Sr. Software Engineer, Backend

Akasa; New York (NY); Hybrid; USD 180,000 - 230,000; Full time

Benefits offered by this job

Flexible PTO

Robust healthcare plans, including 100

Employer contrib. to FSA/HSA

Job summary

Akasa is hiring a Sr. Software Engineer, Backend, to build AI-powered solutions for Clinical Documentation and Medical Coding. You will design and implement services, APIs, and tools, collaborating with product, design, and ML teams to deliver high-impact healthcare software.

You will mentor junior engineers, contribute to platform architecture, and help scale SaaS products across large health systems in a hybrid work environment.

Qualifications

• Bachelor of Science in Computer Science/Software Engineering or related field.
• 5+ years of professional software development experience.
• Proven track record with SaaS products.
• Experience with healthcare data exchange (FHIR, HL7, EDI) is a plus.

Responsibilities

• Build and land cutting-edge experiences at large healthcare organizations.
• Create and maintain backend services and build on top of machine learning.
• Design, build, and maintain shared APIs, tools, services, and applications.
• Lead design discussions, planning sessions, and code reviews; mentor junior engineers.
• Partner with product, design, and ML teams to shape platform architecture.

Skills

Communication

Mentoring

Collaboration

Education

Bachelor of Science in Computer Science/Software Engineering or related field

Tools

Python

FastAPI

SQLAlchemy

PostgreSQL

Docker

Kubernetes

AWS

GitHub Actions

Job description

Help us tackle healthcare's hardest problems.

People Passionate About
Improving Healthcare

My journey into CDI was personal. I have two children with special healthcare needs and their conditions were under documented. No one really wanted to talk about my daughter's brain injury because it wasn't documented. I battled to get her the care and the resources that she needed. The good news is today she's getting her masters and she's going to become a teacher. Had I not battled and pushed and fought and clawed to get her those services, she might not be where she is today.

Director of CDI

Our employees rate AKASA highly

1%

say it’s a great place to work

1%

say they can take time off when
they think it’s necessary

1%

say they’re given a
lot of responsibility

Our values

AKASA core beliefs and behaviors

We weave these values into the fabric of everything we do. They help us achieve our vision and uphold our mission of transforming healthcare operations.

Empower Health Systems

We are relentlessly focused on enabling health systems to transform their operations.

Innovate for Impact

Our mission is audacious. We only succeed by finding the best solution and focusing on what matters.

Win or Learn, Quickly

To truly transform healthcare, we must act quickly and constantly evolve.

In This Together

We know great work isn’t done alone. Nothing is someone else’s problem.

Supporting employees

Our benefits and perks package were designed to support our team at home, in the office, and everywhere in between. This includes:

Flexible PTO

Robust healthcare plans, including 100% free options

Employer contribution to healthcare spending accounts

Mental health support through Spring Health

Free One Medical membership

Generous parental leave policy

Company-sponsored 401k plan

Commuter benefits with employer contribution

Internet/cell phone reimbursement

Equipment stipend to set up your workstation however you want

We know that diverse teams succeed.

We have built a community and culture in which all AKASAns, regardless of background or identity, can bring their authentic selves to work. We believe this culture of belonging is critical in order for our team members to do the best work of their lives.

Our investors

Hear it from our team

When a patient comes into the hospital, we take care of them, no matter what. But patients are getting sicker, and the medical record doesn’t always capture everything it took to care for them. That gap can cost hospitals appropriate reimbursement and understate how sick patients really were. That’s where AKASA comes in. We’re building AI that helps documentation and coding reflect the care delivered, and I bring the clinical context. Our technical team builds first-of-its-kind products for consequential problems in healthcare, and our in-house clinical experts train the models.

VP, Clinical Strategy

View our open roles

Location

Employment Type

Full time

Location Type

Hybrid

Department

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

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 [e-mail].