--- title: 'Senior Software Engineer-Backend at Hinge Health' canonical: 'https://feeny.ai/job/senior-software-engineer-backend-hinge-health-bengaluru-ara6p8k1wjc9' type: 'job' last_seen: '2026-10-15' --- # Senior Software Engineer-Backend at Hinge Health - **Company:** [Hinge Health](https://feeny.ai/companies/hinge-health) - **Location:** Bengaluru, India - **Employment:** full-time - **Work type:** hybrid - **Posted:** 2026-09-21 - **Last confirmed live:** 2026-10-15 - **Apply:** https://jobs.ashbyhq.com/hinge-health/8390aad0-ade1-4875-92d1-28a7ff4676a1/application **Skills:** Node.js, TypeScript, LangGraph.js, LangChain, LangSmith, AWS Bedrock, LLM integration, Prompt engineering, Agentic AI frameworks, Docker, React Native, React, GraphQL, Postgres, Redis, Apollo, Redux, HIPAA, HITRUST, SOC 2 > Design and build large-scale backend solutions and AI-powered clinical agents to improve healthcare outcomes. Collaborate with cross-functional teams to deliver new product capabilities, maintain high-performance APIs, and mentor junior engineers in a hybrid role based in Bengaluru. ## Job description The Opportunity As a Senior Software Backend Engineer at Hinge Health, you will play a key role in designing, building, and maintaining scalable software solutions that directly improve member health outcomes. You will work closely with cross-functional partners, including product managers, designers, and fellow engineers, to deliver new capabilities and enhance the maintainability, reliability, and performance of our products. In this role, you will help advance Hinge Health’s mission to transform joint and muscle care through technology. This includes contributing to AI-driven solutions that automate workflows, improve care delivery, and create better experiences for both care teams and members. Hinge Health engineers work in small, interdisciplinary teams aligned to different parts of the member journey, with strong ownership from development through production. You will join the CareHub team, which is building the platform where care happens at Hinge Health. CareHub is the unified system that equips physical therapists, health coaches, care managers, and other care teams with the tools they need to deliver personalized, high-quality musculoskeletal care. It brings together member history, care plans, documentation, communication, and daily workflows in one place, enabling clinicians to spend less time navigating systems and more time supporting members. As CareHub 2.0 evolves, the team is modernizing the platform to improve performance, scalability, and user experience, while also introducing AI-powered capabilities that simplify workflows and increase operational efficiency across care delivery. We operate in a continuous deployment DevOps culture and take owner-operator pride in supporting our code in production. Our production systems use technologies including React Native, React, Node.js, TypeScript, NestJS, GraphQL, Docker, Rails, AWS, Postgres, Redis, Apollo, and Redux. Our engineering workflow follows trunk-based CI/CD, and our security and compliance standards meet the demands of healthcare, including HIPAA, HITRUST, SOC 2, and CCPA. ## What You'll Accomplish - Deliver large projects that introduce new product capabilities, often acting as a maintainer for key code repositories. - Break down complex problems into manageable tasks, ensuring steady and predictable delivery while identifying and resolving root causes of incidents. - Collaborate with your team to roadmap and execute ambitious technical strategies, balancing short-term and long-term trade-offs. - Mentor and support junior engineers, providing thoughtful code reviews and real-time pairing. - Design and build AI-powered clinical agents using LangGraph.js for stateful orchestration, composing multi-node StateGraphs that handle context gathering, LLM reasoning, and action execution within a shared NestJS service. - Integrate LangSmith for end-to-end AI observability, including prompt versioning and management via LangSmith Hub, automated per-node tracing, evaluation pipelines with golden datasets, and CI-gated quality checks that block regressions before merge. - Develop and maintain agentic workflows that leverage LLMs (Claude Sonnet via AWS Bedrock) - Contribute to the Member-Centric Knowledge Graph and RAG-based retrieval systems that give agents the clinical context, causal evidence, and relationship awareness needed for intelligent decision-making. - Proactively improve the maintainability, availability, and performance of the team's features, and contribute to the team's overall architecture and developer tooling. - Communicate technical ideas clearly to both technical and non-technical partners, and document solutions for future reference. ## Who You Are - A "Learn-it-all": You are proficient in modern stacks (TypeScript, Node.js) but remain curious. You leverage AI tools to accelerate your workflow and are eager to explore new technologies to solve complex problems. - A Trust Builder: You communicate complex technical ideas clearly to both technical and non-technical partners (Product Managers, Designers), ensuring everyone is aligned on shared goals. - Resilient & Solution-Oriented: You break down complex problems into manageable tasks, navigating ambiguity to deliver results even when the path isn't perfectly defined. - An Owner-Operator: You take pride in supporting your code in production, embracing a DevOps culture where you build, deploy, and own your solutions. Hinge Health Hybrid Model We believe that remote work and