Senior Software Engineer - Backend

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.
• Participate in the team’s weekly on-call rotation, helping ensure the reliability and timely support of the systems we build.

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.

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.