonomy**: “Everyone has unusual freedom to take initiative” – ownership of problems end-to-end, no micromanagement.
- **Values**: Move fast (decide, act, iterate), relentless curiosity, challenge the status quo, unorthodox thinking.
- **Equity**: Everyone is an owner.
- **Work policy**: Remote US allowed (per YC job postings), with HQ in San Francisco. Many roles require on-site presence at customer hospitals.
- **Engineering culture**: Senior Full-Stack Engineer and Senior Product Engineer roles listed with competitive salary ranges ($180K–$260K + equity). Emphasis on building modern technology to replace paper-based hospital operations.

## Sources
1. [vitalize.care](https://vitalize.care/)
2. [jobs.ashbyhq.com](https://jobs.ashbyhq.com/vitalize)
3. [ycombinator.com](https://www.ycombinator.com/companies/vitalize)
4. [linkedin.com](https://www.linkedin.com/company/vitalizecare)

## Other roles at Vitalize

- [Staff Product Designer](https://feeny.ai/job/staff-product-designer-vitalize-san-francisco-xkd13xfjr37s) — San Francisco, CA
- [Recruiting Operations Coordinator](https://feeny.ai/job/recruiting-operations-coordinator-vitalize-san-francisco-yv3aww5zkj7p) — San Francisco, CA
- [Brand Marketing](https://feeny.ai/job/brand-marketing-vitalize-san-francisco-fbtr63h4p48d) — San Francisco, CA
- [Content Marketing](https://feeny.ai/job/content-marketing-vitalize-san-francisco-xsvtenzp9376) — San Francisco, CA
- [Growth and Demand Generation](https://feeny.ai/job/growth-and-demand-generation-vitalize-san-francisco-q57jw7kd7enf) — San Francisco, CA
- [Product Marketing](https://feeny.ai/job/product-marketing-vitalize-san-francisco-rfy3yx9c7w18) — San Francisco, CA
- [Enterprise Solutions](https://feeny.ai/job/enterprise-solutions-vitalize-san-francisco-cfxpe50a9v60) — San Francisco, CA
- [VP, Customer Success & Delivery](https://feeny.ai/job/vp-customer-success-delivery-vitalize-san-francisco-67gvvqvgb0tn) — San Francisco, CA
- [Platform Engineer](https://feeny.ai/job/platform-engineer-vitalize-remote-1q3by8367qrk)
- [Deployment Strategist](https://feeny.ai/job/deployment-strategist-vitalize-san-francisco-zvm410nxzawe) — San Francisco, CA