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

We’re looking for a strategic, automation-minded Director of Compliance & AI Governance to own and evolve AKASA’s compliance program as we scale. This role is ideal for someone who has led compliance in a healthcare SaaS or AI environment and wants to build a modern, engineering-forward program rather than a paperwork factory. You’ll own our HITRUST, SOC 2, and HIPAA programs end to end, operationalize emerging AI governance frameworks like the NIST AI RMF, and drive the policy lifecycle across the company. The ideal candidate treats compliance as a product: automated evidence collection, continuous control monitoring, and policies people actually read and follow. You’ll join a small, high-leverage team with immediate ownership and room to build. You thrive in a fast-paced startup environment and are agile with an ownership mindset.

This is an on-site position that requires 3+ days a week in our South San Francisco HQ.

What You’ll Do

Own AKASA’s compliance certification portfolio end to end (including HITRUST CSF, SOC 2 Type II, and HIPAA) from control design and implementation through evidence collection, audit coordination, and remediation. Evaluate and pursue new certifications and attestations (such as ISO 27001, ISO 42001, and HITRUST AI) as customer and market needs evolve.

Define compliance roadmaps and ensure org-wide adoption, driving cross-functional alignment and accountability on regulatory requirements.

Build our AI governance program grounded in the NIST AI RMF, partnering with Engineering, Product, and Legal to establish model risk assessments, AI use policies, and documentation that meets enterprise health system expectations.

Drive compliance automation as a first principle: implement and optimize GRC and continuous control monitoring tooling, automate evidence collection across our stack (Okta, Google Workspace, Kandji/Iru, SentinelOne, Nightfall, AWS), and use AI tools to streamline policy drafting, control mapping, and audit preparation.

Own the full policy lifecycle, including authoring, review cadences, exception handling, attestation campaigns, and version control; ensuring policies are clear, practical, and mapped to the frameworks we certify against.

Be the compliance face of AKASA for customers and prospects: lead security and compliance questionnaire responses, support enterprise sales cycles, manage customer audits, and maintain trust artifacts including BAAs, our trust center, and shared assessments. Find ways to automate these processes using AI first tooling.