About this job
<p style="min-height:1.5em">Founders Factory builds and funds startups together with exceptional entrepreneurs and the world's leading companies. Created by IPO-exited founders, we offer founders capital, operational support from a team of hands-on experts, and unrivalled access to a coalition of industry-leading corporate partners. Since 2015, Founders Factory’s 450+ portfolio companies have secured 500+ pilots and commercial contracts with our partners.</p><p style="min-height:1.5em">Our Studio partners with entrepreneurs at day one, developing new ideas, technologies and business models into high-growth companies. In partnership with a leading global industrial healthcare partner, we are building a new portfolio of healthcare ventures.</p><p style="min-height:1.5em"></p><h2><strong>About the Venture</strong></h2><p style="min-height:1.5em">Every hospital in Europe loses millions to a manual, error-prone coding process that hasn't changed in decades. When a patient is discharged, a trained specialist reads 20–50 pages of clinical documentation and manually translates every diagnosis and procedure into standardised codes. These codes determine how much the hospital gets paid.</p><p style="min-height:1.5em">In Germany, 17.5 million inpatient cases per year require manual coding. 51.5% of audited cases contain errors. €2.5–3 billion is clawed back annually by insurers through MD audits. 75% of German hospitals ended 2024 in deficit. The coder workforce — several thousand Kodierfachkräfte, each requiring 6–12 months of training at ~€42K salary — cannot scale fast enough.</p><p style="min-height:1.5em">We are building an autonomous AI coding agent that reads everything the coder reads, reasons from the official coding guidelines (Deutsche Kodierrichtlinien), and enters codes into existing hospital software — in seconds, not 35 minutes. Unlike traditional ML approaches that learn from historical patterns (and inherit their errors), our architecture reasons from the rules at inference time: when InEK publishes annual updates, we swap the guideline document. No retraining. No training data needed. Every code comes with an evidence chain and DKR citation — audit-ready by construction.</p><p style="min-height:1.5em">The deployment model is equally differentiated: computer-use agents navigate any hospital information system (KIS) via VPN, exactly as a human coder would. No API integration. No IT burden on the hospital. Deployment in days, not months. Deep EHR integration follows as relationships deepen, creating switching costs.</p><p style="min-height:1.5em">The AI clinical coding market is ~$3B today, projected to reach $10–11B by 2035. In Germany, the addressable market is €150–400M for AI coding software alone, with an additional ~€1.6B/year in audit clawbacks that better coding recovers. US players (CodaMetrix, Fathom, Nym) have raised $600M+ but are built for American codes and EHRs. Parallel has proven the model in France ($23.5M raised, computer-use approach validated) but hasn't entered Germany. The German G-DRG system is wide open.</p><p style="min-height:1.5em">Find out more about the <a target="_blank" rel="noopener noreferrer nofollow" href="https://docs.google.com/presentation/d/1RjUGLCQb2MWbrMWdjwYo0ZpJZrnU6ayS9gNtZZuJ-DE/edit?usp=sharing">venture concept here</a>. </p><p style="min-height:1.5em"></p><h2><strong>Our Offer</strong></h2><p style="min-height:1.5em">We don't just fund ideas — we co-build them. Join as Founder & CEO and get access to a full-stack venture studio offering designed to give you the best possible start:</p><ul style="min-height:1.5em"><li><p style="min-height:1.5em">The programme runs in two phases:</p><p style="min-height:1.5em"><em>Months 0–6 (Build)</em></p><ul style="min-height:1.5em"><li><p style="min-height:1.5em"><strong>€110k ring-fenced build budget</strong> to cover founder stipends and additional specialist resource at the founders' discretion</p></li><li><p style="min-height:1.5em">Founder stipends are €5,750 per founder per month, drawn from this budget</p></li><li><p style="min-height:1.5em">Embedded studio team throughout: a full time venture builder, with support from a broader team consisting of a studio lead and growth marketer. Founders build; the Studio supports.