in-person work have their own advantages and disadvantages, and we want to be able to leverage the best of both worlds. Employees in hybrid roles are required to be in the office 3 days/week. This is a Bengaluru-based role that involves regular interaction and collaboration with Hinge Health colleagues in San Francisco, CA. - Time zones: San Francisco is in the Pacific Time Zone, which is 12 hours and 30 minutes behind India Standard Time (e.g., 8am in San Francisco is 8:30pm in Bengaluru). - Hours: Applicants should be open to meetings in the late evening following India Standard Time to align with San Francisco working hours (8am - 6pm PT). ## Basic Qualifications - Bachelor’s Degree (or equivalent) in Computer Science, Engineering or related technical field - 5+ years of non-internship full time professional software development experience - 3+ years of work experience Node JS/ Typescript - Experience with using AI tools such as Github copilot or Cursor - Experience delivering large software projects or features in a production environment. - 1+ years of hands-on experience building applications with LLMs, including prompt engineering, model integration (e.g., OpenAI, Anthropic/Claude, AWS Bedrock), and evaluating AI output quality - Experience with agentic AI frameworks such as LangGraph, LangChain, or similar orchestration libraries for building stateful, multi-step AI workflows - Familiarity with LangSmith or equivalent AI observability/evaluation platforms for tracing, prompt management, and regression testing of LLM-powered features - Understanding of responsible AI practices including PHI/PII handling, guardrails, and output validation in healthcare or regulated environments ## Preferred Qualifications - Experience with AI technologies for software design and coding assistance - Experience mentoring or onboarding junior engineers - Familiarity with distributed systems, cloud infrastructure, or scalable architectures - Experience with healthcare technology or regulated environments - Backend engineer with exposure to technology like NodeJS - Experience on hosting the solution on Cloud like AWS - Experience with Agile development practices - Hands-on experience with LangGraph.js for building composable subgraphs, conditional routing, and checkpointed state management in production AI systems - Experience with LangSmith Hub for prompt versioning, A/B testing prompt variants across environments, and building CI-gated evaluation pipelines with golden datasets - Experience with RAG (Retrieval-Augmented Generation) architectures, vector search, or embedding-based retrieval systems - Experience building multi-agent orchestration systems using Temporal, LangGraph, or similar frameworks for durable, human-in-the-loop workflows ## About Hinge Health At Hinge Health, we’re using technology to scale and automate the delivery of healthcare – starting with musculoskeletal (MSK) conditions, which affect over 1.7 billion people worldwide. With an AI-powered human-centered care model, Hinge Health leverages cutting-edge technology to improve outcomes, experiences and costs to help people move beyond their pain. The platform addresses a broad spectrum of MSK care – from acute injury, to chronic pain, to post-surgical rehabilitation – through personalized, evidence-based care. As the preferred partner to 50+ health plans, PBMs and other ecosystem partners, Hinge Health is available to over 20 million people across more than 2,550 employers. The company is headquartered in San Francisco with additional offices in Montreal and Bangalore. Learn more at http://www.hingehealth.com/ ## What You'll Love About Us - Inclusive healthcare and benefits: In addition to comprehensive medical, dental, and vision coverage, we provide employees and their family members with Group Medical Coverage (GMC), Group Term Life Insurance (GTL), and Group Personal Accident Insurance (GPA). - Well-being & Growth: We offer a lifestyle stipend to support your overall well-being, along with learning and development opportunities to help you grow both personally and professionally. - Ownership: Grow with us through discounted company stock through our ESPP with easy payroll deductions. Culture & Engagement Hinge Health is an equal opportunity employer and prohibits discrimination and harassment of any kind. We make employment decisions without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, age, veteran status, disability status, pregnancy, or any other basis protected by federal, state or local law. By submitting your application you are acknowledging we are using your personal data as outlined in the [Personnel and Candidate Privacy Policy](https://www.hingehealth.com/about/personnel-and-candidate-privacy-policy/). Beware of Phishing Attempts: We've noticed an increase in phishing where fraudsters impersonate employees and send fake job offers to steal sensitive information. We'll never ask for financial details during the hiring process and only use "@[hingehealth.com](http://hingehealth.com)" emails. If you receive a suspicious offer, stop communication and report it to the US FBI Internet Crime Complaint Center. To verify an email from our recruiting team, forward it to [security@hingehealth.com](https://app.ashbyhq.com/admin/organizational-settings/theme#). ## About Hinge Health ## Company Overview - **One-liner**: Hinge Health delivers personalized virtual physical therapy and musculoskeletal (MSK) care by combining AI-powered motion tracking, an FDA-cleared wearable device, and a dedicated clinical care team. - **Entity Type**: