About Brellium

Brellium's mission is a big one – to improve the standard of care across the US healthcare system. We’ve built AI-powered technology that helps healthcare providers deliver safer, higher-quality care - starting with the first real-time medical review platform built to fix clinical and compliance risks before they impact patients.

Each year, 1 in 20 people in the U.S. experiences a medical diagnostic or compliance-related mistake. Most providers lack the time, staffing, and tools to mitigate these issues - so they go unnoticed, impacting care quality and increasing clinical and financial risk.

Brellium is building the AI-powered platform that helps providers deliver safer, more consistent care by mitigating risk early and aligning patient visits with clinical best practices. Our goal is to give every provider in the U.S. the tools to deliver clinically excellent, data-driven care - at scale.

Brellium was founded in 2021. Since then, we’ve grown to serve over 250,000 providers across all 50 states who use Brellium to take better care of their patients and ensure data-driven, compliant care. We’re a Series A company with over $30MM in funding from First Round Capital, Left Lane Capital, and Menlo Ventures.

We're looking for a Head of Clinical Operations to own and scale the clinical foundation that powers Brellium's platform.

Brellium's product works because it understands clinical care deeply — what a high-quality visit looks like, where compliance risks hide, and how best practices vary across specialties. As we expand into new verticals and serve more providers, we need a clinical operations leader who can build the systems, processes, and team that keep our clinical intelligence sharp and scalable.

This is a high-impact, cross-functional role. You'll work directly with Product, Engineering, and Customer Success to ensure Brellium's clinical standards are rigorous, our review processes are efficient, and our domain expertise grows as fast as our customer base. You'll be the connective tissue between clinical knowledge and the technology we ship.

What You'll Do

Clinical Standards & Content:

• Define and maintain clinical review criteria, quality benchmarks, and compliance standards across all specialties Brellium supports (mental health, ABA, hospice, home health, nutrition, and beyond)

• Build clinical playbooks and documentation frameworks that translate complex medical guidelines into actionable product logic and ingrain knowledge throughout the team

• Stay current on evolving clinical regulations, payer requirements, and specialty-specific best practices to keep Brellium ahead of the curve

Operations & Process:

• Design and scale clinical operations workflows — from how reviews are conducted to how clinical feedback loops back into the product

• Build and manage the clinical operations team, including reviewers, coding specialists, and clinical advisors

• Establish KPIs and quality metrics to measure clinical accuracy, review turnaround, and operational efficiency

Cross-Functional Leadership:

• Partner with Product and Engineering to embed clinical expertise into platform features, AI models, and new product development

• Collaborate with Customer Success and Implementation teams to support customer onboarding, clinical configuration, and specialty-specific deployments

• Serve as the clinical authority in customer-facing conversations, QBRs, and strategic discussions with healthcare executives

You'll be great at this if...

• You have 7+ years of experience in clinical operations, clinical quality, or a related healthcare operations leadership role

• You have deep domain knowledge in healthcare compliance, clinical documentation, or medical review — ideally across multiple specialties

• You've built and scaled a clinical team or operations function from the ground up

• You're a systems thinker who can design scalable processes without over-engineering

• You communicate with precision — translating clinical nuance into clear direction for product and engineering teams

• You thrive in fast-moving environments and are energized by ambiguity, not paralyzed by it

• You live in NYC, or can relocate within 30 days

Don't worry if you don't tick every box, we still would like to hear from you. We are building a diverse and balanced team that complements each other while covering the critical skills and experience.

Bonus points:

• Clinical licensure or certification (RN, LCSW, BCBA, CPC, or similar)

• Experience at a health tech startup or working closely with AI/ML product teams

• Familiarity with E/M coding, behavioral health documentation standards, or payer audit processes

• Prior experience managing clinical advisory boards or external clinical consultants

Compensation:

• $160,000–$220,000 per year

We are committed to offering a comprehensive and competitive total rewards package, including robust health benefits, commuter benefits, and meaningful ownership opportunities through equity. Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing individual contributions and potential.

Benefits offered include:

• 401(k) Retirement Savings Plan

• Equity Compensation

• Dinner Provided via DoorDash & stocked kitchen for NY employees

• Medical, Dental, and Vision coverage coverage of up to 100% premiums for you and your family

• HSA / FSA

• 11 paid holidays each year

• Unlimited PTO

• Training and professional development

• Hybrid Work Schedule (4 days onsite, 3 if located > 1 hour away)

What it means to be "One of Us"

Bias to Action: Brellium teammates do not wait to make reversible decisions or seek unnecessary approval. We quickly decide and move forward. If the decision was incorrect, we quickly reverse it and move forward.

Thinks for themselves: Brellium teammates do not take things at face value. We ask "why" until base truth is reached. If a better solution is present, Brellium teammates use it, regardless of status quo.

Negative Maintenance: The opposite of high maintenance isn’t low maintenance - it’s negative maintenance. Brellium teammates are poised under pressure, self-motivated, self-improving, self-disciplined, self-aware, and non-defensive.

Expect Excellence: We hold ourselves to exceptionally high and continuously rising standards. We strive for thoughtfulness in our decision making, and for speed and quality in our execution. We acknowledge trade-offs and communicate proactively.

Communicate with Clarity: Brellium teammates communicate concisely, directly, and purposefully. We optimize for ensuring our points are easily understood the first time.

We are aware of fraudulent job offers claiming to be from Brellium. All legitimate communication comes from brellium.com, or no-reply@ashbyhq.com, and we will never ask for money or sensitive personal information as part of our hiring process. If there are any questions please direct them to peter@brellium.com

Compensation Range: $160K - $220K