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 (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. Learn more about our long term vision by clicking here.

• 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 Opportunity

You will be Hike’s first full-time finance hire and build our finance function end-to-end. This is not a back-office, spreadsheet-only role - you’ll operate at the intersection of commercial, manufacturing, and product. You’ll own our financial statements and operating model, pressure-test big bets, partner with sales on large-scale employer and health system deals, and ensure production, logistics, and cash cycles are dialed in. You’ll also interface with banking partners to manage capital as we scale. If you’ve scaled finance in a tech-enabled hardware or device environment and love rolling up your sleeves with operators, this is for you.

What Excites Us

These are not hard-and-fast requirements, we care more about bias to action and crisp thinking than matching every bullet.

• 5–8+ years in finance with meaningful operating experience at a hardware, wearables, devices, or tech-enabled physical product company (e.g., consumer health tech, connected devices, med device, advanced manufacturing).
• Proven ownership of monthly close, consolidation, revenue recognition, inventory/cost accounting, and external reporting.
• Experience building and maintaining a driver-based operating model across GTM, manufacturing/COGS, fulfillment/logistics, and working capital.
• Direct partnership with commercial teams on pricing, deal structuring, margin analysis, and enterprise contracting.
• Hands-on mastery of unit economics, standard costing, throughput/capacity planning, and S&OP alignment.
• History of working with banks on credit facilities, treasury ops, covenant management, and cash forecasting (bonus)
• Comfort navigating healthcare or regulated environments; familiarity with payer/employer economics is a plus. (bonus)
• Experience using tools like ERP platforms, Quickbooks, Runway, etc.
• High-ownership, in-person operator who prefers whiteboards, facility walks, and direct collaboration over long email threads.

Must-Haves

• Hardware or device experience with tech components (wearables, med device, connected hardware, or advanced manufacturing). Not pure software.
• Demonstrated success partnering with sales and operations to scale revenue and throughput while protecting margins.
• Fluency in cost accounting, inventory/WIP, and standard cost variance analysis.
• Ability to simplify complex tradeoffs and drive decisions in fast-paced, ambiguous environments.
• On-site in Boston, five days a week.

Nice-to-Haves

• Healthcare payer/employer benefits exposure; MSK or occupational health economics.
• Experience securing and managing asset-based lending, venture debt, or working capital facilities.
• ERP implementation and BI stack build-out.
• Prior experience at early and growth-stage, venture-backed, tech-enabled hardware companies.

What You’ll Own

• Financial statements end-to-end: accurate and timely close, revenue recognition, COGS, inventory and WIP, standard costs, and gross margin reporting.
• Operating model: build and maintain a driver-based model tied to the heartbeat of the business
• Deal support: partner with GTM to model enterprise and health system agreements, scenario test volumes and SLAs, align pricing to target margins, and negotiate financially smart terms.
• Manufacturing and fulfillment finance: establish standard costing, variance analysis, and dashboards; align finance with S&OP; optimize make/buy, lead times, and working capital.
• Cash and capital: 13-week cash flow, treasury ops, banking relationships, debt facilities/lines of credit, and covenant management.
• Metrics and reporting: define KPIs across GTM, ops, and product; build board/investor-quality reporting
• Controls and systems: right-size policies, implement tools, automate reconciliations, strengthen audit readiness.
• Strategic finance: support pricing strategy, new product launches, market expansion, CapEx roadmaps, and long-term planning.

What You’ll Get

• Competitive cash + meaningful equity
• Full medical, dental, vision; $15k relocation bonus if needed
• Work directly with the founding team to build the finance backbone fueling category leadership in accessible healthcare
• Free custom insoles

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