General Manager – Japan (Remote)

About the role

Pragmatike is recruiting on behalf of a YC‑backed, fast‑growing health technology company expanding into Japan and opening its local operations. We are looking for a Fractional General Manager to take ownership of the company's launch and early growth in Japan. This is a highly entrepreneurial role for someone scrappy, hungry, and comfortable figuring things out from zero.

Key responsibilities

• Own the launch and day‑to‑day business operations in Japan.
• Build the local presence from the ground up, including partners, vendors, and operational processes.
• Identify and develop commercial opportunities and strategic partnerships.
• Navigate the Japanese market, healthcare ecosystem, and relevant regulatory or operational requirements.
• Work closely with the global leadership team to adapt the business for Japan.
• Represent the company with customers, partners, healthcare organizations, and other local stakeholders.
• Identify what needs to be built next and independently drive execution.
• Act as the local point person across business, operations, and market development.

Required profile

• Proven experience building, launching, or operating a business, team, or new market in Japan.
• Strong entrepreneurial mindset with a scrappy, hands‑on approach.
• Comfortable working with significant autonomy and ambiguity.
• Strong business development, operations, and stakeholder management skills.
• Excellent understanding of the Japanese business environment.
• Fluent English is required.
• Strong communication and relationship‑building skills.
• Willingness to be deeply hands‑on and own whatever needs to get done.

What we offer

• Be the first key operator on the ground in Japan for a YC‑backed company.
• Own the launch of a new country from the ground up.
• Work directly with an international founding team and have significant decision‑making autonomy.
• Build partnerships and operations in one of the world’s most important healthcare and technology markets.
• Opportunity to shape the Japan business as an early, founder‑like member of the team.