{"id":725497,"url":"https://alion.io/job/hikemedical-senior-software-engineer","title":"Senior 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":89,"open_postings":11,"ghost_share":0,"stale_share":0.455,"repost_share":0,"time_to_fill_p50_days":null,"computed_at":"2026-10-13T05:45:00Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","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":null,"salary_estimate":{"min_usd":206000,"max_usd":378000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":3030},"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"OpenAI","optional":false}],"status":"live","first_seen_at":"2026-06-21T23:47:59Z","employer_posted_date":"2026-06-21","last_verified_at":"2026-10-14T00:02:35Z","board_verified":true,"closed_at":null,"days_open":114,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":113},"description":"This role is for candidates based in or open to relocating to San Francisco (Rincon Hill), in person 5 days a week. Full time. No remote opportunities are available.\nAbout Hike Medical\nHike Medical is building the defining company in musculoskeletal care. We sit at the intersection of AI, robotics, and healthcare, 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.\nOur customers are both the largest employers on earth and the biggest companies in orthotics and prosthetics. On the clinical side, we are live across the industry's largest national providers. On the employer side, Fortune 50 companies trust us to protect their on-their-feet workforces.\nCustom 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 has not changed in decades. Insoles today, full DME tomorrow, bionics by 2040. Read the full vision at bionics2040.com.\nWe have 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 SF Rincon Hill office. If you want to work on problems at the frontier of AI, manufacturing, and healthcare, this is the place.\nThe Role\nAs a Senior Software Engineer, you will build and ship the core systems behind Hike's AI healthcare platform. You will design scalable services, put AI into production, and deliver experiences that improve patient outcomes. From day one you will have real autonomy and clear impact.\nWe are deliberately open on the exact stack and on which area you join. We care more about how you think and what you ship than about any specific language, framework, or cloud. You will be placed on the team that best fits your strengths, on one of our three pods:\nHike Intelligence: AI agents that automate the back-office DME and revenue cycle workflow, from intake and eligibility to prior auth and billing.\n\nHike Clinical: the point-of-care and lab platform clinicians work in, from foot scan and evaluation to ordering custom devices.\n\nHike Lab and Marketplace: the manufacturing, automation, and commerce backbone behind SoleForge, plus the marketplace and admin tooling.\n\nWhy this is career-defining\nYour code will help people move without pain.\n\nYou will have full autonomy to build, ship, and see the results, moving from idea to production in hours or days.\n\nYou will join a high-performing team of top engineers and AI researchers, where every hire makes a massive impact.\n\nYou will work in a culture where bureaucracy is not tolerated, fluff is frowned upon, and trust is the driving force.\n\nWhat you will work on\nArchitect, build, and optimize scalable systems and services that power AI-driven healthcare workflows.\n\nTake AI from prototype to reliable production.\n\nBuild the data pipelines, APIs, and integrations that connect our clinical, manufacturing, and back-office systems.\n\nShip user-facing experiences that move real metrics for patients and customers.\n\nWhat we look for\nA senior engineer with a track record of shipping production systems end to end.\n\nStrong fundamentals across backend or full-stack, and comfort making architecture and infrastructure decisions.\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\nDriven to ship: you want control of your work from architecture to deployment, and you move fast.\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. Expect long hours and 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.\n\nWe are a Series A company. You will help build the foundation, not maintain someone else's.\n\nHiring manager\nNik Varshney, CTO.","description_format":"text","description_chars":4505,"description_truncated":false,"requirements":{"experience_years_min":null,"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":"2026-09-11T08:14:26Z"}],"visa":[{"country":"US","licensed_sponsor":true,"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":"2026-10-03T21:08:04+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":2}],"liveness":{"score":7,"band":"cold","label":"Long shot","p_open":1,"p_active":0.266,"p_room":0.28,"age_days":113,"expected_fill_days":31,"reasons":["conf:0","win:tail","crowd:"],"computed_at":"2026-10-13T05:45:00Z"},"pay":null,"html_url":"https://alion.io/job/hikemedical-senior-software-engineer","json_url":"https://alion.io/job/hikemedical-senior-software-engineer.json","meta":{"generated_at":"2026-10-14T02:15:10Z","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":3395,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"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%2Fhikemedical-senior-software-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"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%2Fhikemedical-senior-software-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"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%2Fhikemedical-senior-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/hikemedical-senior-software-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhikemedical-senior-software-engineer"}]}