<div class="show-more-less-html__markup show-more-less-html__markup--clamp-after-5 relative overflow-hidden"> <p><strong><em>Why we are doing this</em></strong></p><p><br/></p><p>Up to 60% of inpatient cases in Germany could be treated in an outpatient setting — at lower cost and often with equal or better outcomes. We're building the system that makes that the new default. <em>(WIdO Krankenhaus-Report 2026)</em></p><p><br/></p><p><strong>Hospital care in Germany is under structural strain.</strong> Two thirds of hospitals operate at a loss, and most are stretched in staff, beds, and budgets. At the same time, modern surgery has moved on — many procedures that still mean an overnight stay no longer medically require one. The result: patients stay longer than they need to, infrastructure carries avoidable load, and the system absorbs costs it could avoid.</p><p><br/></p><p><strong>We're building a new generation of ambulatory surgery centres in Germany to change this.</strong> Software-driven from day one. Designed to get people back to their lives faster, and to make outpatient surgery the default — not the exception.</p><p><strong><em>Our ambition:</em></strong> <strong>1M+ outpatient surgeries per year</strong>, through our Tokura-operated centres.</p><p><br/></p><p><strong>Healthcare is a complex space. We are set up to make a difference:</strong> Our leadership team has built and scaled 5+ successful ventures; we are backed by top tech and healthcare investors; and with multiple clinical partners onboard we are ready to move fast.</p><p><br/></p><p><strong><em>What you’ll do</em></strong></p><p><br/></p><p><strong>You take technical ownership of TokuraOS</strong> — <strong>the “orchestration engine” that sits on top of existing clinic stacks, orchestrating the entire care pathway end to end</strong>, from patient intake to surgery, recovery, and daily operations, connecting digital patient journeys, on-site infrastructure, and a unified data layer into a production-grade platform. <em>Greenfield. Built to work reliably when a surgeon is standing in the operating room. Built to scale across 100+ clinics.</em></p><p><br/></p><p><strong><em>What the role offers</em></strong></p><p><br/></p><p>→ <strong>First engineering hire.</strong> Clear path to building, shaping and leading the engineering organisation alongside our CPTO. A rare opportunity to define a mission-critical system from ground-up.</p><p><br/></p><p>→ <strong>Real ownership from day 1.</strong> You shape the architecture, build the core system, and ensure it behaves reliably in real clinic environments, working directly with medical and operational partners. You’ll split your time between the terminal and hands-on field research in and out of the OR.</p><p><br/></p><p>→ <strong>Technical freedom by design.</strong> We have a strong first hypothesis on the stack (TypeScript end-to-end, Python for the ML engine), but the final set-up is intentionally open, to be co-shaped with you.</p><p><br/></p><p>→ <strong>Full-stack in the truest sense.</strong> We're not <em>just</em> building software — we're building and operating physical clinics; harder than a pure software play, but far more impactful.</p><p><br/></p><p>→ <strong>Small, top-tier, high-trust team.</strong> You’ll work side by side with our CPTO (serial tech founder (YCombinator), ex-McK) and an experienced founder-duo that has built and scaled multiple hyper-growth startups to 400+ employees.</p><p><br/></p><p><strong><em>What you bring</em></strong></p><p><br/></p><p><strong>Essential</strong></p><ul><li>You've built and operated real production systems with meaningful usage.</li><li>Strong full-stack skills. Architectural judgment that outlasts the next sprint.</li><li>A strong pull toward learning. Trajectory matters more than credentials and experience.</li><li>The ability to turn complex, real-world requirements into working software.</li><li>Structured thinking, clear communication. Comfort working with non-technical stakeholders.</li><li>High ownership, reliability, and a bias toward shipping with fast feedback loops.</li></ul><p><br/></p><p><strong>Bonus</strong></p><ul><li>Hands-on experience building AI / ML systems.</li><li>Prior experience working with sensitive data and/ or in regulated environments where compliance and data protection are design constraints, not afterthoughts.</li><li>Healthcare/ healthtech background.</li></ul><p><br/></p><p><strong><em>Logistics</em></strong></p><p><br/></p><ul><li>Berlin. On-site. Start ASAP.</li><li>Attractive compensation with meaningful equity upside.</li><li>Professional German required. </li></ul><p><br/></p><p><strong>We value judgment over process, clarity over complexity, and systems that work over systems that impress.</strong> We believe the best software emerges when everyone understands the real environments their work serves and takes ownership of what we design, build, and ship.</p><p><br/></p><p><strong>If this resonates, let’s talk.</strong></p> </div>