Brellium

Medical Billing and Coding

• Own Coding Quality & Compliance
• Review and validate E/M coding for behavioral health encounters in a pre-bill workflow
• Ensure coding decisions align with documentation, payer guidance, and compliance best practices
• Define clear standards for when revenue capture is appropriate vs when risk is too high
• Establish Coding Policy & Guardrails
• Develop and enforce guidelines for:
• E/M level selection (MDM vs time)
• Psychotherapy add-on code usage
• Documentation requirements and addenda
• Act as the escalation point for complex or ambiguous coding scenarios
• Support internal QA and calibration to maintain consistency over time
• Partner Cross-Functionally
• Collaborate with Product and Engineering to operationalize coding rules within Brellium's platform
• Provide feedback on automated coding logic and edge cases
• Support customer-facing teams in compliance-sensitive discussions when needed
• Improve Systems at Scale
• Identify patterns in coding risk or opportunity across large datasets
• Help standardize best-in-class coding workflows across customer organizations
• Contribute to training, documentation, and internal playbooks as the program scales

Medical Coding Lead, Behavioral Health, E/M

Sales

• Build, scale, and oversee the sales organization
• Manage and develop a team of AE's and BDRs
• Ensure they consistently exceed targets and drive durable revenue growth
• Partner closely with cross-functional leadership to set strategy and establish operating rigor
• Evolve GTM motion as the company scales
• Set team strategy around operations and revenue growth

Vice President of Sales

Business Development Rep

• Identify and qualify leads through outbound prospecting (email, phone, social media) to build a sales pipeline for our closing team.
• Research target accounts and reach out to decision-makers in healthcare clinics, including C-suite executives.
• Collaborate with the Account Executive team to schedule meetings, demos, and follow-up conversations.
• Assist in refining our outreach and sales processes to optimize conversion rates.
• Build and maintain strong relationships with prospects to understand their pain points and how Brellium can help solve them.
• Track outreach efforts and sales activities using CRM tools.
• Maintain awareness of industry trends and competitor activities to identify new opportunities and refine outreach strategies.
• Consistently achieve and exceed BDR activity and qualification goals, including emails sent, calls made, and sales opportunities generated.
• Participate in team discussions, bringing new ideas to improve the sales strategy and process.

Business Development Representative

Product Manager

• Build and scale the clinical operations function from the ground up — how reviews are conducted, how knowledge is codified, how quality is measured.
• Recruit and manage the specialty expert bench — fractional clinical advisors when entering new verticals, full-time specialty leads as specialties mature — plus reviewers and coding specialists across mental health, ABA, hospice, home health, and nutrition.
• Set the KPIs and quality metrics for clinical accuracy, review turnaround, and operational efficiency.
• Partner with product and engineering to translate clinical standards, payer requirements, and specialty nuance into actionable product logic.
• Own the feedback loop between what our platform catches in the field and how our clinical intelligence evolves.
• Be the clinical voice in customer conversations, QBRs, and strategic discussions with healthcare executives.

Clinical Product Manager

Accountant

• Execute the monthly close process, including journal entries, reconciliations, and support for financial statement preparation
• Manage day-to-day accounting activities, including:
• Accounts payable
• Accounts receivable and billing
• Payroll processing
• T&E reimbursements
• Maintaining commission calculations
• Support accurate and timely GAAP-compliant financial reporting
• Assist in revenue recognition processes and contract accounting
• Work on special projects as they come eg (eg. implementation of ERP, ad-hoc analysis)
• Maintain and improve accounting processes to ensure accuracy, efficiency, and scalability
• Support internal controls and ensure proper documentation of workflows
• Assist with tax filings, compliance requirements, and audit readiness
• Partner with the VP of Finance on close, reporting, and ad hoc analyses
• Work closely with GTM and operations teams on billing, collections, and contract terms
• Coordinate with external partners (accountants, payroll providers, tax advisors) as needed
• Use modern tools and AI to streamline accounting workflows and reduce manual effort
• Identify opportunities to automate recurring processes (billing, reconciliations, reporting)
• Help maintain and improve financial systems and data integrity

Senior Accountant

Clinical Operations

• 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
• 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
• 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

Head of Clinical Operations

Controller

• Own the monthly close process, including general ledger review, journal entries, reconciliations, and financial statement preparation
• Oversee day-to-day accounting activities, including accounts payable, accounts receivable, payroll, T&E reimbursement, and customer and vendor contract accounting
• Ensure timely, accurate GAAP-compliant financial reporting
• Design, implement, and improve accounting processes and internal controls to support scale and compliance
• Manage local, state, and federal reporting requirements and tax filings
• Lead Brellium’s first external financial statement audit, including preparation of workpapers and coordination with auditors
• Manage relationships with external accounting firms, tax advisors, banks, and other professional partners
• Partner closely with the VP of Finance on budgeting, forecasting, board materials, investor reporting, and ad hoc financial analyses
• Provide clear, proactive insights into financial performance, trends, and variances to internal stakeholders
• Manage and develop internal and external accounting resources
• Evaluate, implement, and optimize accounting systems and tools to improve efficiency, accuracy, and scalability

• Own problems end-to-end, from discovery through launch.
• Make Brellium feel lightning-fast, rock-solid, and effortless for providers.
• Team up with go-to-market partners to help customers get live faster and see value right away.
• Communicate clearly across technical and non-technical teams, turning complex needs into simple product decisions.
• Stay anchored in user problems, digging deep into provider and customer pain points before solutioning.
• Adapt quickly as priorities shift and learn new domains fast to keep the team moving.

