Head of Finance

About Hike Medical

Hike Medical is reinventing musculoskeletal care, starting with feet. Our proprietary AI-vision platform turns a 30 second web based (no sensors) foot scan into precision engineered, 3D-printed insoles that prevent pain before it starts. We're already protecting on-their-feet workforces at Fortune 50 leaders, major health systems, and middle America manufacturers. Fresh off a stealthy round with top tier VCs, we run a fast, no BS, execution first culture out of Boston’s Seaport as we sprint toward $100M ARR and standing with 10M Americans as they step into their shoes daily. Learn more about our long term vision by clicking here.

• First and only PDAC approved 3D printed custom insole in the world 🌎

• 3 Proprietary AI models that power the experience

• Two products: One is focused on serving employers & health plans, and the other enables clinics to deliver foot care at a fraction of the cost - creating a virtuous cycle of clinician labelled data.

• Expanded care access to over 100,000 Americans to date

• 10x'd revenue from 2023 to 2024, and on track to do the same in 2025. Profitable month-over-month.

The OpportunityYou will be Hike’s first Controller and first full-time finance hire, responsible for building a world-class accounting and controls foundation to support our next phase of growth. You’ll own the close process, ensure GAAP compliance, manage external audits, and partner cross-functionally with manufacturing, operations, and GTM teams to tighten financial discipline as we scale.

This is a high-impact role for someone who thrives in a fast, hardware-meets-software environment and wants to architect the systems, policies, and insights that keep a high-velocity business grounded in precision. You’ll work closely with the leadership team, reporting directly to the CEO.

What We're Looking ForThese are not hard-and-fast requirements — we care more about crisp execution and ownership than checking every box.

• 6–10+ years in accounting or finance, ideally including time in a high-growth, hardware, wearables, med-device, or tech-enabled physical product company

• Proven ownership of monthly close, consolidations, revenue recognition, inventory and cost accounting, and GAAP reporting

• Experience leading a timely, accurate month-end close and delivering clean, audit-ready financials

• Deep accounting expertise and ownership mentality — you don’t just record numbers, you understand what drives them

• Experience implementing or scaling ERP/accounting systems (e.g., NetSuite, QuickBooks, or equivalent)

• History of working with auditors, tax advisors, and banking partners

• Fluency in cost accounting, inventory/WIP, and standard cost variance analysis

• Ability to establish and maintain internal controls, policies, and procedures

• On-site in Boston, five days a week

  Nice-to-Haves

  • CPA or Big 4 audit background (especially with manufacturing or device clients)

  • Healthcare payer/employer benefits exposure; MSK or occupational health familiarity

  • ERP implementation and BI/reporting stack build-out experience

  • Venture-backed or early/growth-stage company experience

  • Familiarity with credit facilities, working capital management, and treasury ops

Primary Responsibilities

• Accounting Operations: Lead all aspects of accounting — GL, AR/AP, payroll, revenue recognition, inventory, and cost accounting.

• Monthly Close: Deliver a tight, transparent, and reliable close process each month; own reconciliations, journal entries, and reporting accuracy.

• Financial Controls: Establish scalable internal controls, accounting policies, and compliance frameworks; manage external audit readiness.

• Systems: Implement and optimize ERP/accounting platforms; automate reporting and reconciliations as we scale.

• Manufacturing Finance: Partner with ops to manage standard costs, WIP, and variance analysis; improve inventory and production reporting.

• Reporting: Prepare and review financial statements, management reports, and dashboards for leadership and investors.

• Cross-Functional Partnership: Collaborate with GTM and supply chain teams to align financial visibility with revenue, margin, and fulfillment metrics.

• Cash & Compliance: Support treasury ops, banking relationships, and cash flow visibility.

What You’ll Get

• Competitive cash compensation+ equity

• Full medical, dental, and vision coverage

• $15K relocation bonus if needed

• Work directly with the founding team to architect the financial backbone of a category-defining company

• Free custom insoles (of course…)