CareerPlan

Senior Full Stack Engineer

San FranciscoFull-time$195k–$275k2026-11-07
No visa sponsorship

Core

Design and build the decision logic for an AI operating system that automates hospital staffing and capacity management recommendations.

Role type

Senior Full Stack Engineer (AI Decision Systems)

Builds

The intelligence engine that recommends staffing actions for hospitals

Domain

Healthcare operations + AI/ML decision systems

Deliverable

production ML models

Required skills

TypeScript, full-stack development, systems thinking, customer-facing problem solving

Preferred skills

Experience with AI decision logic, complex rule balancing

Technologies

Bun, TypeScript, Effect, React, TanStack Router, PlanetScale

Responsibilities

Design decision logic for staffing recommendations, own systems balancing staffing rules and constraints, partner with product/design teams, work directly with clinical leaders, build explainable software, define automation boundaries, improve system using production data