Sr. Forward Deployed Engineer
Senior Software Engineer · Senior · Full Time
Opens AKASA's application page
Role
What you'll do.
Sr. Forward Deployed Engineer at AKASA - a leading generative AI healthcare platform - focusing on deploying machine learning models that power healthcare revenue cycle automation. You'll architect and execute deployments for enterprise health systems, build LLM evaluation frameworks, and drive product improvements in healthcare RCM technology while working across client engagement, product, and R&D teams.
Responsibilities
- Deploy and Implement ML-Powered Solutions: Execute end-to-end implementation tasks for new client deployments spanning requirements analysis, system configuration, comprehensive testing protocols, production rollout, and ongoing health monitoring. Ensure healthcare revenue cycle automation deployments meet clinical quality and documentation accuracy standards for enterprise health systems.
- Build LLM Evaluation Frameworks: Design and implement sophisticated evaluation frameworks to continuously measure and improve large language model performance across customer deployments. Develop both offline and online evaluation methodologies to assess model quality, hallucination rates, and business impact metrics specific to healthcare coding and documentation workflows.
- Lead Client Technical Onboarding: Guide enterprise healthcare customers through technical onboarding, system integration setup, production troubleshooting, and data acquisition pipelines. Collaborate with client engagement teams to ensure smooth handoffs and long-term customer success in healthcare revenue cycle operations.
- Collaborate on Platform Development: Work closely with R&D engineering teams to build robust, scalable client solutions that address healthcare-specific challenges. Contribute architectural feedback, deployment insights, and technical recommendations that directly shape product platform improvements and feature prioritization.
- Provide Product and Engineering Feedback: Translate real-world deployment experiences and customer insights into actionable feedback for product and engineering teams. Identify patterns across healthcare deployments that inform optimization opportunities, feature gaps, and scalability improvements in the AI-native product suite.
Qualifications
What we look for.
Technical
Advanced Python Development
Demonstrated proficiency with 5+ years of professional Python experience for backend systems, data pipelines, and ML model integration in production healthcare environments. Must be comfortable with Python frameworks and best practices for enterprise deployment scenarios.
LLM Evaluation and Metrics Design
Hands-on experience designing and executing both offline and online LLM evaluations to measure model quality, performance, and business impact. Skilled in defining evaluation metrics, building evaluation datasets, and analyzing model behavior in healthcare use cases.
Database and API Integration
Strong proficiency working with relational database systems, RESTful and GraphQL APIs, and complex data workflows. Comfortable optimizing database queries, designing schemas, and ensuring data integrity across healthcare systems.
ETL Pipeline Development
Experience designing and maintaining robust ETL (Extract, Transform, Load) pipelines for healthcare data integration. Ability to handle complex healthcare data transformations, data validation, and error handling in production environments.
Systems Integration and Deployment
Proficiency in integrating third-party systems, configuring complex deployments, and troubleshooting production issues. Experience with healthcare system integration patterns, compliance requirements, and deployment automation.
Education
Bachelor's Degree in Computer Science or Engineering
Required foundational degree in Computer Science, Software Engineering, Computer Engineering, or equivalent field. This provides essential computer science theory and software development fundamentals necessary for system architecture and backend engineering work.
Experience
5+ Years Professional Software Development
Five or more years of professional software engineering experience, with substantial production Python development. Track record of building and deploying scalable systems, managing technical complexity, and delivering results in enterprise environments.
ML Model Deployment Experience
Demonstrated experience deploying machine learning models to production environments, managing model lifecycle, and working with data science teams. Understanding of model validation, performance monitoring, and continuous improvement processes.
Client-Facing Technical Role
Previous experience in client-facing technical roles such as forward deployed engineer, solutions engineer, or technical implementation specialist. Comfort communicating complex technical concepts to non-technical stakeholders and managing client success.
