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Chief of Staff to CEO

Hike Medical, San Francisco, CA, United States


About Hike Medical Hike Medical is reinventing musculoskeletal care, starting with feet. Our proprietary AI-vision platform turns a 30 second web-based (no sensors) foot scan into precision engineered, 3D-printed insoles that prevent pain before it starts. We're already protecting on-their-feet workforces at Fortune 50 leaders, major health systems, and middle America manufacturers.

Fresh off a stealthy round with top tier VCs, we run a fast, no BS, execution-first culture out of Boston’s Seaport as we sprint toward $100M ARR and standing with 10M Americans as they step into their shoes daily.

First and only PDAC-approved 3D printed custom insole in the world

3 proprietary AI models that power the experience

Two products: one for employers & health plans, one for clinics — creating a virtuous cycle of clinician-labeled data

Expanded care access to 100,000+ Americans to date

The Opportunity We’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 executed

Leadership attention is directed at the highest‑leverage issues

Critical cross‑team initiatives move forward without dropped balls

Ambiguity turns into action plans

Teams stay focused on what truly matters

This role is ideal for someone who:

Can prioritize under uncertainty without waiting for direction

Thrives in ambiguous, fast‑moving environments

Works with little instruction and high autonomy

Leads high‑priority, cross‑functional initiatives end‑to‑end

Identifies the most pressing issues and escalates appropriately

Brings clarity, structure, and momentum to complex problems

Operates with extreme ownership

What You’ll Own Strategic Prioritization & Focus

Partner directly with the CEO to identify and sequence the company’s highest‑leverage initiatives

Continuously assess what matters most — and redirect attention when needed

Surface risks, bottlenecks, and emerging opportunities early

Ensure leadership conversations translate into clear execution plans

Protect company focus by driving ruthless prioritization

High‑Priority Project Leadership

Independently lead mission‑critical cross‑functional initiatives

Drive alignment across Product, Engineering, Sales, Ops, and Clinical

Frame ambiguous problems into structured workstreams

Model trade‑offs and make data‑informed recommendations

Push projects to completion with speed and accountability

Operating in Ambiguity

Bring structure where none exists

Build lightweight systems that scale

Clarify decision rights and accountability

Operate effectively without full information

Make forward progress while details are still forming

Cross‑Team Collaboration & Alignment

Act as connective tissue across departments

Identify misalignment before it becomes friction

Ensure handoffs are clean and execution velocity remains high

Facilitate high‑quality decision‑making across teams

Help leaders stay focused on outcomes over activity

Leadership Leverage

Prepare internal, board, and investor materials

Synthesize complex data into clear insights

Ensure the right conversations happen at the right time

Hold teams accountable to commitments

Increase the output and effectiveness of the CEO and leadership team

Customer & Market Immersion

Spend time in clinics, factories, hospitals, and warehouses

Stay deeply connected to customer pain points

Translate frontline insights into strategic initiatives

Support high‑stakes partnerships and enterprise relationships

What We’re Looking For We care more about ownership, clarity of thought, and execution velocity than perfect credentials.

Core Experience

5–10 years in high‑growth tech, venture, consulting, banking, product, operations, or similar high‑performance environments

Experience leading complex, cross‑functional initiatives

Proven ability to operate in ambiguous environments

Demonstrated success working with little direction and high autonomy

Experience supporting senior leadership or founders is a plus

Healthcare, hardware/software, or AI exposure is a plus

Strengths

Elite prioritization skills

Structured thinker who can decompose messy problems quickly

High agency and extreme ownership mentality

Calm under pressure

Exceptional communicator (written and verbal)

Able to zoom from 30,000‑foot strategy to tactical execution seamlessly

Strong cross‑functional collaborator

Biased toward action

Nice‑to‑Haves

Experience at a venture‑backed, high‑growth startup

Exposure to product development cycles

Financial modeling or analytical background

Experience working directly with executives or boards

Primary Responsibilities

Serve as CEO’s right hand across strategic and operational initiatives

Identify and prioritize the most pressing company issues

Lead high‑impact cross‑functional projects from start to finish

Bring clarity and structure to ambiguous initiatives

Ensure leadership focus remains on highest‑leverage opportunities

Drive accountability across teams

Strengthen cross‑team communication and collaboration

Increase organizational velocity and execution quality

What You’ll Get

Competitive cash compensation + meaningful equity

Full medical, dental, and vision coverage

Relocation bonus (if needed)

Direct partnership with founders and leadership

Exposure to Fortune 50 executives, investors, and healthcare leaders

A front‑row seat — and steering wheel — to scaling a category‑creating company

Free custom insoles (of course)

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