General Manager (Japan)

Pragmatike is hiring a General Manager (Japan) for a remote role open to applicants in Japan. Level rates it ; you can apply on Pragmatike.

Level's read on this job

Little AI ●○○○ is how Level rates this role: aI is not part of the work.
This is listed as a remote role.
The posting mentions business development, operations and market launch among its tools and skills.
Level classes it as an executive role.
Pragmatike has 51 other open roles on Level.

AI in this role

Lead the launch and early growth of a YC-backed health tech company in Japan as a Fractional General Manager.

business-developmentoperationsmarket-launchleadershipstakeholder-management

Location: Japan
Work setup: Remote
Start date: ASAP
Languages: Fluent English required; Japanese highly preferred
Industry: HealthTech / MedTech / AI

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 GM 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. You will be the person on the ground building the business, establishing operations, developing local relationships, and turning the Japan market into a functioning operation.

This is not a traditional corporate country manager role. We are looking for someone who can roll up their sleeves, make things happen, and operate with founder-level ownership.

Your 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 Qualifications

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

Preferred Qualifications

Experience in MedTech, HealthTech, healthcare, medical devices, or digital health
Existing network across Japanese healthcare, medical, or technology ecosystems
Experience launching a new country, office, product, or business from scratch
Startup or founder experience
Experience working with international teams or US-based startups

Why Join Us

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

Pragmatike is committed to a fair, transparent, and inclusive recruitment process. We do not discriminate based on age, disability, gender, gender identity or expression, marital or civil partner status, pregnancy or maternity, race, religion or belief, sex, or sexual orientation.

In accordance with GDPR, your personal data will be processed lawfully, fairly, and securely, and used solely for recruitment purposes, including sharing it with our client(s) for employment consideration.

How we rate this

General Manager (Japan) at Pragmatike rates 0 out of 100 for how much of the daily work is AI. That makes it Little AI (AI Level 1 of 4). The level is about AI in the job, not seniority.

Classification

Little AI. AI is not part of the work.

●●●● Builds AI80 to 100
●●●○ Works on AI60 to 79
●●○○ Uses AI40 to 59
●○○○ Little AI0 to 39

Levels come from how often the tools, models and workflows of the role are named in the posting itself. Read the description and count the AI tools, models and workflows it names.

Key facts

General Manager (Japan) is an open job at Pragmatike.
Level rates this role AI Level 1 of 4: Little AI.
The role is based in Japan / Tokyo and is marked remote.
The job was posted on September 15, 2026.
Seniority: executive.
Applications are handled by Pragmatike. Apply on Pragmatike

Prepare for this job

Built from this posting and from similar jobs on Level.

Skills and AI tools this role asks for

Business DevelopmentOperationsMarket LaunchLeadershipStakeholder Management

Questions you could be asked

Tell me about a project where business development was part of your work. What did you do?
Tell me about a project where operations was part of your work. What did you do?
Tell me about a project where market launch was part of your work. What did you do?
Tell me about a project where leadership was part of your work. What did you do?
Tell me about a project where stakeholder management was part of your work. What did you do?

Adapt your resume

List these exact terms on your resume: Business Development, Operations, Market Launch, Leadership, and Stakeholder Management. An applicant tracking system matches the wording, not the idea.
Attach one line of real, concrete experience to at least one of them. A tool named with nothing behind it rarely survives a human read.

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