Technical Program Builder

San Francisco, USA · Full time · Posted Oct 6, 2026

The Opportunity

At Hinge Health, we’re transforming how 20+ million people access musculoskeletal care through AI-powered, human-centered solutions - and our R&D organization is the engine behind that innovation.

We’re looking for a Technical Program Builder to join the Office of the CTO and architect the R&D operational engine. This is a unique “builder” TPM role where you won’t just manage processes. You will design and implement the systems, tooling, and AI agents that automate them.

You’ll leverage AI, automation, and smart infrastructure to eliminate manual coordination, reduce operational drag, and enable teams to move faster with clarity and precision. If you have seen program management at complex organizations first hand and found yourself thinking “this meeting could be automated” or “we shouldn’t need a human to track this,” you’ll thrive here.

This role is about building scalable execution infrastructure - not status reporting. You will act as a force multiplier for engineering teams, creating systems that streamline cross-pod coordination and ensure our internal operations are as innovative as the care we deliver to our members.

What You'll Accomplish

In your first 3 months:

  • Audit & Identify: Assess R&D operational processes and identify high-impact opportunities for AI-driven automation and tooling improvements. Create a clean system of processes across R&D.

  • Build Relationships: Establish trust with R&D leadership and pod leads, understanding their pain points and operational bottlenecks.

  • Quick Wins: Deploy initial automated agents or scripts to streamline the most repetitive R&D workflows.

In your first 6 months:

  • Launch AI-Driven Infrastructure: Architect and deploy the R&D knowledge base and Internal Developer Portal optimized for both human and AI retrieval.

  • Standardize Operations: Design and roll out standardized operational processes across R&D, championing "AI-native ways of working."

  • Drive Planning Excellence: Lead one full quarterly OKR cycle, establishing a "single source of truth" for the R&D roadmap.

In your first year:

  • Scale Systems: Build low-code integrations (Jira/Linear, Slack, GSuite) that automate metrics collection and surface project health/velocity in real-time.

  • Transform Execution: Own the end-to-end R&D planning cycle, reducing planning overhead by 30% through automation while improving forecast accuracy.

  • Establish Innovation Culture: Identify and implement AI/ML opportunities that become operational standards, acting as a force multiplier for R&D leadership.

Who You Are

  • A Builder at Heart: You don't just ask for a tracker; you build the tool that generates it. You are comfortable writing scripts, configuring AI agents, and using technical skills to solve operational problems directly.

  • A Strategic Orchestrator: You excel at "Leading at all Levels," navigating the complexity of cross-pod coordination to align diverse stakeholders on planning and OKRs without losing sight of the big picture. You are a direct communicator, can get clear answers, and know how to motivate teams with a sense of urgency.

  • A Resilient Problem Solver: You thrive in fast-paced environments and embody our "Hustle" value. When gaps appear—whether in personnel or process—you step in to bridge them, ensuring the team never misses a beat.

Basic Requirements

  • 3+ years of experience in technical program management, product operations, or a related engineering role

  • Demonstrated experience building custom AI agents or utilizing LLM APIs to drive productivity and automation

  • Proven track record of managing comprehensive planning cycles and OKR processes for technical teams

  • Experience with modern project management ecosystems (e.g., Jira, Linear) and documentation platforms (e.g., Notion, Confluence)

  • Exceptional verbal and written communication skills, with the ability to articulate complex process changes to diverse audiences

  • Bachelor's degree in a technical field or equivalent practical experience

Preferred Requirements

  • Strong understanding of Developer Experience (DX) metrics and how to influence them

  • Background in software engineering or data analysis

  • Certification in Agile or Project Management (PMP, CSM)

  • Experience working in a high-growth technology environment

  • Experience working in Health Tech and familiarity with healthcare regulations

Hinge Health Hybrid Model

We believe that remote work and in-person work have their own advantages and disadvantages, and we want to be able to leverage the best of both worlds. Employees in hybrid roles are required to be in the office 3 days per week, for the full 8 hours of a typical business day. The San Francisco office has a dog-friendly workplace program.

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. Our AI-powered, human-centered care model spans MSK, pelvic health, gastrointestinal (GI) and migraine care. With over 60 partnerships with health plans, PBMs and other ecosystem partners, Hinge Health is available to over 25 million people across more than 2,900 employers. The company is headquartered in San Francisco with additional offices in Montreal and Bangalore. Learn more at 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: 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.