Chief Technology Officer, Berlin

€160,000 – €180,000 Base + Variable Bonus + Executive VSOP Equity

Flexible Remote (Germany-wide) with occasional travel to Berlin office for leadership offsites

We are partnering with a high-growth, sustainably profitable German digital health-tech scale-up (~100 FTE, ~60 in tech) as they appoint a visionary Chief Technology Officer (CTO). Having achieved sustained profitability and established partnerships across 160+ clinical rehabilitation centers and statutory healthcare networks, the business is entering a transformative growth phase. As they pursue MDR Class IIa medical device certification and integrate directly into core Hospital Information Systems (HIS), the incoming CTO will own the engineering strategy, organizational topology, and technical modernization. We are seeking an executive who blends proven engineering management across multi-squad organizations with a frontier-focused approach to modern agentic AI development and a pragmatic command of regulated environments.

As Chief Technology Officer (CTO), you will sit on the executive leadership team alongside Co-CEOs, CPO, and clinical leadership, defining and executing the long-term technical vision for an established, profitable European health-tech scale-up. Overseeing a ~60-person technical department organized across 5 multi-disciplinary squads, you will establish high-velocity engineering standards and transition the organization toward modern, cross-functional, AI-leveraged mission teams. This is a high-impact, hybrid executive leadership role: strategic at board level, yet operationally present to mentor Engineering Leads, drive robust architectural decisions, and champion autonomous agentic development workflows within rigorous medical device compliance (ISO 13485 / MDR Class IIa).

Essential duties and responsibilities:

• Lead, inspire, and shape an engineering department of ~60 FTE across 5 cross-functional squads, mentoring first-line Engineering Leads and establishing a robust middle-management layer. 
• Champion engineering modernization by embedding agentic AI tooling, automated code review, and automated testing/triage workflows across the software development lifecycle (SDLC). 
• Partner closely with the CPO and executive team to align technical architecture with strategic product roadmaps and clinical objectives. 
• Drive architectural evolution and scalability as the platform moves into mission-critical integrations with core hospital information systems (HIS / PVS). 
• Spearhead technical governance, information security (ISO 27001, BSI C5), and medical compliance in direct alignment with upcoming ISO 13485 and MDR Class IIa audits.
• Foster a transparent, high-accountability engineering culture, actively managing performance and resolving leadership bottlenecks under German employment frameworks.
• Serve as the strategic technical representative in board meetings, investor discussions, and high-level clinical stakeholder dialogues.

Other requirements:

• Proven executive leadership experience as a CTO, VP of Engineering, or Head of Engineering leading multi-team departments of 50–80+ FTE through managers.
• Demonstrable track record of modernizing engineering workflows and successfully adopting autonomous, agentic AI development practices at scale.
• Strong background navigating regulated, high-reliability enterprise environments (exposure to medical device standards such as ISO 13485, MDR Class IIa, ISO 27001, or clinical hospital integrations is strongly advantageous).
• Solid foundation in modern web/mobile cloud architectures (Ruby, JavaScript/TypeScript, React/React Native, AWS, Kubernetes, microservices).
• Strong people leadership grit: proven capability in leveling engineering leads & restructuring teams
• Professional fluency in English; strong or fluent German is highly preferred for strategic interactions with clinical partners and hospital IT heads.

What the company offers: