---
title: 'Senior Product Manager, Foundations at Vitalize'
canonical: 'https://feeny.ai/job/senior-product-manager-foundations-vitalize-san-francisco-qv84sjxagjn3'
type: 'job'
last_seen: '2026-09-07'
---

# Senior Product Manager, Foundations at Vitalize

- **Company:** Vitalize
- **Location:** San Francisco, CA
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-08-27
- **Last confirmed live:** 2026-09-07
- **Apply:** https://jobs.ashbyhq.com/vitalize/8bc3ee1e-04e6-40dd-be52-e8290cfbda6c

## Job description

## ABOUT VITALIZE

Our Vision: Unlock Healthcare's Full Capacity

Hospitals run on three things: their people, their beds, and their supplies… and all are still managed with spreadsheets, phone calls, and gut instinct. Vitalize is building the system that runs it all intelligently, starting with labor — the biggest cost (nearly 60% of a hospital's P&L) and the hardest operational problem.

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. This isn't a nice-to-have: our customers pay 5–15x more than legacy incumbents because Vitalize is mission-critical software their hospitals rely on every single minute.

We've raised over $32M from top investors, and even 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 THE FOUNDATIONS TEAM

Foundations owns everything involved in getting Vitalize into a hospital's hands as fast as possible, configured correctly for how that hospital actually works.

Every hospital shows up with its own HRIS system, its own scheduling quirks, its own union contracts, and its own workflows. Foundations turns that variation into product across three areas:

- Data & Intelligence — the integrations that pull hospital data in, and the data foundation our machine learning and AI models depend on
- Delivery & Configuration — the tooling that lets our Deployments team stand up a hospital fast, and configurable workflows for customers whose reality doesn't fit the defaults
- Rules & Compliance — union rules and workplace regulations, enforced consistently across the entire product as a core feature, configurable to each customer

The Foundations Team's north star is customer time-to-live. Every signed contract runs through Foundations before it becomes a hospital that's actually using Vitalize.

## THE ROLE

We're past proving this works and into making it scalable and repeatable. Today, too much of what it takes to launch a hospital is bespoke — engineering pulled in for a one-off integration, Deployments doing by hand what software should do, compliance logic written for one customer that should have been written for all of them.

You'll own turning that into a first-class product. Not by building custom code faster but by building the layer that makes custom code unnecessary. Success in your first year is unlocking major ARR for the business by decreasing time-to-live without having to manually scale up the operations teams.

This role is based in San Francisco, CA with a hybrid work culture of 3 days in the office and 2 days working from home.

## WHAT YOU'LL DO

- Own the company-wide integrations roadmap and get deep enough in the technical design to make real calls with engineering.
- Treat our Deployments team as a core customer. Find where they're doing manual work that software should do and automate it with high quality output. Time-to-live customers is a key metric that requires balancing manual work on the Deployments team with tooling and automations.
- Turn dense union contracts and workplace regulations into precise, testable product requirements that hold up across every customer.
- Sit with customers during implementation — onsite, in their systems, with their IT and ops teams — and bring back what you learn as product, not as tickets. Expect to travel to customer sites for a few days every month or two.
- Partner with GTM and Deployments to see what's coming before it lands, and shape the roadmap around it. Avoid the one-off and favor building the thing that makes the next ten one-offs unnecessary.
- Define what "configurable" means here in practice — config surfaces, mapping tools, workflow primitives — so variation gets handled by setup, not by a PR

## WHAT YOU'LL BRING

- You've built internal tooling with internal teams (Deployments, Success, etc) as your customer and you can point to how their throughput changed because of it.
- You've PM'd an engineering team at a high-growth startup through messy third-party enterprise integrations and you understand the integration itself.
- You've talked to customers during implementation, in their environment, when things were going wrong.
- You've prioritized a roadmap against live go-to-market pressure, and you've held the line when the loudest deal wasn't the right build.
- You've done this at a startup, where the system you were building didn't exist yet.

Nice to have: owning a vendor relationship directly; working alongside a Customer Success or Deployments org; healthcare, workforce management, or UKG experience.

## BENEFITS

- Medical, dental, and vision insurance
- 401(k) with company match
- Flexible PTO
- Unlimited travel budget to visit customer sites
- Bi-annual company off-sites
- Free meals in-office
- $5,000 relocation bonus
- 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

- [Deployment Strategist](https://feeny.ai/job/deployment-strategist-vitalize-san-francisco-zvm410nxzawe) — San Francisco, CA
- [Principal Engineer](https://feeny.ai/job/principal-engineer-vitalize-san-francisco-jv4wadgac7d3) — San Francisco, CA
- [Staff Engineer](https://feeny.ai/job/staff-engineer-vitalize-san-francisco-9kf9grwdnxx5) — San Francisco, CA
- [Senior Full Stack Engineer](https://feeny.ai/job/senior-full-stack-engineer-vitalize-san-francisco-rv5mt37qq2vv) — San Francisco, CA
- [Product Support Specialist](https://feeny.ai/job/product-support-specialist-vitalize-us-east-coast-jap6785f17xn) — US East Coast
- [Head of Marketing](https://feeny.ai/job/head-of-marketing-vitalize-remote-xznshacpmqwm)
- [Recruiting Operations Coordinator](https://feeny.ai/job/recruiting-operations-coordinator-vitalize-san-francisco-yv3aww5zkj7p) — San Francisco, CA
- [Founding Technical Recruiter](https://feeny.ai/job/founding-technical-recruiter-vitalize-san-francisco-0q7by9cb327n) — San Francisco, CA
- [Senior Product Engineer](https://feeny.ai/job/senior-product-engineer-vitalize-san-francisco-xbk2g37n84bw) — San Francisco, CA
- [Customer Success Manager](https://feeny.ai/job/customer-success-manager-vitalize-san-francisco-jtre2hm7q5np) — San Francisco, CA