Vitalize

Integrations Engineer

San Francisco HQ · Staff+

Sponsorship not specifiedDetected 49 days ago

Data EngineeringDesign SystemsHRIS5G/LTEEpicCernerHL7/FHIREHR/EMRCollaboration

About the role

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.
You'll write the code that makes enterprise-wide rollouts production-ready from day one.
Integrating with EHR platforms (Epic and others) via our integration middleware - configuring and extending proven connectors, not hand-rolling HL7 from scratch

Responsibilities

Reconciling 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.
Every staffing decision, scheduling recommendation, and real-time visibility into who's working and where depends entirely on the integrations you build.
At Vitalize, we're building toward a future where hospital operations are safe, autonomous, fair, and cost-effective.
This creates massive waste, burnout, and poor patient outcomes.

Requirements

You know the difference between a job that ran and a job that succeeded.
When something goes wrong in production you can move fast to trace an anomaly from symptom to source and narrow the blast radius
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. You use schema contracts, typed error channels, and structured observability to make silent failures impossible
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 move fast to trace an anomaly from symptom to source and narrow the blast radius
You communicate clearly across technical and non-technical audiences expectations and limitations of the integration
You might not be the right fit if:
You're not ready to operate at the pace and ambiguity of a Series A company

Nice to have

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.

Compensation

Medical, dental, and vision insurance · 401k and match · Unlimited PTO · Bi-annual company retreats · Free lunch and dinner in-office · Relocation bonus · Desk setup, gym, and commute reimbursement

Benefits

Medical, dental, and vision insurance · 401k and match · Unlimited PTO · Bi-annual company retreats · Free lunch and dinner in-office · Relocation bonus · Desk setup, gym, and commute reimbursement
We bring real-time decision support to clinical leaders, eliminate manual work, reduce unnecessary labor spend, and unlock patient capacity across health systems.
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.

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This listing is sourced directly from Vitalize's careers page and normalized into a canonical job model.