full-stack developer for clinical systems

Ascléa develops sovereign AI solutions for hospitals. We are an ISO 13485-certified medical device manufacturer with several years of experience with MDR-certified products for clinical decision support. With our Clé platform, we give hospital staff secure and controlled access to language models, clinical knowledge, and AI-supported workflows. We are gradually building an agentic cockpit for hospital operations. You will work directly with our CTO on a new, business-critical enterprise web application, built from the ground up.

• You design a modern frontend (e.g. React) and a robust, scalable Python backend (FastAPI/Django), including API design.
• You are responsible for integrating enterprise systems such as SAP, SharePoint, and Active Directory (LDAP/OIDC), including data consistency and security across system boundaries.
• You prepare deployments for many of our enterprise customers, where much of the infrastructure runs on on-premise Kubernetes, and take responsibility for CI/CD pipelines and monitoring.
• You are a hands-on mentor for the team, conduct high-level code reviews, and help shape coding standards and testing strategies.
• You advise the CTO, Product Owner, and UX Lead on feasibility, timelines, and risks.

• In-depth Python expertise with modern web frameworks—whether gained at work or through personal projects that demonstrate how you think through complex systems from the ground up.
• Confident use of Kubernetes in production.
• Будет плюсом: Experience with modern frontend frameworks (preferably React) and CSS architectures; A thorough understanding of design patterns and architectural decisions (modular monolith vs. microservices, RESTful API design); Experience with CI/CD pipelines (GitLab CI, GitHub Actions); Knowledge of relational databases as well as caching/messaging (Redis, RabbitMQ/Kafka)

• Remote-first, with the option of an office in Berlin-Mitte and Charlottenburg.
• An agile, open team culture with short decision-making paths in a small, high-performing team.
• An agentic coding environment (Claude, Gemini) as part of everyday work, not the exception.
• Direct influence on product and architecture decisions.
• Language is no barrier: good English is enough to make a big impact with us. If you are already learning German or would like to learn it, we would be happy—but limited German skills are not a disqualifying factor.
• Your work runs in real hospitals, in an environment experienced with MDR—with real clinical relevance, not just in a demo environment.