Join the team securing the platform that helps millions of people move beyond musculoskeletal pain. As Hinge Health's engineering organization embraces AI-assisted development — including AI-powered code generation, automated PR review workflows, agent sandboxing, and MCP gateway integrations — we need a Lead Security Engineer who will build the security guardrails, tooling, and standards that ensure we ship with confidence. You'll sit at the critical intersection of cloud security, AI-enabled engineering, and identity & access management, partnering closely with Application Security, SRE, and R&D Engineering to design and enforce security-by-design principles across our AWS environment, CI/CD pipelines, and developer tooling. This is your chance to make a real impact on the lives of millions by driving advancements in healthcare security — ensuring utmost compliance and privacy while enabling engineers to move fast and safely.
🏢 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. With an AI-powered human-centered care model, Hinge Health leverages cutting-edge technology to improve outcomes, experiences and costs to help people move beyond their pain. The platform addresses a broad spectrum of MSK care – from acute injury, to chronic pain, to post-surgical rehabilitation – through personalized, evidence-based care. As the preferred partner to 50+ health plans, PBMs and other ecosystem partners, Hinge Health is available to over 20 million people across more than 2,550 employers. The company is headquartered in San Francisco with additional offices in Montreal and Bangalore. Learn more at hingehealth.com
🎯 The Role
Candidates must be within commuting distance to New York City
✅ Key Responsibilities
Audit current cloud security posture and IAM architecture across our AWS environment; build relationships with key stakeholders in Application Security, SRE, and R&D Engineering.
Assess existing AI-assisted development tooling (Claude Code, Cursor, MCP gateway) for security risks and begin developing a governance framework.
Design and implement AI-driven tools and workflows to enhance security monitoring, threat detection, incident response, and IAM governance.
Develop and enforce policies and protocols to protect AI tools and platforms from misuse, data breaches, and external threats — including secure agent sandboxing and MCP server governance.
Deliver IAM solutions enabling secure, granular access controls that enforce least privilege principles, utilizing automation and AI for privilege escalation and approvals.
Own the security strategy for AI-enabled development and cloud infrastructure, acting as the primary subject matter expert for security engineering across the organization.
Ensure all compliance regulations — including HIPAA, privacy, and relevant security frameworks — are met for new services, AI tooling, and infrastructure.
Develop and drive cybersecurity initiatives related to incident response, threat intelligence, vulnerability management, and monitoring tools.
Mentor team members in adopting new security tools and processes; educate the broader organization through knowledge-sharing sessions and author clear technical proposals with measurable security OKRs.
📌 Required Qualifications
Bachelor's degree in a technical, engineering, or scientific field — or comparable education/experience
3+ years in cybersecurity, with 3+ years focused on security operations or IAM
2+ years of experience in cloud security operations, specifically AWS
2+ years of coding experience (e.g., Python, Go, or TypeScript) with hands-on experience developing Terraform and infrastructure-as-code
Hands-on experience securing AI/ML systems, including data pipelines, model deployments, API integrations, and their security challenges
⭐ Desirable Experience
AWS Solutions Architect or Security Specialty certification
AI/ML security certifications or familiarity with adversarial machine learning threats and mitigation strategies
Experience building or integrating security controls into CI/CD pipelines and AI-assisted development workflows
Experience managing an Enterprise IdP, especially Okta, with deep understanding of OAuth 2.0 and SAML
SOC 2, PCI, or HIPAA audit/training certifications
Knowledge of low-level networking principles
🎁 Benefits
This position will have an annual salary, plus equity and benefits. The annual salary range is $191.2K – $286.8K, with equity offered. Comprehensive medical, dental, and vision coverage are provided, along with support for gender-affirming care and tools for family and fertility planning for employees and their family members.
🛂 Visa & Eligibility
Candidates must be within commuting distance to New York City
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