Tech Lead (Medical Coding Agents) (m/w/d)

• Technical direction: set the architecture with the team across backend, frontend and a data model built on healthcare standards such as FHIR. Set the technical roadmap with the team and deliver on it predictably.
• Agent orchestration: design how models, deterministic rules and human review fit together. Work with our AI engineers on system design.
• Hands-on delivery: build the backend for cases, documents and long-running agent runs, including the append-only decision log that keeps every case audit-proof when an insurer challenges it months later.
• Product partnership: be the technical counterpart to the product manager and the subject matter experts on planning, specs and trade-offs.
• Production quality: own reliability, observability and security in a sensitive healthcare context, with an eval harness built from expert-reviewed cases as a CI gate.

How we work:

• AI coding agents: engineers use them every day and take responsibility for the code we ship. Product managers and designers prototype in our codebase too, and engineers review what goes to production.
• Human-in-the-loop: agents propose, the expert accepts, corrects or rejects, and every decision is logged with its evidence.
• Shipping: we release early to development partners and switch features on per hospital.
• Data protection: EU-only inference and no patient data in logs are hard constraints.
• Ownership: product owns what we build and why. The tech lead owns how it’s built and that it ships.
• Stack: TypeScript, Node.js and Go, Python for inference, Postgres, React, AWS Bedrock, Docker and Datadog.
• Success: measured in revenue hospitals keep, not in usage.

What we’re looking for:

• Leadership: 6+ years of experience, including leading a small team.
• Hands-on with LLMs: you’ve built with LLMs yourself and understand where they fail: non-determinism, cost, latency and evaluation. You can design systems around them and challenge our AI engineers’ choices. Experience running an LLM or agent system in production is a strong plus, and strong personal projects count.
• Evals: you can answer “how did you know it was good enough?” with ground truth, regression tests and a clear taxonomy of error classes.
• Full-stack depth: you go deep across backend, frontend and data, and you commit code.
• Other people’s systems: you’re comfortable with asynchronous pipelines, legacy interfaces and code written by others. Hospital experience isn’t required.
• Communication: you explain decisions and trade-offs clearly in English in a remote team.
• Nice to have: German, as the catalogues, the coding rules and much of the work with our experts are in German; an ML background, including judgement on when fine-tuning pays off; retrieval and source attribution; healthcare data standards such as FHIR; regulation such as MDR and the EU AI Act.

What we offer

• Growth: we invest in each person’s development, whether that’s taking ownership of new projects, deepening your technical leadership or exploring new AI approaches, supported by a dedicated learning and development budget and regular feedback. If you grow, we grow.
• Purposeful work: your work has a real impact on patients, their families and healthcare professionals.
• Company culture: flat hierarchies, strong team dynamics and a culture of mutual respect, loyalty and recognition. English is our working language across a team of 20+ nationalities.
• Flexibility: need to pick up your child from daycare or want to exercise at lunch? We support you, with fully remote work, flexible hours and workations by arrangement.
• Your setup: a work laptop plus a one-off budget to choose and keep your own accessories.
• Monthly benefit: €50 per month for vouchers or an Urban Sports Club membership (for employees in Germany).
• Birthday off: your birthday off to celebrate with your loved ones.
• Together: team meetups and company-wide events.

Location

We’re a remote team, and the role is fully remote within European time zones. We’re hiring in Germany, Austria, Spain, Italy, Portugal, the Netherlands and the United Kingdom.

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Quelle: Statistisches Bundesamt (Destatis), Tabelle; dl-de/by-2-0; eigene Berechnung

Auf Jobportal gelistet am 14. Nov. 2026