IT Security Operations Engineer

IT Security Operations Engineer LocationSan FranciscoEmployment TypeFull timeLocation TypeHybridDepartmentEngineeringSecurity and InfrastructureAbout AKASAAt 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 RoleWe’re 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. You’ll 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. What You'll DoImplement 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,...