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.
We're building the labor and capacity operating system for health systems — forecasting demand, matching the right staff to it automatically, and coordinating patients across the hospital.
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.
Company Values — what we look for
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 Integrations
Hospitals run on a patchwork of systems — medical records, time-and-attendance platforms, payroll engines, scheduling tools — none of which were designed to talk to each other. Vitalize sits at the center of that data and turns it into workforce intelligence that clinical leaders use to staff smarter, catch problems earlier, and stop making decisions blind.
Integrations at Vitalize are product-critical infrastructure. Every staffing decision, scheduling recommendation, and real-time view into who’s working and where depends on the data pipelines and sync systems this team builds and operates.
The Role (TL;DR for Why and Why Now)
As an Integration Engineer, you’ll build and own the data pipelines, transformation logic, and synchronization infrastructure that connect Vitalize to the systems health systems already run on (EHRs, workforce management, scheduling, payroll). Without what you’ll be building, the product doesn’t exist.
What You’ll Do
Over the next 12–24 months, you’ll:
Integrate with EHR platforms (Epic and others) via our integration middleware — configuring and extending proven connectors, not hand-rolling HL7 from scratch.
Engineer direct integrations with workforce management systems (UKG, Workday, Kronos, and others) that are reliable under load, resilient to chaotic upstream data, and built to scale with large health systems — without sacrificing platform stability.
Reconcile shift, staff, and ADT data arriving from multiple source systems that are inconsistent by design — handling conflicts, gaps, and contradictions at the transform layer before they reach the product.
Maintain data accuracy under live conditions — detecting when systems drift apart, recovering cleanly when something goes wrong mid-flight, and ensuring inconsistency never surfaces to the product or the user.
Make failures visible by default: build the guardrails, observability, and operational tooling so we can move fast without breaking trust.
What You’ll Bring
You know what it feels like to own integrations in production — not just ship them. When an upstream system changes without warning, when a sync is silently wrong, when an enterprise rollout exposes an edge case that didn’t exist in UAT — that experience is the baseline.
On the technical side:
You’ve built and operated queue-based worker systems in production; you’ve scaled clusters under real load and you understand the business cost of getting it wrong.
You know when a full sync is a liability and how to design incremental sync pipelines that stay correct under failure, retry, and partial delivery.
You design systems where failures are visible by default (schema contracts, typed error channels, structured observability).
You’ve built workflows and cron-driven pipelines that are durable across restarts, retries, and partial failures; you know the difference between a job that ran and a job that succeeded.
You instrument before you ship. When something goes wrong in production, you can trace an anomaly from symptom to source and narrow the blast radius.
You communicate clearly across technical and non-technical audiences about expectations and limitations of integrations.
You might not be the right fit if:
You’re not ready to operate at the pace and ambiguity of a Series A company.
You work better alone than in close collaboration with customers, fellow engineers, and deployment teams.
You’re not comfortable owning high-risk actions — building the guardrails upfront, and having a clear plan for when things go wrong anyway.
You see integrations as a support function. We view them as a core part of how customers realize value from our platform.
Nice to have:
Experience with healthcare systems — EHR platforms (Epic, Cerner), workforce management systems (UKG, Workday, Kronos), or adjacent healthcare data pipelines
Experience working with Effect
If these problems resonate, we want to hear from you — regardless of how cleanly your background maps to what’s above.
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