---
title: 'Compliance & Outcomes Specialist at Hike Medical'
canonical: 'https://feeny.ai/job/compliance-outcomes-specialist-hike-medical-san-francisco-7es0rv8dbr9m'
type: 'job'
last_seen: '2026-09-16'
---

# Compliance & Outcomes Specialist at Hike Medical

- **Company:** Hike Medical
- **Location:** San Francisco, CA
- **Compensation:** $140k–$200k
- **Employment:** full-time
- **Work type:** hybrid
- **Posted:** 2026-06-18
- **Last confirmed live:** 2026-09-16
- **Apply:** https://jobs.ashbyhq.com/hike-medical/91dd2eae-35a1-43ef-aca4-47a298469363/application

**Skills:** CMS LCD, Policy Articles, CMS Required Prior Authorization List, ICD-10, HCPCS, Medicare FFS, Commercial Payer Policies, UHC, Aetna, Cigna, BCBS

> Maintain medical policy libraries and track payer policy changes to ensure clinical protocols and agent guides remain compliant. Monitor clinical outcomes data, support claims appeals, and advise on compliance risks for new product categories.

## Job description

## 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](http://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 Compliance & Outcomes Specialist is the person who knows why a claim gets denied — and what it takes to make sure it never gets denied again. You maintain full working knowledge of all relevant medical policies across CMS and major commercial payers, track how those policies evolve, and ensure every clinical protocol and agent guide we publish is grounded in current policy and supported by outcomes data. You also track external evidence — peer-reviewed articles, registry data, payer medical bulletins — and decide when that evidence should change how we build our protocols.

## What You Will Do

- Maintain the Hike medical policy library: CMS LCDs/NCDs, Policy Articles, CMS Required PA List, and major commercial payer policies (UHC, Aetna, Cigna, BCBS) for all active and planned categories.
- Monitor policy changes — CMS transmittals, Medicare Advantage updates, LCD revision cycles — and flag impacted agent guides for update within SLA.
- Map ICD-10 codes to qualifying coverage criteria for each device category, and maintain those mappings as policy evolves.
- Track clinical outcomes data and peer-reviewed evidence, and advise the Protocol Specialist when evidence should drive protocol changes.
- Support appeals and redetermination: when a claim is denied, define the documentation and medical necessity argument behind the appeal.
- Advise on compliance risk in new category expansions: identify payer-specific landmines before launch.
- Participate in periodic audits of HITL team review accuracy against compliance standards.

## What We Are Looking For

- 5+ years in healthcare compliance, medical policy, utilization management, or clinical documentation auditing in a DMEPOS or O&P context.
- Working knowledge of the CMS LCD and Policy Article framework, the CMS Required Prior Authorization List, and major commercial payer policies.
- Experience reviewing ICD-10 to HCPCS mappings for coverage accuracy.
- Familiarity with appeals and redetermination at Medicare FFS and major commercial payers.
- Ability to synthesize clinical evidence into policy-relevant summaries.
- Background at a DMEPOS supplier, O&P company, managed care organization, or payer medical policy team.

## About Hike Medical

## Company Overview
- **One-liner**: Hike Medical provides clinically proven, custom 3D-printed insoles and musculoskeletal (MSK) solutions to self-insured employers, aiming to reduce healthcare costs and improve employee well-being.
- **Entity Type**: Private (Seed Stage)
- **Headquarters**: Boston, Massachusetts, USA (with a manufacturing hub, SoleForge, in Peoria, Illinois, USA)
- **Founded**: 2022
- **Founders**: Aadi Bhanti (CEO, Co-founder), Steven Chacko (CBO, Co-founder), Amit Bhanti (CPO, LPO, Co-founder)

## Core Business
- **Primary industry/industries**: Healthcare Technology, Musculoskeletal (MSK) Health, Digital Health, Additive Manufacturing (3D Printing)
- **Target customers**: Self-insured employers, health plans, and clinicians (B2B). The end-users are employees (B2B2C), particularly those in physically demanding roles like manufacturing and blue-collar industries.
- **Mission or purpose statement**: "To ensure every employee has access to the care that keeps them moving, healthier, and more energized—starting with the feet." [linkedin.com](https://www.linkedin.com/company/hike-medical)

## Products & Services
- **[Hike Custom Insoles]**: A SaaS-enabled physical product. The process involves a user scanning their feet with a smartphone (no app download needed), which uses AI and 3D vision to create a precise digital model. The insoles are then 3D-printed and hand-finished at the company's SoleForge manufacturing hub in Peoria, Illinois, and shipped directly to the user. This is a clinical-grade orthotic designed to prevent and alleviate foot pain and related MSK issues. [hikemedical.com](https://www.hikemedical.com/)
- **[Ulcer Detection & Prevention Technology]**: An AI-powered capability to detect and monitor foot ulcers, announced as a novel feature to expand proactive care for at-risk populations. [linkedin.com](https://www.linkedin.com/company/hike-medical)

