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About AKASA
AKASA is building the future of healthcare by developing AI-native solutions for some of healthcare’s most complex, consequential work. Our customers include the most innovative health systems in the country, like Cleveland Clinic, Mayo Clinic, NewYork-Presbyterian, Duke, Stanford, and Johns Hopkins. Our customer base represents 1 in 10 inpatient discharges across the United States and more than $180B+ in net patient revenue.
Our products help health systems comprehensively capture and communicate the full patient clinical journey. By empowering health systems to streamline their operations, they can focus on what matters most - delivering quality patient care.
We train internal models and build domain-specific harnesses to power our products and best capture clinical nuance for each customer. We hire people with high agency and good judgment. Everyone here is an owner and builder who is looking to help solve high stakes challenges every day.
We have raised over $250M in funding from investors such as Andreessen Horowitz, BOND, and Coatue. Our deployments have been recognized nationally as "one of the most comprehensive real-world uses of GenAI in healthcare finance to date" (link).
Some of our recent recognitions include being named one of America's Top Startup Employers 2026 by Forbes, a Top Healthcare Technology Company of 2026 by Healthcare Technology Report, the #1 most promising healthcare RCM startup of 2025 by Black Book Market Research, and we have been certified as a “Great Place to Work” for the past 6 years in a row.
About the Role
As a Sr. Software Engineer, Backend, you will be building AI-powered solutions across our Clinical Documentation and Medical Coding suite. You will work closely with the product, design, and machine learning teams to design and build services, APIs, and tools that support our SaaS products.
Together with the broader team, you will work on AI-native products that correct clinical errors for hundreds of thousands of patients, and deliver hundreds of millions of dollars in measurable value for our customers.
These products improve the quality of physician documentation, help clinicians identify missing diagnoses, convert documentation to medical codes and ensure financial integrity for health systems. The interfaces you develop help thousands of clinicians and hospital staff tackle some of the most challenging and high-impact patient encounters in U.S. healthcare.
What You'll Do
Build and land cutting-edge and novel experiences at large healthcare organizations
Create and maintain backend services and build on top of machine learning to solve challenging customer problems
Design, build, and maintain shared APIs, tools, services, and applications that help form the foundation of our technology ecosystem
Bring creative solutions to the table, knowledge-share with the team, and work together to shape our platform architecture
Lead and participate in design discussions, planning sessions, and code reviews
Partner closely with our product, design, and machine learning teams
Mentor junior engineers on the team
Skills & Qualifications
Bachelor of Science in Computer Science/Software Engineering or related field
5+ years of professional experience in software development or machine learning
Software engineering experience in Python is required
Proven track record with SaaS products
Strong communication and interpersonal skills with meticulous attention to detail
Experience building consumer applications on top of ML pipelines
Familiarity with FastAPI, SQLAlchemy, Postgres
Proficiency in Docker, Kubernetes, AWS
CI/CD experience with GitHub Actions
Firm grasp of system design principles
Experience with healthcare data exchange (FHIR, HL7, EDI) is a plus
What We Offer
Flexible paid time off (PTO)
Expansive coverage for health, dental, and vision
Employer contribution to Health Savings Accounts (HSA)
Generous parental leave policy
Full employee coverage for life insurance
Home office stipend
Cell phone/internet reimbursement
Company-paid holidays
401(K) plan
Compensation
Based on market data and other factors, the salary range for this position is $180,000-$230,000 + Equity. However, a salary higher or lower than this range may be appropriate for a candidate whose qualifications differ meaningfully from those listed in the job description.
The above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, experience, and other job-related factors.
We’re committed to doing the best work of our lives, together. Come see if we're the right team for you.
AKASA is a proud equal opportunity employer and we believe that a diverse and inclusive workforce is an imperative. We welcome people of different backgrounds, genders, races, ethnicities, abilities, sexual orientations, and perspectives, just to name a few. We do not discriminate based upon any protected class and we encourage candidates of all identities and backgrounds to apply. AKASA considers qualified applicants regardless of criminal histories in accordance with the San Francisco Fair Chance Ordinance.
AKASA is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at [email protected].
Skills Required
- Bachelor of Science in Computer Science/Software Engineering or related field
- 5+ years of professional experience in software development or machine learning
- Software engineering experience in Python
- Proven track record with SaaS products
- Strong communication and interpersonal skills
- Familiarity with FastAPI, SQLAlchemy, Postgres
- Proficiency in Docker, Kubernetes, AWS
- CI/CD experience with GitHub Actions
- Firm grasp of system design principles
- Experience with healthcare data exchange (FHIR, HL7, EDI)
What the Team is Saying
AKASA Compensation & Benefits Highlights
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Affordable Benefits — Health coverage includes 100% employer-paid plan options and employer contributions to health spending accounts. Additional care access through Spring Health and a free One Medical membership further supports cost-effective utilization.
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Leave & Time Off Breadth — Time off is presented as unlimited PTO, giving employees flexibility to take leave as needed. This structure signals emphasis on work-life balance alongside core benefits.
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Parental & Family Support — Parental leave is described as generous for new parents. Family-oriented support is positioned as a core element of the total rewards offering.
AKASA Insights
What We Do
American medicine is the best in the world. But the American healthcare system is challenged by high administrative costs that burden patients, health systems, and insurance companies with unnecessary expenses. We are focused on addressing those challenges. We use GenAI to improve the most pressing financial pain points in the revenue cycle. We’re one of the first companies to deploy GenAI for practical use cases within healthcare. That gives health systems the ability to focus on what really matters: helping patients. This is one of the most exciting times to join AKASA. Bookings for our GenAI product suite have increased 10x in the last year. We also recently closed our biggest deal in company history. Our customer base represents more than $120B+ in net patient revenue and includes the most innovative health systems in the country, like Stanford, Johns Hopkins, and Cleveland Clinic. And we’re just getting started! Some of our most recent recognitions include being named one of the fastest-growing GenAI startups to watch by AIM Research and an “AI Revenue Cycle Leader” by Black Book in 17 out of 18 categories. Our CEO was ranked among the “Top 50 Healthcare Technology CEOs” by the Healthcare Technology Report, and we have been certified as a “Great Place to Work” for the past five years in a row, just to name a few.
Why Work With Us
We are hyper-focused on creating an environment where you can do the best work of your life. We live by our cultural values of "Empower Health Systems", "Innovate for Impact", "Win or Learn, Quickly", and "In This Together."
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AKASA Offices
Hybrid Workspace
Employees engage in a combination of remote and on-site work.
We are a remote-friendly, hybrid organization with team members across the US. We have hubs of AKASAns in the Bay Area, NYC, and Denver to name a few, and support co-working days within these areas.
