Company Spotlight: How Midway Health Scaled Hiring During Rapid Growth

Midway Health, a health tech startup focused on chronic condition management, grew from 45 to 180 employees in 18 months. Here's a close look at their hiring processes, challenges, and the lessons other companies can adopt when scaling teams quickly without sacrificing quality.

"Hiring fast doesn't have to mean hiring wrong—structure and data reduce the noise."

The hiring challenges

As funding rounds closed and product-market fit solidified, Midway needed clinicians, engineers, data scientists, and product managers. Their challenges were: maintaining candidate quality, aligning hiring across remote teams, and integrating clinical credential checks.

Key strategies

Centralized talent operations: Midway created a small talent ops team to support recruiters with interview templates, skills matrices, and standardized evaluation forms. This reduced administrative overhead for hiring managers and allowed faster decision cycles.

Competency-based interviews: They defined a set of core competencies per role and trained interviewers to score answers on a consistent rubric. This turned subjective assessments into signals that could be aggregated.

Referral incentives and alumni programs: Midway increased referral bonuses for successful hires and maintained a warm pipeline of former contractors for roles requiring immediate ramp-up.

Outcomes

• Time-to-hire dropped by 30%.
• Offer acceptance improved due to clearer employer branding and candidate experience improvements.
• Retention rates for the first year held steady despite rapid growth.

Lessons for hiring teams

1. Invest in talent operations early—templates and workflows save time later.
2. Define role competencies before interviews—clarity reduces bias.
3. Use a mix of sourcing channels—referrals, targeted job boards, and niche communities.

Midway’s approach shows that even in fast-growth environments, systems and culture can keep hiring quality high. For job seekers, this means companies with mature talent ops will provide clearer interview experiences and faster feedback loops.