Senior Technical Program Manager, Hardware

Hike Medical | San Francisco

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 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.

Insoles 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.

We'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.

About the role

Hike designs custom medical devices and the AI-driven pipeline and factory that make them. This role owns the programs that take those devices from concept to scaled production.

You will run product development programs across hardware, software, and manufacturing. That includes defining requirements with clinical and biomechanics experts, getting designs to freeze, through verification and validation, and into ramps. Every Hike device is made for one patient from a scan. So your "product" is the full system: the scan capture, the design automation that turns a foot into geometry, the printed device, and the factory process that delivers it at volume.

You will be the technical link between R&D, AI/software, clinical, quality, and the factory floor. You will report to and work directly with leadership, and own each program from concept through sustaining.

What you'll do

Product Development Program Management

Own device programs from concept and requirements through Proto, EVT, DVT, PVT, launch, and sustaining

Turn clinical and biomechanical needs into product requirements and engineering specs, with traceability from user needs through design inputs, outputs, and verification

Run design reviews, design freeze, and phase-gate exit reviews with clear, measurable entry and exit criteria

Coordinate work across mechanical, clinical, software, and customer teams; own integrated schedules, dependencies, and the critical path

Drive system-level tradeoffs between clinical performance, comfort, durability, cost, and lead time, and document the decisions

Own product roadmap execution as Hike expands from insoles into braces, other DME devices, and eventually powered orthotic and prosthetic devices

Own BOM, engineering change orders and notices (ECO/ECN), and configuration control in PLM

Plan and run verification testing: mechanical and fatigue testing, compression set, hardness, dimensional accuracy against the scan, and wear and durability testing (e.g. ASTM D3574, D2240, D395)

Manufacturing Readiness & Scale

Drive design for manufacturing and assembly (DFM/DFA) and design for additive manufacturing so devices build at yield, cost, and volume

Partner with manufacturing engineering on process development, validation (IQ/OQ/PQ), and process failure mode analysis (PFMEA) for additive, post-processing, and finishing steps

Own capex equipment and automation programs at the program level: requirements, business case, vendor selection, factory and site acceptance testing (FAT/SAT), and qualification

Model throughput and capacity for batch-of-one production, and find bottlenecks before the line is built

Manage pilot builds, suppliers, and contract manufacturers for non-printed parts

Program Leadership

Keep a live technical risk register, and close or mitigate each risk before the next gate