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 AFO Designer fabricates and finishes custom ankle-foot orthoses and related lower-extremity bracing from clinician-prescribed work orders. You work under the Lead 3D Designer's quality standards, operating CAD/CAM and traditional fabrication equipment to produce devices that are dimensionally accurate and clinically appropriate. This is a production-floor role with a high quality bar — your hands make the product, and your work directly determines patient outcomes and claim defensibility.

What You Will Do

• Fabricate custom AFOs (solid, articulated, floor reaction, carbon fiber, SMO) from Hike Clinical work orders.

• Operate 3D scanning and CAD/CAM systems to produce device designs from digital patient models.

• Perform thermoplastic and carbon fiber layup, trimming, padding, and finishing to Hike design standards.

• Conduct quality checks on finished devices against work order specifications before shipment.

• Flag clinical specification issues or material constraints to the Lead 3D Designer before fabrication.

• Maintain accurate production records in the Hike system, linking each device to its patient, work order, and quality check.

• Participate in design reviews and continuous improvement sessions with the Lead 3D Designer and clinical team.

What We Are Looking For

• 2+ years fabricating custom AFOs or lower-extremity orthotics in an O&P lab or clinical setting.

• Hands-on experience with thermoplastic and/or carbon fiber AFO fabrication — draping, forming, trimming, riveting, padding.

• Familiarity with CAD/CAM fabrication and 3D scanning preferred; willingness to learn required.

• Detail-oriented: you catch dimensional issues before they leave the floor, not after.

• ABC or BOC certification (or in progress) preferred; relevant apprenticeship or lab technician background also considered.

• Comfortable in a fast-paced production environment where quality standards are non-negotiable.

Compensation Range: $70K - $105K