Senior Software Engineer - Hospital Operations

Confidential • United State
Relocation
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AI Summary

Build core systems powering hospital operations at enterprise scale. Work directly affects thousands of clinicians across entire health systems. Close collaboration with founders, ops team, and customers on high-impact features end-to-end.

Key Highlights
Real-time workforce intelligence
Forecasting & planning
Optimization & recommendations
Key Responsibilities
Build core systems powering hospital operations at enterprise scale.
Work directly affects thousands of clinicians across entire health systems.
Close collaboration with founders, ops team, and customers on high-impact features end-to-end.
Technical Skills Required
TypeScript React Vite tRPC Effect Drizzle Postgres Supabase
Benefits & Perks
$150-275k + equity
Medical/dental/vision
401k match
unlimited PTO
Bi-annual company retreats
free meals
relocation bonus
desk/gym/commute reimbursement
Nice to Have
Postgres
Supabase

Job Description


Building the OS for hospital operations, starting with staffing & scheduling optimization. In <6 months, reached 7-figures ARR, backed by Y Combinator and top health systems. Small team of Stanford/Cambridge/Columbia dropouts and repeat founders.


Role Impact

Build core systems powering hospital operations at enterprise scale. Work directly affects thousands of clinicians across entire health systems. Close collaboration with founders, ops team, and customers on high-impact features end-to-end.


Key Technical Challenges

• Real-time workforce intelligence - Event-driven infrastructure reconciling high-latency, multi-source healthcare data into coherent operational model

• Forecasting & planning - Systems predicting patient volume/staffing demand from historical trends + real-time patient movement

• Optimization & recommendations - Decision layer producing actionable staffing recommendations under tight constraints

• Autonomous scheduling - Prompt-driven automation replacing brittle manual nurse scheduling workflows


Tech Stack

TypeScript, React, Vite, tRPC, Effect, Drizzle | Nice-to-have: Postgres, Supabase

Requirements (All Must-Haves)

• 3+ years shipping production software in product-focused engineering role (ideally fast-moving SaaS)

• Strong proficiency in modern frontend and backend development

• Proven ability building/scaling user-facing products that are fast, intuitive, reliable

• Experience designing extensible backend systems supporting multiple products/workflows

• Track record of ownership - ambiguous problems from idea to production with user feedback iteration

• Comfort in early-stage environments - move quickly, unblock yourself, focus amid limited structure/high stakes


Compensation & Benefits

• $150-275k + equity

• Medical/dental/vision, 401k match, unlimited PTO

• Bi-annual company retreats, free meals, relocation bonus, desk/gym/commute reimbursement


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