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. Learn more about our long term vision by clicking here.
First and only PDAC approved 3D printed custom insole in the world 🌎
3 Proprietary AI models that power the experience
Two products: One is focused on serving employers & health plans, and the other enables clinics to deliver foot care at a fraction of the cost - creating a virtuous cycle of clinician labelled data.
Expanded care access to over 100,000 Americans to date
10x'd revenue from 2023 to 2024, and on track to do the same in 2025. Profitable month-over-month.
The Opportunity
You will be Hike’s first Controller and first full-time finance hire, responsible for building a world-class accounting and controls foundation to support our next phase of growth. You’ll own the close process, ensure GAAP compliance, manage external audits, and partner cross-functionally with manufacturing, operations, and GTM teams to tighten financial discipline as we scale.
This is a high-impact role for someone who thrives in a fast, hardware-meets-software environment and wants to architect the systems, policies, and insights that keep a high-velocity business grounded in precision. You’ll work closely with the leadership team, reporting directly to the CEO.
What We're Looking For
These are not hard-and-fast requirements — we care more about crisp execution and ownership than checking every box.
6–10+ years in accounting or finance, ideally including time in a high-growth, hardware, wearables, med-device, or tech-enabled physical product company
Proven ownership of monthly close, consolidations, revenue recognition, inventory and cost accounting, and GAAP reporting
Experience leading a timely, accurate month-end close and delivering clean, audit-ready financials
Deep accounting expertise and ownership mentality — you don’t just record numbers, you understand what drives them
Experience implementing or scaling ERP/accounting systems (e.g., NetSuite, QuickBooks, or equivalent)
History of working with auditors, tax advisors, and banking partners
Fluency in cost accounting, inventory/WIP, and standard cost variance analysis
Ability to establish and maintain internal controls, policies, and procedures
On-site in Boston, five days a week
Nice-to-Haves
CPA or Big 4 audit background (especially with manufacturing or device clients)
Healthcare payer/employer benefits exposure; MSK or occupational health familiarity
ERP implementation and BI/reporting stack build-out experience
Venture-backed or early/growth-stage company experience
Familiarity with credit facilities, working capital management, and treasury ops
Primary Responsibilities
Accounting Operations: Lead all aspects of accounting — GL, AR/AP, payroll, revenue recognition, inventory, and cost accounting.
Monthly Close: Deliver a tight, transparent, and reliable close process each month; own reconciliations, journal entries, and reporting accuracy.
Financial Controls: Establish scalable internal controls, accounting policies, and compliance frameworks; manage external audit readiness.
Systems: Implement and optimize ERP/accounting platforms; automate reporting and reconciliations as we scale.
Manufacturing Finance: Partner with ops to manage standard costs, WIP, and variance analysis; improve inventory and production reporting.
Reporting: Prepare and review financial statements, management reports, and dashboards for leadership and investors.
Cross-Functional Partnership: Collaborate with GTM and supply chain teams to align financial visibility with revenue, margin, and fulfillment metrics.
Cash & Compliance: Support treasury ops, banking relationships, and cash flow visibility.
What You’ll Get
Competitive cash compensation + equity
Full medical, dental, and vision coverage
$15K relocation bonus if needed
Work directly with the founding team to architect the financial backbone of a category-defining company
Free custom insoles (of course…)
Top Skills
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