Tech Lead (Computer Use & Integrations) (m/w/d)

United States Digital Space LLC; United States; Hybrid; USD 100,000 - 130,000; Full time

Benefits offered by this job

Flexible working hours

Edenred card

Extra vacation day for birthdays

Job summary

United States Digital Space LLC is seeking a Tech Lead to drive the integration of AI-generated clinical outputs into hospital systems. This role involves setting technical direction and ensuring seamless data flow between systems.

The ideal candidate is a full-stack developer fluent in German, experienced in leading projects from conception to production while working closely with customers in complex healthcare environments.

We offer purposeful work, a flexible culture, and opportunities for growth.

Qualifications

• Experienced in leading technical direction for teams and systems.
• Comfortable with TypeScript, Electron, and Golang.
• Understanding of scalable backend systems and integration-heavy architectures.

Responsibilities

• Lead building the company’s Operator for AI-generated clinical outputs.
• Set technical direction for computer-use automation and integrations.
• Ensure seamless data flow between hospital systems and company products.

Skills

Full-stack development

AI integration

Project management

German language proficiency

Data security

Job description

About the company

As one of the leading German HealthTech companies, we are reshaping discharge management – technology-driven, patient-centered, and free from bureaucracy. In addition to our market-leading SaaS platform, we develop AI solutions that radically simplify processes in hospitals and for aftercare providers, relieve healthcare professionals, and refocus attention on patients. Today, we already connect two-thirds of all German hospitals with over 650 rehabilitation clinics and 25,000 nursing and homecare providers. With currently around 100 employees, we continue to grow – and we are looking for people with character who want to help us improve the healthcare system and solve administrative complexity across care journeys in Europe.

What you’ll own as our Tech Lead (Computer Use & Integrations)

You’ll lead building the company’s Operator, our agent that gets AI-generated clinical output into hospital systems by operating their existing software the way a person would, no bespoke interface required. It’s the sharp end of our integration strategy: where a clean interface exists we use it, and where one doesn’t, the agent bridges the gap. You own that bridge end to end: the agentic, computer-use automation at the front and the integration backbone behind it.

• You set the technical direction for computer-use automation and integrations end to end: architecture, standards, and roadmap.
• You ensure data flows between the hospital systems and the company products, regardless of the interface.
• You will be the team’s technical backbone and escalation point, setting the bar for clarity, speed, and shipping.
• You push the frontier of agentic, computer-use automation: deciding where model-driven approaches beat deterministic ones, and making them fast, reliable, and cheap enough for production.
• You make it run in the real world, robust across the messy reality of hospital IT, even if that means being close to the customer. This is the hard part, and the most satisfying.
• You build full-stack and hands-on, from the desktop agent to the APIs and telemetry around it, and you stay close to the code.
• You partner with product teams to turn ambiguous problems into shippable plans, and you go on-site with customers when that’s what it takes to get it working.
• You invest in the observability foundations that make production trustworthy.

How we work

• We’re AI-native. Our engineers reach for frontier coding agents every day to move fast across the whole stack, and we want strong, opinionated views on how to wield them well.
• We build on the best models available and adopt new capabilities as they ship, not a release later.
• Human-in-the-loop by default. This is healthcare: AI proposes, people stay in control, and we design the approval and validation loops that make that real.
• We invest in the unglamorous foundations. Engineers get the time to build the eval harnesses, guardrails, and observability that make AI trustworthy in production, not just the feature on top.
• We ship and observe: always deployable, telemetry-driven, fix in the open.

Here’s how we picture you as our Tech Lead (Computer Use & Integrations)

• You’ve led technical direction for a team or a significant system and driven it end to end into production, and you can point to what you actually shipped.
• You’re a full-stack builder who’s comfortable jumping across the stack (a TypeScript/Electron desktop one day, a Golang API or data layer the next), and you default to building rather than waiting.
• You’re genuinely AI-pilled: you use AI coding agents daily, have real opinions about them, and you’re excited (not nervous) to build agentic, computer-use systems.
• You’re ambitious but frustration-tolerant. Hospital IT is complicated and progress is hard-won; you stay relentless, get your hands dirty, and work directly with customers when that’s what moves things forward.
• You understand how to design and operate scalable backend systems, including APIs, data models, and integration-heavy architectures.
• You think in systems and trade-offs, and you actively drive for robust, maintainable, and simple solutions.
• You take ownership of your domain end-to-end – from conception to production and ongoing operations.
• You are fluent in German and English. German matters here because the clinical systems and the on-site hospital work happen in it.
• You are willing to travel (very) occasionally to hospitals together with a Technical Product Manager to work hands-on on integration challenges and iterate directly on site.
• You are based in Germany.
• You care about security, reliability, and data protection, especially in healthcare environments.
• Nice to have: experience with healthcare IT systems (HIS, KIS, PVS) and interoperability standards such as HL7 v2 or FHIR; Go experience is a plus.

What we offer

• Purposeful work – your role will have a positive impact on patients, their families, and healthcare professionals.
• Company culture – we believe in flat hierarchies that promote high performance and strong team dynamics. We foster an environment characterized by mutual respect, loyalty, and recognition. Together, we strive for our goals – and expect the same from you.
• Flexibility – want to pick up your child from daycare? Like to exercise during lunch? We’ll support you. We are a remote-friendly company offering flexible working hours. Workations are also possible by arrangement.
• Edenred card – which you can use according to your needs.
• Extra vacation day – so you can celebrate your birthday with your loved ones, you’ll have the day off.