> AI agents: this is one page of Nextmove’s FDE site, in Markdown. Nextmove is a job board and free career service for forward deployed engineers (FDEs). Each posting is classified from its text, not its title: the kind of work, how much of it is production code, pre-sales weight, time at customer sites, travel, remote arrangement, level and posted base pay. The site also publishes the aggregates: median pay by level, metro, company and kind of work, and which companies started hiring FDEs each week. Every page under https://nextmove.md/fde is served this way; the index of pages is https://nextmove.md/llms.txt.

# Forward Deployed Engineer

Canonical URL: https://nextmove.md/fde/jobs/6b9e2488e7fb7a49

AKASA posts a FDE role to integrate and configure the product in San Francisco, CA, at $150,000–$170,000 base, below the senior FDE median of $190,000 across 1,864 postings with pay. Forward Deployed Engineers own technical deployments of ML models for healthcare revenue cycle customers, covering onboarding, integrations, configuration, testing, rollout, and production stability. Read from the employer’s posting on November 8, 2026.

- [AKASA](https://nextmove.md/fde/companies/akasa)

Posted Aug 3, 2026 by AKASA · open on Ashby as of Nov 8, 2026

**$150,000–$170,000** + equity San Francisco, CA Hybrid Full-time

Forward Deployed Engineers own technical deployments of ML models for healthcare revenue cycle customers, covering onboarding, integrations, configuration, testing, rollout, and production stability.

- [See roles that fit me](https://nextmove.md/sign-up?from=%2Ffde%2Fjobs%2F6b9e2488e7fb7a49&placement=top)
- [View posting at AKASA](https://jobs.ashbyhq.com/akasa/7ef5ac9f-92f2-4e40-a11f-c334d307ca28/application)

Free. Upload your resume once, see why each FDE role fits, and get introduced only when you say so.

## At a glance

### Posted base pay

$150K–$170K Below the median

Midpoint $160K · median $190K

This job $150K to $170K. Senior FDE postings, 1,864 postings: the middle 50% of posted pay is $160K to $220K, median $190K.

### The work

Integrates and configures it

Balance **Mostly building**

Project stages

1. Pre-sales (not covered)
2. Proof of concept (not covered)
3. Implementation
4. Operations

- **Coding**: Writes production code

- **Builds for**: External customers

- **Level**: Senior

- **Role**: Individual contributor

### What they ask for

Experience

- **3+ years** professional Python experience

### Do you meet what the posting states?

The posting asks for 3+ years. How many do you have?

The posting reads as a senior role. What level are you at now?

The job is in San Francisco, CA. Could you work there?

Which of these have you used in production?

Answer each one. Nothing is saved or sent.

[What postings ask for, by background →](https://nextmove.md/fde/paths)

## Conditions

- **Location**: San Francisco, CA

- **Work arrangement**: Hybrid

- **Employment type**: Full-time

- **Pay**:

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## The job description from AKASA

Posted by AKASA on Aug 3, 2026

### 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 **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
- 3+ 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 $150,000-$170,000 + 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 recruiting@akasa.com.*

[View posting at AKASA](https://jobs.ashbyhq.com/akasa/7ef5ac9f-92f2-4e40-a11f-c334d307ca28/application)

## About AKASA

Generative AI software for health-system revenue cycle teams that automates coding, CDI, prior auth, and status workflows using models tuned to each system's data.

Series C · 200–500 people

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- [Compare senior FDE salary ranges](https://nextmove.md/fde/salary/senior)
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