Senior Software Engineer - Backend

Department: RnD

Location: San Francisco-HQ

Compensation: $158.4K – $237.6K • Offers Equity

Employment Type: FullTime

About the Role

As a Senior Software Engineer at Hinge Health, you will play a pivotal role in designing, building, and maintaining large-scale software solutions that directly impact our members’ health outcomes. You will collaborate with cross-functional partners, including product managers and health economists, to deliver new product capabilities and improve the maintainability, availability, and performance of our features. This role is essential to advancing our mission of transforming joint and muscle care through technology, including the integration of AI-driven solutions to automate and enhance care delivery. Hinge Health software engineers work on small interdisciplinary teams focused on different parts of the user journey.

The ROI Pod (Return on Investment Identification & Measurement Pod) at Hinge Health is a cross-functional team, bringing together Data Engineering, Data Science, Health Economics, Product, and Software Engineering. Our mission is to build advanced tools and analyses that identify and measure ROI, directly supporting Hinge Health’s goal of delivering measurable value to clients and driving higher ROI for all clients in 2026 and beyond. The pod’s work spans optimizing targeted enrollment using predictive models, personalizing interventions to maximize clinical and economic impact, and automating client-facing ROI analyses to accelerate and scale reporting.

As a Senior Software Engineer in the ROI Pod, you will play a pivotal role in designing, building, and maintaining large-scale data infrastructure and automation systems that power our ROI measurement and reporting. You’ll collaborate closely with data scientists, health economists, and product managers to deliver new capabilities, such as automating claims data ingestion, standardizing data pipelines, and expanding targeted enrollment. Your responsibilities will include breaking down complex problems into manageable tasks, delivering robust and scalable solutions, and proactively improving the maintainability and performance of our systems. You’ll also mentor junior engineers, contribute to architectural decisions, and help integrate AI-driven solutions to enhance automation and insight generation. This role is essential to advancing Hinge Health’s mission of transforming joint and muscle care through technology and data-driven outcomes.

We enjoy a continuous deployment DevOps culture, and take owner-operator pride in supporting our code in production. Our production systems rely on React Native, React, Node.js, TypeScript, Nestjs, GraphQL, Docker, Rails, AWS, Postgres, Redis, Apollo, and Redux. Our workflow is trunk-based CI/CD, and our security/compliance posture is at the highest standards 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.

• Modernize existing pipelines to scale our proven products with company growth.

• 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.

• Integrate and leverage AI technologies to automate processes and enhance product features, contributing to Hinge Health’s AI-driven care platform.

• 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.

Basic Qualifications

• Bachelor’s Degree (or equivalent) in Computer Science, Engineering or related technical field

• 3+ years of non-internship full time professional software development experience

• Experience delivering large software projects or features in a production environment

• Proficiency in at least one modern programming language (e.g., Python, Java, JavaScript, etc.)

Preferred Qualifications

• Experience with agentic coding and AI tooling for coding assistance

• Experience mentoring or onboarding junior engineers

• Familiarity with distributed systems, cloud infrastructure, or scalable architectures

• Experience with healthcare technology or regulated environments

• Experience with Agile development practices

Hinge Health Hybrid Model

This is a hybrid role based in the San Francisco office, requiring in-person attendance three days per week for a full 8-hour business day. On remote days, employees are expected to work during core business hours with flexibility. The office is part of a dog-friendly workplace program, and while travel is not regularly required, occasional off-site/on-site events may occur. Physical demands are minimal and primarily involve standard office activities such as sitting, typing, and video conferencing.

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: On top of comprehensive medical, dental, and vision coverage, we offer employees and their family members help with gender-affirming care, tools for family and fertility planning, and travel reimbursements if healthcare isn’t available where you live.

• Planning for the future: Start saving for the future with our traditional or Roth 401k retirement plan options which include a 2% company match.

• Modern life stipends: Manage your own learning and development

• 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. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. We provide reasonable accommodations for candidates with disabilities. If you feel you need assistance or an accommodation due to a disability, let us know by reaching out to your recruiter.

By submitting your application you are acknowledging we are using your personal data as outlined in the 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" 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.