{"id":3776651,"url":"https://alion.io/job/hike-medical-staff-software-engineer","title":"Staff Software Engineer","company":{"id":678774,"name":"Hike Medical","domain":"hikemedical.com","url":"https://alion.io/company/hikemedical","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":{"grade":"A","score":95,"open_postings":13,"ghost_share":0,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":109,"computed_at":"2026-11-09T06:03:00Z"}},"role":"Backend","role_family":"Backend","seniority":"staff","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":250000,"max":300000,"currency":"USD","period":"year","gross":null,"usd_annual":300000},"salary_estimate":null,"experience_years_min":8,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"AWS","optional":false},{"name":"Nest.JS","optional":false},{"name":"Node JS","optional":false},{"name":"OpenAI","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Prisma","optional":false},{"name":"TypeScript","optional":false},{"name":"JavaScript","optional":true}],"status":"live","first_seen_at":"2026-11-04T18:50:08Z","employer_posted_date":"2026-11-04","last_verified_at":"2026-11-09T04:59:09Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":0,"flags":["company_stale"],"days_open":4},"description":"About Hike Medical\nHike 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.\nInsoles 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.\nWe'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.\nThe Role\nAs 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.\nWhy this is career-defining\nYou will shape the technical foundation of a company redefining musculoskeletal care.\n\nYour architecture decisions will set what Hike builds on for years.\n\nYou will have the scope of an engineering leader with the hands-on impact of a builder.\n\nYour code will turn into real devices that help people move without pain.\n\nWhat you will work on\nDesign the core platform that connects Hike’s AI, clinical, and manufacturing systems into one system of record.\n\nLead the company’s most complex technical initiatives, from enterprise integrations to healthcare data infrastructure.\n\nSet the standards for reliability, security, and compliance across engineering.\n\nMentor engineers and partner with product and design to shape what we build next.\n\nWhat we look for\n8+ years building production systems, with a track record of leading large technical efforts end to end.\n\nOur core platform is TypeScript and Node.js, with NestJS APIs and PostgreSQL through Prisma, running on AWS.\n\nDeep experience in backend architecture, distributed systems, and data modeling.\n\nFluency with modern cloud and tooling. Experience putting AI into production is a plus, not a requirement.\n\nProduct-minded: you think about how your work affects real users.\n\nA strong communicator who challenges assumptions and collaborates across engineering, AI, and product.\n\nMission-focused: you are not here to optimize ad clicks, you want to build technology that changes lives.\n\nWhat we ask\nIn person in our San Francisco Rincon Hill office, 5 days a week.\n\nThis is a hard job with a high bar. In return the work is unusually rewarding, and you will see your impact quickly.\n\nHigh ownership and low bureaucracy. Results come first.","description_format":"text","description_chars":3302,"description_truncated":false,"requirements":{"experience_years_min":8,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Mobility & Assistive Devices","Revenue Cycle & Medical Billing"],"lifecycle":[{"event":"open","at":"2026-11-04T23:28:06Z"}],"visa":[{"country":"US","licensed_sponsor":true,"adverts_offering_sponsorship_24m":0,"sanctioned_now":false,"evidence":"H-1B filings in 12 months: 3","filings_12m":3,"filings_prev_12m":0,"green_card_filings_12m":0,"median_offered_wage_usd":132500,"route":null,"cap_exempt":false,"checked_at":"2026-11-09T07:32:21+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":2}],"liveness":{"score":90,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.903,"p_room":1,"age_days":4,"expected_fill_days":109,"reasons":["conf:1","velocity","win:early"],"computed_at":"2026-11-09T06:03:00Z"},"pay":{"stated_usd_annual":300000,"is_top_pay":true},"html_url":"https://alion.io/job/hike-medical-staff-software-engineer","json_url":"https://alion.io/job/hike-medical-staff-software-engineer.json","meta":{"generated_at":"2026-11-09T08:15:57Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":6386,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-10T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":678774},"rest":"https://alion.io/mcp/rest/get_company?id=678774"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhike-medical-staff-software-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhike-medical-staff-software-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhike-medical-staff-software-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/hike-medical-staff-software-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhike-medical-staff-software-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3776651}},{"tool":"search_jobs","arguments":{"company":"hikemedical.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3776651},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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