Introduction

Head of Operations & Innovation, Ultranative

I'm Zane Cooke.

I run execution at Ultranative, a venture studio in Austin. When a founder needs a process, a filing, a tool, or a team that doesn't exist yet, I build it, document it, and hand it off, often for several companies at once.

On the build side that means the whole stack: frontends people use every day, the back ends and data behind them, agentic systems, automations, and custom integrations shaped around the tools, teams, and processes already in place.

2026 Highlights

When the role grew to sixteen functions, I measured it instead of guessing.

  • 10 production apps
  • A 29-module studio platform
  • 1 nonprofit and its for-profit arm stood up and kept in good standing
  • The agent infrastructure a 4-person studio runs 20+ projects on

Before that: EU MDR remediation for medical-device portfolios of roughly $300M in annual revenue and $252M in value, 500+ patients on an ambulance through COVID, medical services at Formula 1 and MotoGP races, and a company I co-founded that reached cash-flow positive in 12 months.

How I work

My proven formula that gets things done.

  1. 01

    Measure before proposing

    Life requires ascertainable timelines, and projects always have a deadline.

    My response to workload questions is given in realistic days on the calendar, because I believe in proof over promises.

  2. 02

    Document everything

    We have all inherited undocumented systems that only made sense to their creator.

    Every project I make has a resume-here file, a rules-and-hazards file, and a runbook with the gotchas in bold.

  3. 03

    Built for anyone to run

    I make completed projects that anyone can use.

    Ensured by handoff packages, runbooks for every system, and a monthly what-shipped session for the studio's leadership.

By the numbers

The numbers behind it.

1,300+
commits across 30+ repositories since June 2026
10
production apps shipped in a quarter (Jun–Aug 2026)
29
modules on the studio platform — two platforms, one template
20+
projects a four-person studio runs on the agent infrastructure
16
functions carried in one seat, measured across six data sources
90–98%
precision, reconciliation engine vs. the reconciled books
12
months from zero to cash-flow positive at Akture
500+
patients treated as an EMT through COVID

Selected work

Eight things I built. Everything here runs today or has shipped.

Please note: one company is described rather than named, for anonymity.See more of what I’ve built: 18 more beyond these.

Built for Ultranative · ERRA Certified · Akture. Earlier: Medtronic · Cardinal Health · Mozarc Medical · Dell Medical School. Public surfaces: erraops.site · erracertified.org.

Domains

Fields I've worked in from the inside.

Not adjacent exposure — I carried the work myself, with the results to show for it.

Background

How I got to where I am today.

Different fields, same pattern: learn the domain, carry the work, and leave it able to run without me.

Before co-founding Akture and joining Ultranative, I led EU MDR remediation for device portfolios of roughly $300M in annual revenue and $252M in value at Cardinal Health, Medtronic, and Mozarc Medical. I treated 500+ patients as an EMT through COVID, provided medical services for Formula 1 and MotoGP, and attended Dell Medical School at the University of Texas at Austin.

Biomedical engineer, EMT, Dell Medical School, startup co-founder, and now the execution layer of a venture studio.

  1. 2026 →Ultranative — Head of Operations & Innovation

    The execution layer of a venture studio, across several incubations at once.

  2. 2024 →Akture — co-founder & COO

    Action-capture video for rec-sports facilities; MVP in six months, cash-flow positive in twelve.

  3. 2019 – 2025R&D engineer — Cardinal Health, Medtronic, Mozarc Medical

    Repeatedly handed EU MDD/MDR remediation for revenue-bearing device portfolios across teams in the U.S., China, Mexico, Ireland, and Singapore. That's where the process mapping and controlled documentation come from.

  4. 2020 – 2024EMT through COVID, then Dell Medical School

    500+ patients on the ambulance; then attended Dell Medical School at the University of Texas at Austin, including trackside medicine at 30+ Formula 1, MotoGP, and NASCAR races. That's where the flag-what-you-don't-know habit comes from.

  5. Education

    M.S. and B.S., Biomedical Engineering, University of Connecticut · Dell Medical School, The University of Texas at Austin — MD program, 2021–2024 (preclinical coursework and core clerkships completed)

Across medicine, nonprofits, food systems, and venture funds, I take work that doesn't exist yet and make it run: the systems, the filings, the team, the software.

Off the clock

Proof that I really do this stuff for fun.

The bench at home runs on a Raspberry Pi, an ESP32, an I2S amp, and a 3D printer, and none of it is for work. I fly drones. Friends who mention a problem have a habit of receiving a fourteen-page brief about it. And I trained 400+ people in bleeding control as a city chair for a tourniquet program — the one hobby I'd recommend to everyone.

Contact

Want to get in touch? Here's how to reach me.

zane.roman.cooke@gmail.comlinkedin.com/in/zanecookeRun a studio or an applied-AI team? Let's chat — I love comparing notes on agent infrastructure for small teams.
What's this about?

All questions and reactions welcome.