Sr. Software Engineer, Backend

About the role

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 https://hitconsultant.net/2025/10/13/cleveland-clinic-deploys-genai-for-coding-and-cdi-across-enterprise-powered-by-akasa/).

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