Skills
Required
Python
5+ years of production Python development experience including system design, API development, data processing, and debugging complex applications in enterprise environments.
LLM Evaluation and Assessment
Expertise in designing evaluation frameworks, defining relevant metrics, building ground truth datasets, and analyzing model performance across business-relevant dimensions.
SQL and Relational Databases
Strong SQL writing skills and database design patterns for complex queries, optimization, and working with normalized schemas in enterprise systems.
REST APIs and Integration
Experience building and consuming REST APIs, handling authentication/authorization, rate limiting, error handling, and integrating complex third-party services.
Technical Communication
Exceptional ability to explain complex technical concepts clearly to stakeholders with varying technical backgrounds, including customers, product managers, and executives.
Attention to Detail
Meticulous approach to healthcare data handling, configuration management, testing protocols, and production deployments where accuracy directly impacts patient outcomes.
Preferred
FastAPI
Nice to haveExperience with FastAPI framework for building high-performance REST APIs with automatic OpenAPI documentation and built-in validation mechanisms.
SQLAlchemy
Nice to haveProficiency with SQLAlchemy ORM for Python, including relationship modeling, query optimization, and working with multiple database backends.
PostgreSQL
Nice to haveHands-on experience with PostgreSQL database administration, optimization, query planning, and leveraging advanced features like JSON fields and full-text search.
Docker and Containerization
Nice to haveExperience containerizing Python applications with Docker for consistent local development and production deployment across environments.
Kubernetes
Nice to haveFamiliarity with Kubernetes orchestration, service mesh concepts, and deploying containerized applications at scale in production environments.
AWS Cloud Services
Nice to haveExperience with AWS services including EC2, RDS, S3, Lambda, and networking configurations relevant to healthcare application deployment.
CI/CD with GitHub Actions
Nice to haveExperience setting up continuous integration and continuous deployment pipelines using GitHub Actions for automated testing, building, and deployment workflows.
Healthcare Data Standards
Nice to haveFamiliarity with healthcare data exchange standards including FHIR (Fast Healthcare Interoperability Resources), HL7 messaging protocols, and EDI (Electronic Data Interchange) formats.
React Frontend Development
Nice to haveBasic proficiency with React framework for building user interfaces, understanding component lifecycle, and collaborating with frontend teams on integration projects.
Model Monitoring and Observability
Nice to haveExperience implementing monitoring solutions for production ML systems, including performance tracking, data drift detection, and alerting mechanisms.
Tech stack
Languages
Frameworks
Databases
Tools
Other
Compensation
Pay and benefits.
Base·USD 170,000 – 205,000
Equity·Stock options
Benefits
Flexible Paid Time Off
Unlimited PTO policy allowing flexible vacation planning and work-life balance management with manager approval to ensure adequate coverage across healthcare deployments.
Comprehensive Health Coverage
Extensive health insurance plans with expansive coverage for medical, dental, and vision care providing comprehensive healthcare security for you and your family.
Health Savings Account Contributions
Employer contributions to HSA (Health Savings Account) providing tax-advantaged savings for healthcare expenses with employer matching for long-term healthcare planning.
Generous Parental Leave
Comprehensive paid parental leave policy supporting both maternal and paternal leave needs for newborn and adoption scenarios with extended benefits.
Life Insurance
Full employer-paid life insurance coverage providing financial security and peace of mind for you and your beneficiaries at no employee cost.
Home Office Stipend
Annual stipend for home office setup and equipment supporting remote work productivity including desk, chairs, monitors, and internet infrastructure.
Cell Phone and Internet Reimbursement
Monthly reimbursement for cell phone and home internet expenses supporting remote collaboration and client engagement activities.
Paid Company Holidays
Comprehensive paid holiday calendar including federal holidays, company-designated holidays, and additional cultural celebration days for diverse workforce inclusion.
401(k) Retirement Plan
Employer-sponsored 401(k) retirement savings plan with potential employer matching contribution supporting long-term financial security and retirement planning.