Public (NYSE: HNGE) - **Headquarters**: San Francisco, California, United States - **Founded**: 2014 - **Founders**: Gabriel Mecklenburg (Co-founder & Executive Chairman / CTO) ## Core Business - **Primary Industry**: Digital Healthcare – Musculoskeletal (MSK) and pelvic health. - **Target Customers**: B2B – employers, health plans, and benefits brokers. Indirectly B2C through members. - **Mission**: To create a new healthcare system built around the individual – moving beyond traditional physical therapy to deliver accessible, scalable, evidence-based pain care. ## Products & Services - **Virtual Physical Therapy Program**: Personalized care plans with guided exercise sessions using 3D motion tracking for real-time feedback and precision movement analysis. Includes access to a physical therapist, health coach, and orthopedic specialist. - **Enso® Wearable Device**: FDA-cleared device that uses patented waveforms for drug-free pain relief; exclusive to Hinge Health. - **AI Care Assistant**: An AI agent that helps members stay on track with their care plans. - **Pelvic Floor Therapy**: Virtual care for pelvic health, integrated with MSK services. - **Enterprise Implementation**: Seamless eligibility, billing, and reporting through partnerships with 5 out of 5 national health plans and 3 out of 3 PBMs. Value-based pricing and frictionless contracting. ## Market Standing - **Valuation / Market Cap**: Not publicly available (post-IPO; specific market cap not disclosed in provided sources). - **Key Metric**: Annual Revenue of **$587.9M** (2025) – [linkedin.com](https://www.linkedin.com/company/hinge-health). Total funding raised: **$1.46B**. - **Notable Investors / Partners**: Tiger Global Management, Coatue, Alkeon Capital, Whale Rock Capital Management. - **Growth Signals**: IPO in May 2025; headcount of 1,254 (+1.2% YoY); 75 active job postings (+31.6% year over year); expanded into pelvic floor therapy; operates in 11 countries. ## Competitive Advantages - **Clinically validated ROI** – independently validated 2.4x hard dollar return on investment for employers. - **AI-first care model** – uses 3D motion tracking, autonomous AI agents for reasoning and feedback, and regulatory-grade systems. - **Exclusive FDA-cleared device** (Enso®) that differentiates from traditional PT offerings. - **Deep integration** with major national health plans and PBMs, creating high switching costs. - **Business model aligned with outcomes** – revenue is tied to healing people, not billing procedures, enabling investment in direct care automation. ## Strategic Focus - Scale and automate healthcare delivery by building AI agents that perceive movement, reason biomechanics, and adapt clinical guidance in real time. - Expand into adjacent conditions (pelvic health) and deepen partnership integrations. - Continue engineering a culture where “designers code” and “engineers build interactive prototypes,” deploying agent-first workflows across hundreds of engineers. ## Why Work Here - **Culture**: Emphasis on autonomy, mastery, and purpose. The R&D blog describes an environment where engineers review reasoning logs instead of diffs and where AI agents ship PRs without human line edits. - **Work Model**: Hybrid/office presence – HQ in San Francisco with offices in India, Canada, UK, and Colombia. Specific remote policy not detailed in sources. - **Impact**: Opportunity to work on regulatory-grade AI that directly improves clinical outcomes for millions of people. - **Reviews**: Employer rating of 3.8/5 on LinkedIn; strong scores for work-life balance (3.7) and compensation (3.7). - **Notable Perks**: Not explicitly listed, but the culture of “impact at scale” and investment in R&D suggests strong engineering support. ## Sources 1. [hingehealth.com](https://www.hingehealth.com/) 2. [hingehealth.com/about](https://www.hingehealth.com/about/) 3. [rnd.hingehealth.com](https://rnd.hingehealth.com/) 4. [linkedin.com/company/hinge-health](https://www.linkedin.com/company/hinge-health) 5. [jobs.ashbyhq.com/hinge-health](https://jobs.ashbyhq.com/hinge-health) ## Other roles at Hinge Health - [Supply Chain Program Manager: Inbound](https://feeny.ai/job/supply-chain-program-manager-inbound-hinge-health-san-francisco-y5nc5fvse908) — San Francisco, CA - [Recruiter (Contract)](https://feeny.ai/job/recruiter-contract-hinge-health-united-states-ww9e362x4sdd) — United States - [Senior Site Reliability Engineer](https://feeny.ai/job/senior-site-reliability-engineer-hinge-health-san-francisco-pdbm3k0cjykj) — San Francisco, CA - [Senior Regulatory Affairs Program Manager](https://feeny.ai/job/senior-regulatory-affairs-program-manager-hinge-health-san-francisco-f5rncf4z78q4) — San Francisco, CA - [Spanish Speaking Pelvic Physical Therapist, Flex](https://feeny.ai/job/spanish-speaking-pelvic-physical-therapist-flex-hinge-health-united-states-tgf7rd0nsjg1) — United States - [Senior Privacy & AI Counsel](https://feeny.ai/job/senior-privacy-ai-counsel-hinge-health-san-francisco-eveb8ztmfhnj) — San Francisco, CA - [Technical Program Builder](https://feeny.ai/job/technical-program-builder-hinge-health-san-francisco-6stef0d77yee) — San Francisco, CA - [Commercial Counsel](https://feeny.ai/job/commercial-counsel-hinge-health-san-francisco-qcstn36qdk3t) — San Francisco, CA - [Senior AI Engineer, MLOps & Distributed Systems](https://feeny.ai/job/senior-ai-engineer-mlops-distributed-systems-hinge-health-san-francisco-81g5qr7k16vv) — San Francisco, CA - [AI Engineer II](https://feeny.ai/job/ai-engineer-ii-hinge-health-san-francisco-ek0r3mk64hak) — San Francisco, CA