Vitalize Care, Inc. logo

Integrations Engineer

Job Overview

Location

San Francisco HQ

Job Type

Full-time

Category

DevOps

Date Posted

June 4, 2026

Full Job Description

đź“‹ Description

  • • Build and own end-to-end data pipelines that integrate Vitalize with enterprise healthcare systems including EHR platforms (Epic, Cerner), workforce management systems (UKG, Workday, Kronos), payroll engines, and scheduling tools.
  • • Configure and extend existing integration middleware connectors rather than building HL7 or custom protocols from scratch to ensure scalability and maintainability.
  • • Design and implement reliable, incremental sync pipelines that handle chaotic upstream data, partial deliveries, retries, and system failures without compromising data accuracy or platform stability.
  • • Reconcile conflicting, incomplete, or inconsistent shift, staff, and ADT data from multiple source systems at the transformation layer to ensure clean, actionable workforce intelligence reaches clinical leaders.
  • • Engineer systems with built-in observability — using schema contracts, typed error channels, and structured logging — to make silent failures impossible and enable rapid diagnosis of production issues.
  • • Instrument all integration workflows to distinguish between job execution and job success, ensuring operational clarity and accountability in production environments.
  • • Detect and recover from data drift between source systems and Vitalize in real time, implementing automated recovery mechanisms to prevent inconsistencies from surfacing to end users.
  • • Own the reliability of integrations during enterprise-wide rollouts, anticipating edge cases that emerge only under live, high-volume conditions and designing guardrails to mitigate risk.
  • • Collaborate closely with customers, deployment teams, and fellow engineers to understand integration requirements, communicate technical limitations, and align on success metrics.
  • • Maintain production integrations under high load, scaling worker clusters and optimizing throughput while ensuring system stability across the largest health systems in the U.S.
  • • Ensure all integrations are production-ready from day one of customer deployment, eliminating manual workarounds and enabling seamless adoption of Vitalize’s workforce intelligence platform.
  • • Communicate technical constraints and expectations clearly to both engineering and non-technical stakeholders, translating operational realities into actionable product insights.
  • • Proactively identify and resolve integration bottlenecks that impact staffing decisions, scheduling recommendations, and real-time visibility into workforce availability.
  • • Treat integrations as a core value driver — not a support function — recognizing that the platform’s utility is entirely dependent on the accuracy and reliability of the data pipelines you build.

🎯 Requirements

  • • Proven experience owning production integrations in enterprise environments, including handling upstream system changes, silent data errors, and edge cases uncovered during live deployments.
  • • Demonstrated ability to build and operate queue-based worker systems at scale, with deep understanding of business impact from integration failures.
  • • Expertise in designing incremental sync pipelines that remain correct under failure, retry, and partial delivery scenarios.
  • • Strong track record of implementing observable systems using schema contracts, typed errors, and structured logging to eliminate silent failures.
  • • Experience building durable, cron-driven workflows that survive restarts, retries, and partial failures, with clear distinction between job execution and success.
  • • Ability to trace anomalies from symptom to source quickly in production and minimize blast radius during incidents.

🏖️ Benefits

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

Skills & Technologies

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Onsite

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About Vitalize Care, Inc.

Vitalize Care, Inc. develops an AI-powered platform that revolutionizes staffing and scheduling for health systems. Their solution helps hospitals efficiently meet real-time patient demand and acuity by leveraging predictive scheduling to proactively identify staffing gaps and automate filling shifts with the best-fit nurse. This allows health systems to significantly reduce premium labor spend, minimize traveler/agency utilization, and save nurse leaders over 30% of their time by automating manual tasks. Serving CNOs, COOs, CFOs, and frontline staff, Vitalize Care improves nurse retention through increased schedule flexibility and transparency, ultimately optimizing the entire staffing process for critical healthcare institutions. The company is backed by Y Combinator.

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