Equity Compensation
Stock options and equity grants providing ownership stake in AKASA's growth trajectory as the leading generative AI healthcare revenue cycle platform with 20x+ revenue growth.
Process
Interview steps.
- 01
Initial Screening Call
30-minute introductory conversation with recruiting team to assess background, confirm role requirements alignment, and explore career motivations and interest in healthcare technology innovation.
- 02
Technical Assessment
Python programming and system design evaluation assessing proficiency in backend development, LLM concepts, database design, and technical problem-solving abilities relevant to healthcare deployments.
- 03
Systems Design Interview
60-minute technical discussion with engineering team members focusing on architecture decisions, deployment patterns, scalability considerations, and real-world healthcare integration scenarios.
- 04
Behavioral and Culture Fit Interview
Interview with senior engineers and product stakeholders assessing communication skills, collaboration approach, client-facing presence, attention to detail, and alignment with AKASA's healthcare mission and values.
- 05
Executive Conversation
Final meeting with engineering leadership or hiring manager covering career growth opportunities, technical vision, role expectations, and organizational fit within AKASA's forward-deployed engineering team.
Full posting
Original listing.
About AKASA
At AKASA, our mission is to build the future of healthcare with AI. As the leading provider of generative AI solutions for the healthcare revenue cycle, we 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 have raised over $205M in funding from investors such as Andreessen Horowitz, BOND, and Costanoa Ventures.
This is the most exciting time to join AKASA. Revenue bookings for our new AI-native product suite have grown over 20x since launching in 2024. In this time, we have broken our record for the largest deal in company history three times consecutively. This growth is driven by the massive improvement we are generating for our customers across clinical quality and documentation accuracy, both top priority areas for health system leaders.
Our deployments have been recognized nationally as "one of the most comprehensive real-world uses of GenAI in healthcare finance to date" (link). Our customer base represents more than $120B+ in net patient revenue and includes the most innovative health systems in the country, like Cleveland Clinic, Duke, Stanford, and Johns Hopkins.
Some of our recent recognitions include being named one of America's Top Startup Employers 2026 by Forbes, #1 most promising healthcare RCM startup of 2025 by Black Book Market Research, and one of the fastest-growing GenAI startups to watch by AIM Research. 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 6 years in a row.
We’re building on this momentum to redefine what’s possible in healthcare. We’re looking for exceptional people to help us accelerate that reality.
About the Role
As a Sr. Forward Deployed Engineer, you’ll deliver client deployments that empower healthcare revenue cycle teams to work faster, more accurately, and with greater insight. You will work on the lifecycle and deployment of the ML models that power our products.
You’ll work closely with client engagement, product, and R&D teams to ensure smooth deployments, ongoing production stability and expansion of our deployment platform.
What You'll Do
Execute implementation tasks for new deployments — from requirements analysis to configuration, testing, rollout, and support of production health.
Work with client engagement teams to guide customers through technical onboarding, integration setup, troubleshooting, and data acquisition
Build and own evaluation frameworks to continuously measure and improve LLM performance across customer deployments
Contribute feedback and insights that shape product and platform improvements
Work closely with R&D engineering teams to build robust scalable client solutions
Skills & Qualifications
Bachelor's degree in Computer Science, Engineering, or similar
5+ years of professional Python experience
Experience designing and running LLM evals (offline and online) to measure model quality and performance.
Comfortable working with relational databases, APIs, and ETL pipelines
Strong communication and interpersonal skills with meticulous attention to detail
Nice to haves
Familiarity with FastAPI, SQLAlchemy, Postgres.
Proficiency in Docker, Kubernetes, AWS.
CI/CD experience with GitHub Actions.
Experience with healthcare data exchange (FHIR, HL7, EDI)
Frontend experience (React)
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 $170,000-$205,000 + 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].
Redirects to AKASA's application page.
Other roles