The RoleAs a Staff Software Engineer, you will set the technical direction for Hike's platform across our clinical software, AI agents, and manufacturing. You will own the hardest problems that cut across products, make architecture decisions that hold up as we scale, and raise the bar for every engineer around you. This is a builder role first: you will still write a lot of code.
Why this is career-defining- You will shape the technical foundation of a company redefining musculoskeletal care.
- Your architecture decisions will set what Hike builds on for years.
- You will have the scope of an engineering leader with the hands-on impact of a builder.
- Your code will turn into real devices that help people move without pain.
What you will work on- Design the core platform that connects Hike's AI, clinical, and manufacturing systems into one system of record.
- Lead the company's most complex technical initiatives, from enterprise integrations to healthcare data infrastructure.
- Set the standards for reliability, security, and compliance across engineering.
- Mentor engineers and partner with product and design to shape what we build next.
What we look for- 8+ years building production systems, with a track record of leading large technical efforts end to end.
- Our core platform is TypeScript and Node.js, with NestJS APIs and PostgreSQL through Prisma, running on AWS.
- Deep experience in backend architecture, distributed systems, and data modeling.
- Fluency with modern cloud and tooling. Experience putting AI into production is a plus, not a requirement.
- 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 the work is unusually rewarding, and you will see your impact quickly.
- High ownership and low bureaucracy. Results come first.