</p></li><li><p style="min-height:1.5em">On-demand access to specialist support across data science, applied AI, fundraising, legal, finance, PR and commercial partnerships</p></li><li><p style="min-height:1.5em">Dedicated network access from day one</p></li></ul><p style="min-height:1.5em"><em>Months 6–12 (Accelerator / Spinout)</em></p><ul style="min-height:1.5em"><li><p style="min-height:1.5em">At incorporation, the founding team will receive 70% equity in a new company set up for the venture, and the Studio 15%, both subscribed at nominal value. The remaining 15% is reserved as an employee option pool.</p></li><li><p style="min-height:1.5em"><strong>€275k cash investment</strong> goes directly into the new venture's bank account at IC approval - full founder discretion over how funds are deployed</p><ul style="min-height:1.5em"><li><p style="min-height:1.5em">€175k at a €2.25m pre-money cap (SAFE/CLN)</p></li><li><p style="min-height:1.5em">€100k at a €20m pre-money cap with MFN (SAFE/CLN)</p></li></ul></li><li><p style="min-height:1.5em">Accelerator support: a dedicated squad covering growth, product and fundraising, plus continued access to shared services</p></li></ul></li></ul><p style="min-height:1.5em"></p><h2><strong>Jobs to be Done</strong></h2><p style="min-height:1.5em">As Founder & CEO, you will be responsible for turning a strong thesis into a scaled, defensible business.</p><ul style="min-height:1.5em"><li><p style="min-height:1.5em"><strong>Define the wedge. </strong>Decide which clinical specialty, which KIS vendor, and which hospital segment you attack first — and whether v1 focuses on coding alone or includes insurer challenge defence.</p></li><li><p style="min-height:1.5em"><strong>Build the coding engine. </strong>Architect an LLM + rules engine that reasons from DKR guidelines, handles ICD-10-GM and OPS codes, and produces audit-defensible output with evidence chains.</p></li><li><p style="min-height:1.5em"><strong>Ship via computer-use. </strong>Deploy the first agent that navigates a hospital KIS like a human coder — VPN, user account, days to deploy — and prove accuracy against the human baseline.</p></li><li><p style="min-height:1.5em"><strong>Win RBK as a reference site. </strong>Run a retrospective analysis on historical cases to quantify revenue left on the table, then convert to a live pilot.</p></li><li><p style="min-height:1.5em"><strong>Navigate regulation. </strong>Build for BSI C5 Type 2 certification, GDPR compliance, and EU AI Act readiness — these are table stakes, not afterthoughts.</p></li><li><p style="min-height:1.5em"><strong>Build the agent factory. </strong>Once coding earns trust, extend to billing, admissions, CDI — each new agent on the same infrastructure, compounding switching costs.</p></li></ul><p style="min-height:1.5em"></p><h2><strong>Your Ideal Experience</strong></h2><p style="min-height:1.5em">We are not looking for a traditional healthcare executive or a pure AI researcher. The ideal candidate sits at the intersection.</p><ul style="min-height:1.5em"><li><p style="min-height:1.5em">Experienced founder or builder capable of operating from zero to one in enterprise health-tech or AI infrastructure.</p></li><li><p style="min-height:1.5em">Unique market insight or a "top 1%" advantage in clinical coding, hospital revenue cycle, health-tech AI, or German healthcare IT.</p></li><li><p style="min-height:1.5em">Strong technical instincts: you can reason about LLM architectures, computer-use agents, clinical NLP, and hospital system integration — even if you are not writing the code yourself.</p></li><li><p style="min-height:1.5em">Proven ability to sell into conservative, risk-averse hospital buyers and navigate German healthcare procurement.</p></li><li><p style="min-height:1.5em">High IQ and EQ — comfortable speaking with hospital CFOs, clinical coders, and IT directors in the same week.</p></li><li><p style="min-height:1.5em">Deep understanding of the German healthcare market. German language skills (fluency) are essential to navigate the G-DRG system, DKR guidelines, and MD audit processes.</p></li></ul><p style="min-height:1.5em"></p><p style="min-height:1.5em"><em>Most importantly, you are motivated by building the system that automates the most cognitively demanding administrative process in healthcare — and turns every hospital into a customer for an expanding suite of AI agents.</em></p><p style="min-height:1.5em"></p><p style="min-height:1.5em"><strong>This is your company. We're here to help.</strong></p><p>Find more <a href="https://www.arbeitnow.com/english-speaking-jobs">English Speaking Jobs in Germany</a> on Arbeitnow</a>