Full-Stack Software Engineer (Infrastructure Focus)

VitVio is building AI-powered tools to simplify and streamline operating room workflows, so surgical teams can focus on what really matters—patient care. Our platform uses computer vision and context-aware AI to understand actions happening in the OR in real time. From automatically logging surgical stages to coordinating team readiness, we take on the administrative load so clinical staff don’t have to.‍

Our team has experience founding and scaling leading companies in adjacent industries. We're growing quickly, backed by top-tier investors, and working with some of the most respected hospitals in the US and Europe.

We're looking for a Full-Stack Software Engineer to join our engineering team. This role blends deep technical work with people leadership and offers the chance to build tools used directly in surgical care.

This role is remote-first, and open to candidates based in Europe and the US, we prioritize talent over everything else. Some international travel is required to visit hospitals, observe workflows, and co-design with clinical users.

Like all our engineers, you will work across the stack on systems used by hospital staff in high-stakes environments. From RFD to deployment, you’ll take ownership of features, propose creative improvements, and ship clean, reliable code with confidence.

In your first 6 months, you will:

• Own and ship projects end-to-end across our product and machine learning teams

• Contribute to product development through structured feedback, prototyping, and testing

• Deliver weekly enhancements or fixes with high quality and near-zero regressions

• Build modular, self-documenting code that other engineers can understand and extend

• Collaborate across domains: product, data pipelines, cloud infrastructure, and on-prem infrastructure

• Foster a team culture that’s kind, candid, and committed to doing great work

You’ll work across a diverse stack:

• Backend: Elixir (Phoenix), C++

• Frontend: React, TypeScript

• Infrastructure: GCP, GitHub Actions, NixOS

• Data: Postgres, ETL pipelines

• APIs: GraphQL, REST, integrations with healthcare systems (e.g. HL7/FHIR)

We don’t expect you to have deep experience in each tool or to know the languages (Elixir, C++, etc) from day 1 — but we’re looking for curiosity and adaptability. We support engineers in learning new tools as needed. So, if you don’t have experience with some of the tech above, no problem, we’d still love you to apply!

• Are a well-rounded engineer with experience across the stack (we don’t care what your title has been)

• Are known for clean, reliable code and proactive communication

• Take the initiative: when something’s broken, you fix it or raise it

• Think in systems and edge cases, but you move quickly and pragmatically

• Thrive in team settings that value candid discussions, curiosity, and mutual respect

• Include the word ‘penguin’ in your application (to let us know you’ve read this)

• Find purpose in building software that solves real problems for real people

We don’t expect you to know all of our stack or match every bullet here — we care more about how you think, learn, and collaborate.

📈 Early-Stage Equity

💰 Competitive salary

💻 Company laptop along with tools you need to succeed

🧠 Learning & development budget

🎉 Offsites and team-building events

🌴 Flexible PTO

1. Review: Submit your application

2. First Call (30 min): A call with our CTO to talk through your current/past experience, your motivations and tell you more about VitVio.

3. Meet with our CEO (30 min): You’ll speak to our CEO to see if the magic is there.

4. Coding Interview (90 mins): You’ll be working with one of our team members through a coding exercise.

5. Career Deep Dive (90 mins): Our CTO will go with you through your achievements and learnings of your career so far.

6. Offer