## Market Standing
- **Valuation/Market Cap**: Not publicly available (Private company).
- **Key Metric**: Total Funding of $7.0M (Seed Round, August 2025). [linkedin.com](https://www.linkedin.com/company/hike-medical)
- **Notable Investors/Partners**: Key partners include OSF HealthCare. [linkedin.com](https://www.linkedin.com/company/hike-medical)
- **Growth Signals**: The company has experienced massive headcount growth of +95.5% year-over-year, growing from a small team to 35 employees. It has expanded its operations to 5 countries (United States, United Kingdom, Spain, Canada, India). A key partnership with OSF HealthCare was announced in late 2024 to bring foot care to over 25,000 mission partners. [linkedin.com](https://www.linkedin.com/company/hike-medical)

## Competitive Advantages
- **Proprietary 3D Scanning & AI**: Their "ShapeCapture" technology allows for a clinical-grade foot scan using any smartphone, removing the need for in-person appointments and making the process highly scalable. [hikemedical.com](https://www.hikemedical.com/)
- **In-House 3D Printing (SoleForge)**: By owning the manufacturing process in Peoria, IL, they control quality, speed, and cost, enabling a direct-to-consumer model that bypasses traditional, expensive clinic-based orthotic supply chains. [hikemedical.com](https://www.hikemedical.com/)
- **Focus on the Underserved**: The company specifically targets blue-collar and manufacturing workers—a demographic often overlooked by digital health solutions—addressing a massive, high-cost problem (foot pain and MSK issues) for self-insured employers. [datanyze.com](https://www.datanyze.com/companies/hike-medical/5000016150)
- **Clinical & Compliance Backing**: The company is HIPAA compliant and SOC-2 certified, with a Chief Clinical Officer (Amit Bhanti, CPO, LPO) on the leadership team, lending clinical credibility. [hikemedical.com](https://www.hikemedical.com/)

## Strategic Focus
- **Scaling B2B Sales**: The company is actively hiring for enterprise sales roles (VP of Employer Sales, Enterprise Account Executives, Channel Account Executives) to grow its footprint with self-insured employers. [builtin.com](https://builtin.com/company/hike-medical)
- **Deepening AI & 3D Vision Capabilities**: They are hiring Senior Machine Learning Engineers for "Multimodal AI" and "3D Vision," indicating a focus on improving their scanning technology and expanding into other diagnostic areas like ulcer detection. [builtin.com](https://builtin.com/company/hike-medical)
- **Manufacturing Innovation**: The hiring of a Senior Software Engineer for the "3D Print Farm" in Peoria, IL, signals a focus on optimizing and scaling their in-house additive manufacturing operations. [builtin.com](https://builtin.com/company/hike-medical)
- **Expanding Clinical Partnerships**: The partnership with OSF HealthCare is a key strategic move to validate their model within a large healthcare system and expand their reach. [linkedin.com](https://www.linkedin.com/company/hike-medical)

## Why Work Here
- **High-Growth Environment**: With a 95.5% headcount growth rate in the last year, the company is in a rapid scaling phase, offering significant opportunities for impact and career advancement. [linkedin.com](https://www.linkedin.com/company/hike-medical)
- **Mission-Driven Work**: The company is focused on solving a tangible, widespread problem—foot pain and MSK issues for hardworking Americans—which provides a strong sense of purpose. [hikemedical.com](https://www.hikemedical.com/)
- **Innovative Tech Stack**: The engineering team works with modern technologies including Ruby, React, React Native, GraphQL, and GitHub, and is pushing the boundaries of AI, 3D vision, and additive manufacturing. [builtin.com](https://builtin.com/company/hike-medical)
- **Flexible Work Environment**: The company offers a hybrid workspace with a "flexible" on-site policy. They have worksites in the Chicagoland area and Peoria, IL, with a salary premium for those willing to relocate to Peoria. [builtin.com](https://builtin.com/company/hike-medical)
- **Young, Mission-Driven Team**: The company was founded in 2022 and is described as having a "young founding team" focused on solving a real problem for hardworking Americans. [builtin.com](https://builtin.com/company/hike-medical)

## Sources
1. [hikemedical.com](https://www.hikemedical.com/)
2. [linkedin.com](https://www.linkedin.com/company/hike-medical)
3. [builtin.com](https://builtin.com/company/hike-medical)
4. [datanyze.com](https://www.datanyze.com/companies/hike-medical/5000016150)

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