IT Security Operations Engineer

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 Americas 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.

Were building on this momentum to redefine whats possible in healthcare. Were looking for exceptional people to help us accelerate that reality.

Were looking for a resourceful automation-minded IT Security Operations Engineer to help build support and grow an innovative technology experience for all AKASAns. This role is ideal for someone who thrives in startup environments and wants to join a small but mighty team and have immediate impact. The ideal candidate can context-switch with ease build scalable solutions from scratch and genuinely enjoys empowering their colleagues through technology and mentorship. Youll own the security configurations that keep AKASA securely running day to day while continuously finding ways to automate document and improve. AKASA is a fast-paced startup environment and we look for people who are agile organized and have an ownership mindset.

This is a hybrid position that requires 2 days a week in our South San Francisco HQ.

• Implement and tune PHI Data Loss Prevention. Deploy and tune DLP policies across our SaaS estate (Google Workspace Slack GitHub Jira/Confluence) and managed Mac endpoints. Build detections that catch real PHI exposure with minimal false positives and partner with stakeholders to remediate findings.

• Operate AI-powered email security. Stand up and tune an AI email security layer on top of Google Workspace covering phishing BEC payload analysis and vendor impersonation. Run investigations end-to-end.

• Configure MDR/EDR for endpoint posture. Tune detection coverage response automation and alert routing across the Mac fleet to maximize endpoint security posture and integrate findings into our incident response workflow.

• Harden Okta and Google Workspace. Maintain Okta (OIE policies MFA device trust geo controls lifecycle SCIM/group push) and Google Workspace (context-aware access DLP alert center drive sharing admin hygiene) against documented baselines. Codify in Terraform where practical.

• Automate security testing reporting and training. Automate phishing simulations access reviews configuration drift checks and vulnerability rescans. Build reporting that produces the metrics leadership and auditors actually need and run role-based security awareness training.

• Lead incident response. Maintain runbooks join the on-call rotation and lead investigations involving SaaS account compromise and PHI exposure.

• Support compliance at the source. Automate HITRUST HIPAA and SOC 2 evidence collection at the tool level rather than collecting screenshots after the fact.

• Maintain living documentation. Keep configurations runbooks and procedures current so a teammate can operate the system without you.

• 4 years in security operations IT security or a closely related role

• Production experience reviewing and configuring security settings in Okta (or an equivalent IdP) and Google Workspace at meaningful scale

• Hands-on experience deploying or operating a DLP product across SaaS and endpoints

• Experience with AI/ML-driven email security tooling or modern SEGs (Abnormal Material Sublime Proofpoint Mimecast)

• Comfort writing scripts and small services (Python Go or TypeScript) to automate repetitive work and integrate APIs

• Working knowledge of at least one compliance framework relevant to our environment: HIPAA HITRUST SOC 2 or ISO 27001

• Strong written communication. You can document a system clearly enough that a teammate can operate it without you

• Ownership mindset. You see something broken and fix it. You dont wait for a ticket to act on a problem you can solve and you take a project from idea to in production without needing to be project-managed through it.

• Prior experience in healthcare or another regulated industry handling sensitive data

• Familiarity with Terraform especially for identity and SaaS configuration

• Experience with Mac fleet management (Kandji Jamf) and modern device trust (Okta Device Trust SecureW2 EAP-TLS)

• Background running phishing simulation and security awareness programs (KnowBe4 Hoxhunt Living Security)

• Experience integrating LLM or AI tooling into a security workflow (triage summarization evidence collection)

• Incident response experience including investigations involving SaaS account compromise

• 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

• Commuting benefits

• Company-paid holidays

• 401(K) plan

• Based on geo market data and other factors the salary range for this position is $150000 - $190000 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 well consider your location experience and other job-related factors

Were committed to doing the best work of our lives together. Come see if were 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

Required Experience:

IC