Lead 3D Designer (O&P)

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’re live across the industry’s largest national orthotics-and-prosthetics providers and tracking toward a $50M run rate by the end of 2026. We’ve stealthily raised $22M across Seed and Series A from top-tier investors who backed OpenAI, Anduril, and Mercury early, and we run a fast, results-first, high-ownership culture out of our SF Rincon Hill office.

About the Center of Excellence

The Center of Excellence is the intelligence engine of Hike. It owns the clinical and coding knowledge that powers every AI agent — producing agent guides per code block, setting evaluation standards, informing all compliance policies, and managing the human-in-the-loop team. CoE roles are the highest-leverage positions in the company: the documents and workflows you build determine how fast we expand into new device categories.

The Role

The Lead 3D Designer is the hands-on owner of physical product quality at Hike. You set and maintain the fabrication standards for every device category we produce — custom insoles today, custom AFOs next — and you are the final sign-off on whether a device meets clinical and quality standards before it ships. You work on the fabrication floor and in CAD/CAM, translating clinician-generated prescriptions (via Hike Clinical) and work orders into finished devices that are dimensionally accurate, biomechanically appropriate, and durable. You will build and mentor the design team as we expand into new categories.

What You Will Do

• Own the end-to-end fabrication workflow for custom insoles and, as we expand, custom AFOs and bracing.

• Set and maintain physical product design standards: material specs, dimensional tolerances, finishing protocols, and quality gates before shipment.

• Operate and maintain CAD/CAM and 3D scanning equipment; troubleshoot and optimize scanning-to-device accuracy.

• Translate Hike Clinical work orders into fabricated devices, escalating clinical specification gaps before fabrication.

• Build and maintain the physical product roadmap in coordination with the Head of Center of Excellence.

• Hire, onboard, and mentor AFO Designers and additional fabrication staff as categories are added.

• Evaluate and qualify third-party manufacturing partners for prefabricated categories.

• Continuously improve product design based on clinician feedback, patient outcomes, and materials innovation.

What We Are Looking For

• 5+ years in custom orthotic, prosthetic, or medical device fabrication, with demonstrated ownership of design quality standards.

• Hands-on experience with O&P CAD/CAM systems (e.g., Rodin4D, Tracer CAD, Omega), 3D scanning (Structure Sensor, Artec, or similar), and thermoplastic/carbon fiber fabrication.

• ABC or BOC certification preferred (Certified Orthotist, BOCPD, or equivalent a plus).

• Experience leading a small fabrication team and building quality management systems.

• Deep knowledge of insole and lower-extremity orthotic design — material selection, posting, modifications, and functional outcomes.

• Ability to work the production floor daily while setting strategic direction for the design team.