Engineer

• Own configuration, custom setup, and integration work for enterprise accounts. You take a customer need and ship the technical solution, end to end — no handoffs, no waiting.
• Join customer calls alongside our CS team to hear requirements directly. Translate business needs into technical plans and answer engineering questions in real time.
• Track and drive ongoing technical workstreams for your assigned accounts. You keep delivery moving without CS having to chase engineering, and you decide how and when to ship.
• Sit between Customer Success and Engineering. When you see the same customer need come up twice, flag it back to Product as a gap — so the platform gets better for everyone.

Forward Deployed Engineer

Implementation Specialist

• Develop project plans to implement Brellium’s core offerings with our new customers by scoping their technical and clinical implementation needs, overall milestones and constraints and forecasting actionable steps towards helping our customers realize value
• Lead kickoff, implementation and go-live meetings with Clinical Teams and develop relationships with C-suite healthcare executives through regular communication and engagement
• Participate in Quarterly Business Reviews with executive stakeholders to demonstrate value and align on strategic initiatives
• Partner with the CTO and Engineering teams to influence product roadmap based on customer needs and market opportunities
• Collaborate with Marketing and Go-to-Market teams to develop compelling case studies and showcase customer success stories
• Work with Customer Success Leadership to develop and enforce best practices around implementation
• Initial implementation meetings, backlog meetings, workflow meetings & go-live meetings including prep, pre-reads & follow-ups for all
• ‘Solutioning’ for customers with technical needs including API integrations, EMR connections and new product development
• Project management for go-live process (planning & execution)
• Working with engineering + customer on clarifying requirements and implementing feedback
• Developing customer facing content for implementation meetings and knowledge base references
• Developing scalable process for customer implementation from contract signature to ‘go-live’

Implementation Manager

Account Executive

• Clearly articulate our value proposition, create enthusiasm among prospects, and convert prospects into long-term partnerships
• Work closely with the Head of Sales, who will actively support your learning and career development.
• Serve as the voice of the customer and collect feedback to drive continuous improvement across all areas including product
• Keep a disciplined pipeline, forecast accurately, and track activity to ensure predictable growth
• Provide an exceptional customer experience, positioning Brellium as a must-have partner for clinics
• Proven success conducting product demonstrations in a value-based sales environment
• Develop a deep understanding of each clinic's workflow, compliance challenges, and documentation pain points to tailor conversations around their specific needs
• Guide prospects through the decision-making process with data-driven insights, ROI frameworks, and relevant case studies that map directly to their clinical and operational goals
• Lead the full sales cycle from demo to close and drive new business sales for mid-market prospects

Full-stack Engineer

• Translate product ideas into technical designs and ship them end-to-end
• Build features across frontend, backend, and data layers
• Collaborate directly with design, product, and leadership
• Own projects from concept to production
• Make pragmatic tradeoffs between speed and craft
• Contribute to a fast-moving, highly collaborative environment where your ideas directly impact how care is delivered

Senior Product Engineer

• Work closely with Product to integrate modern LLMs into real-world applications
• Design and build systems end-to-end, touching everything from data pipelines to user interfaces
• Design and build AI-centric systems end-to-end, optimized for performance and reliability
• Build evaluation pipelines and define metrics to measure AI agents and workflows, ensuring robustness and continuous improvement
• Deliver high-quality features quickly through strong execution, collaboration, and adaptability
• Contribute to a fast-moving, highly collaborative environment where your ideas directly impact how care is delivered

Software Engineer – AI

Infrastructure Engineer

• Design and evolve distributed systems to support 10x growth in session volume
• Improve throughput, fault tolerance, and system resilience across the core pipeline
• Build scalable data pipelines and processing infrastructure
• Strengthen observability, monitoring, and incident response
• Reduce operational bottlenecks and technical debt
• Collaborate with AI and product teams to ensure the underlying systems can support new capabilities at scale

Senior Backend, Infrastructure Engineer

• Work closely with Product to integrate modern LLMs into real-world applications
• Design and build systems end-to-end, touching everything from data pipelines to user interfaces
• Deliver high-quality features quickly through strong execution, collaboration, and adaptability
• Contribute to a fast-moving, highly collaborative environment where your ideas directly impact how care is delivered