Chief of Staff to CEO

Important note: this hiring process is being managed by Hike's current Chief of Staff who is being promoted into a new role.About Hike MedicalHike 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 to claims and revenue cycle, and SoleForge, our vertically integrated 3D printing factory producing custom medical devices at a scale the industry has never seen.Our customers are both the largest employers on earth and the biggest companies in orthotics and prosthetics. On the clinical side, we're live across the industry's largest national providers. On the employer side, Fortune 50 companies trust us to protect their on-their-feet workforces.But 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. Insoles today, full DME tomorrow, bionics by 2040. Read the full vision at bionics2040.com.We've stealthily raised $22M through Seed and Series A backed by top-tier investors who invested early in companies like OpenAI, Anduril, and Mercury. We run a fast, results first, high ownership culture out of our new SF Rincon Hill office. If you want to work on problems that sit at the frontier of AI, manufacturing, and healthcare, this is the place.The OpportunityWe're hiring a Chief of Staff to serve as the CEO's force multiplier and operational backbone of the company.This is not a coordination role. This is a high-autonomy, high-accountability leadership role designed for someone who thrives in ambiguity, prioritizes ruthlessly, and drives the most important initiatives across the company to completion.You will operate at the center of Hike - helping leadership focus on what matters most, identifying the highest-leverage problems before they become bottlenecks, and leading cross-functional efforts that unlock our next stage of growth.This role sits at the intersection of strategy, execution, product, operations, and leadership alignment.You will ensure:The most pressing company priorities are clearly defined and aggressively executedLeadership attention is directed at the highest-leverage issuesCritical cross-team initiatives move forward without dropped ballsAmbiguity turns into action plansTeams stay focused on what truly mattersThis role is ideal for someone who:Can prioritize under uncertainty without waiting for directionThrives in ambiguous, fast-moving environmentsWorks with little instruction and high autonomyLeads high-priority, cross-functional initiatives end-to-endIdentifies the most pressing issues and escalates appropriatelyBrings clarity, structure, and momentum to complex problemsOperates with extreme ownershipWhat You'll OwnStrategic Prioritization & FocusPartner directly with the CEO to identify and sequence the company's highest-leverage initiativesContinuously assess what matters most - and redirect attention when neededSurface risks, bottlenecks, and emerging opportunities earlyEnsure leadership conversations translate into clear execution plansProtect company focus by driving ruthless prioritizationHigh-Priority Project LeadershipIndependently lead mission-critical cross-functional initiativesDrive alignment across Product, Engineering, Sales, Ops, and ClinicalFrame ambiguous problems into structured workstreamsModel trade-offs and make data-informed recommendationsPush projects to completion with speed and accountabilityOperating in AmbiguityBring structure where none existsBuild lightweight systems that scaleClarify decision rights and accountabilityOperate effectively without full informationMake forward progress while details are still formingCross-Team Collaboration & AlignmentAct as connective tissue across departmentsIdentify misalignment before it becomes frictionEnsure handoffs are clean and execution velocity remains highFacilitate high-quality decision-making across teamsHelp leaders stay focused on outcomes over activityLeadership LeveragePrepare internal, board, and investor materialsSynthesize complex data into clear insightsEnsure the right conversations happen at the right timeHold teams accountable to commitmentsIncrease the output and effectiveness of the CEO and leadership teamCustomer & Market ImmersionSpend time in clinics, factories, hospitals, and warehousesStay deeply connected to customer pain pointsTranslate frontline insights into strategic initiativesSupport high-stakes partnerships and enterprise relationshipsWhat We're Looking ForWe care more about ownership, clarity of thought, and execution velocity than perfect credentials.Core Experience5-10 years in high-growth tech, venture, consulting, banking, product, operations, or similar high-performance environmentsExperience leading complex, cross-functional initiativesProven ability to operate in ambiguous environmentsDemonstrated success working with little direction and high autonomyExperience supporting senior leadership or founders is a plusHealthcare, hardware/software, or AI exposure is a plusStrengthsElite prioritization skillsStructured thinker who can decompose messy problems quicklyHigh agency and extreme ownership mentalityCalm under pressureExceptional communicator (written and verbal)Able to zoom from 30,000-foot strategy to tactical execution seamlesslyStrong cross-functional collaboratorBiased toward actionNice-to-HavesExperience at a venture-backed, high-growth startupExposure to product development cyclesFinancial modeling or analytical backgroundExperience working directly with executives or boardsPrimary ResponsibilitiesServe as CEO's right hand across strategic and operational initiativesIdentify and prioritize the most pressing company issuesLead high-impact cross-functional projects from start to finishBring clarity and structure to ambiguous initiativesEnsure leadership focus remains on highest-leverage opportunitiesDrive accountability across teamsStrengthen cross-team communication and collaborationIncrease organizational velocity and execution qualityWhat You'll GetCompetitive cash compensation + meaningful equityFull medical, dental, and vision coverageRelocation bonus (if needed)Direct partnership with founders and leadershipExposure to Fortune 50 executives, investors, and healthcare leadersA front-row seat - and steering wheel - to scaling a category-creating companyFree custom insoles (of course)