Hike Medical

Clinical Intelligence Lead

San Francisco, CA · Full-time

Sponsorship not specified$170k-$250kDetected 35 days ago

Agentic AIMedical Devices

About the role

Just as important, you'll turn that knowledge into clear, structured logic our systems can actually use.

Ability to write precise, structured documentation that engineers can implement.
Comfortable in a fast-moving, early-stage environment where you build systems, not just use them.

Working knowledge of CMS LCDs (L33686, L29702), Policy Articles, and the CMS Required Prior Authorization List.
Experience communicating with physicians about documentation insufficiencies, and with billers about claim adjudication.
Own the coding intelligence layer: for each HCPCS code block, define what diagnosis codes qualify, what documentation is required, and how to identify gaps.

$170,000-$250,000 + 1.2× market · competitive equity · full benefits
We run the entire episode of care from fax intake to paid claim - using AI agents for the administrative workflow, our clinical platform for evaluation and documentation, and our factory (SoleForge) for device fabrication.
Our three products - Hike AI Agents, Hike Clinical, and SoleForge - own the full episode of device care.
We have grown from $2M to a $15.6M run rate on diabetic shoes and inserts alone, and we are now expanding into AFOs, prefab devices, and bracing.
This is a pivotal moment to join.
The Center of Excellence is the intelligence engine of Hike.

Competitive equity.
Full benefits.Reports To Amit Bhanti, Head, Center of Excellence
Build and maintain the medical policy library: LCD/NCD coverage, CMS Required PA List changes, payer-specific deviations (UHC, Aetna, Cigna), and evidence-based updates as policies evolve.
Partner with the Protocol Specialist and Compliance Specialist to ensure agent guides reference up-to-date coverage criteria.
Hike Medical is an AI-run operator for prescribed medical devices (DMEPOS).

the documents and workflows you build determine how fast we expand into new device categories.
As Clinical Intelligence Lead, you'll be the go-to expert on coding and medical policy at Hike.
This role is for someone who deeply understands what diagnoses support what claims, which L-codes apply, where payers differ from Medicare, and what documentation is needed to prevent or resolve denials.
We're looking for someone who combines subject-matter depth with the ability to build repeatable, scalable processes.
Translate clinical knowledge into structured agent guides - precise, field-level workflow specifications, not spreadsheets.
Identify coding opportunities and documentation deficiencies across intake queues, and define the rules that fix them.
Review HITL team outputs for coding accuracy, and train new specialists on coding logic.
Stay current with CMS policy changes - new codes, revised LCDs, PA list additions - and propagate them into agent guides within defined SLAs.
5+ years in DMEPOS coding, with deep expertise in O&P (L-codes: AFOs, KAFOs, prosthetics) and diabetic footwear (A5500 series).
Direct experience at a large DMEPOS company, O&P practice, or RCM firm.
This role has outsized impact.
The quality and speed of your work directly influence how quickly - and how confidently - we can expand into new device categories.
LocationUnited States (remote OK; in-person preferred for first 90 days) Compensation1.2× your current market rate.

This listing is sourced directly from Hike Medical's careers page and normalized into a canonical job model.