Senior Software Engineer

Hike Medical

San Francisco (CA)

On-site

USD 140,000 - 180,000

Full time

14 days+

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Job summary

A healthcare technology company based in San Francisco is seeking a Senior Software Engineer to design and build scalable systems for their innovative AI healthcare platform. The ideal candidate will have expertise in AWS and TypeScript, with the ability to drive real outcomes in patient care through their code. You will enjoy a high degree of autonomy and the opportunity to work with a top-notch team dedicated to transforming healthcare. This role promises significant impact and rapid project execution.

Qualifications

Experience in designing and maintaining backend systems for AI applications.
Comfortable optimizing cloud infrastructure and managing scalable architectures.
Skilled in building and refining APIs and SDKs for seamless integration.

Responsibilities

Build and optimize high-performance systems for AI-driven solutions.
Design serverless architectures using TypeScript and AWS.
Develop APIs and SDKs that facilitate cross-platform integration.

Skills

AWS & TypeScript Expert

Real-time data processing

Building developer-facing SDKs and APIs

Optimizing cloud deployments

Job description

About Hike Medical

Hike Medical is reinventing musculoskeletal care, starting with feet. Our proprietary AI‑vision platform turns a 30 second web based (yes, 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.

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 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