Senior 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 to claims and revenue cycle, and SoleForge, our vertically integrated 3D printing factory producing custom medical devices at a scale the industry has never seen.

Our customers are both the largest employers on earth and the biggest companies in orthotics and prosthetics. On the clinical side, we're live across the industry's largest national providers. On the employer side, Fortune 50 companies trust us to protect their on-their-feet workforces.

But 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. Insoles today, full DME tomorrow, bionics by 2040. Read the full vision at bionics2040.com.

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

The Role

As a Senior Software Engineer, you’ll build and ship the core systems behind Hike’s AI healthcare platform. As the backbone of Hike's high-growth, mission-driven platform, you’ll design scalable services, implement production AI, and deliver user experiences that improve patient outcomes. From day one, you’ll have real autonomy and clear impact on transforming the US healthcare system.

Why This Opportunity is Career-Defining:

• Your code will help people move without pain.

• You will have full autonomy to build, ship, and see the results - moving from idea to production in hours or days.

• You’ll join a high-performing team of top engineers and AI researchers, where every hire makes a massive impact.

• You'll work in a culture where bureaucracy isn't tolerated, fluff is frowned upon, and trust is the driving force.

What You'll Work On:

• Architect, build, and optimize high-performance, scalable systems that power AI-driven solutions.

• Design resilient, serverless architectures in a TypeScript and AWS environment.

• Develop developer-friendly APIs and SDKs that enable seamless integration across platforms.

• Build and refine high-speed data processing pipelines that drive clinical-grade AI insights.

Ideal Candidate Profile:

Technical Skills

• AWS & TypeScript Expert – Comfortable making infrastructure decisions, optimizing cloud deployments, and managing scalable architectures.

• Experience designing, building, and maintaining backend systems that power real-time, AI-driven applications.

• Strong experience in building and optimizing developer-facing SDKs and APIs.

• Skilled in real-time data processing pipelines and optimizing system performance at scale.

• A thoughtful approach to building secure, resilient, and fault-tolerant systems.

Helpful Characteristics

• Product-Minded Engineer – You think about how your work impacts real users.

• Strong Communicator – You clearly explain your ideas, challenge assumptions, and collaborate across engineering, AI, and product teams.

• Thrives in Collaboration – You push back, ask tough questions, and elevate the team.

• Driven to Ship – You want full control over your work, from architecture to deployment, and you’re eager to move fast.

• Mission-Focused – You’re not here to optimize ad clicks. You want to build technology that changes lives.

Hiring Manager

• Nik Varshney (CTO) – LinkedIn