Software Engineer

About Hike Medical

Hike Medical is building the defining company in musculoskeletal care. We sit at the intersection of AI, robotics, and healthcare, operating across three product lines: a proprietary AI-vision platform that turns a 30-second, web-based foot scan into custom 3D-printed orthotics; an AI agent platform that automates the entire DME workflow from pre-visit processing through claims and revenue cycle; and SoleForge, our vertically integrated 3D-printing factory producing custom medical devices at a scale the industry has never seen.

Insoles today, full DME tomorrow, bionics by 2040. Custom insoles are just the wedge. Our long-term vision is bionics: AI-designed, robotically manufactured orthotic and prosthetic devices at scale, replacing a fragmented, manual industry that hasn’t changed in decades. Read the full vision at bionics2040.com.

We've stealthily raised $22M through Seed and Series A, backed by top-tier investors who backed companies like OpenAI, Anduril, and Mercury early. We run a fast, results-first, high-ownership culture out of our new SF Rincon Hill office. If you want to work at the frontier of AI, manufacturing, and healthcare, this is the place.

The Role

As a Software Engineer, you will build and ship the systems behind Hike’s AI healthcare platform, across our clinical software, AI agents, and manufacturing. You will own features end to end, from understanding the problem to running it in production. We care more about how you think and what you ship than about any specific language or framework.

Why this is career-defining

• Your code will turn into real devices that help people move without pain.
• You will own real features from day one, with the autonomy to build, ship, and see the results.
• You will grow fast alongside a high-performing team of engineers and AI researchers.
• You will work at the frontier of AI, manufacturing, and healthcare.

What you will work on

• Build and ship product features end to end across backend, frontend, and mobile.
• Build the APIs, integrations, and data pipelines that connect our clinical, manufacturing, and back-office systems.
• Help take AI features from prototype to reliable production.
• Work directly with product, design, and customers to make sure what you build solves the real problem.

What we look for

• 2+ years shipping production software, or an exceptional track record of building things people use.
• Our core platform is TypeScript and Node.js, with NestJS APIs and PostgreSQL through Prisma, running on AWS.
• Strong fundamentals in backend or full-stack development.
• Fluency with modern cloud and tooling and experience putting AI into production
• Product-minded: you think about how your work affects real users.
• A strong communicator who challenges assumptions and collaborates across engineering, AI, and product.
• Mission-focused: you are not here to optimize ad clicks, you want to build technology that changes lives.

What we ask

• In person in our San Francisco Rincon Hill office, 5 days a week.
• This is a hard job with a high bar. In return, you will grow faster than almost anywhere else.