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.

This Role Might Be For You If:

You are an experienced accounting leader who enjoys owning the financial backbone of a growing company. You thrive in environments where accuracy, rigor, and accountability matter, and you are comfortable balancing day-to-day execution with longer-term process improvement. You enjoy partnering closely with finance leadership and cross-functional stakeholders, and you bring an independent, thoughtful point of view to financial decision-making. You are motivated by roles with meaningful ownership and the opportunity to build scalable systems as the business grows.

What You’ll Do

As Controller, you will own Brellium’s accounting operations and financial reporting, ensuring accuracy, timeliness, and compliance as the company scales. Reporting to the VP of Finance, you will play a critical role in strengthening financial processes, supporting strategic decision-making, and preparing the company for continued growth and increased external scrutiny.

Accounting Operations & Close

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

Financial Controls, Compliance & Audit

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
Maintain strong compliance with U.S. GAAP and other applicable accounting standards

Cross-Functional & External Partnership

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

Team & Systems Leadership

Manage and develop internal and external accounting resources
Evaluate, implement, and optimize accounting systems and tools to improve efficiency, accuracy, and scalability

You’ll Be Great for This Role If You:

Have significant accounting experience in high-growth, small-team environments, ideally in SaaS
Bring deep expertise in U.S. GAAP, financial reporting, and internal controls; CPA strongly preferred
Have hands-on experience managing monthly close, audits, and complex accounting areas such as revenue recognition and stock-based compensation
Are comfortable owning both strategic initiatives and detailed execution
Have implemented or improved financial and operational controls in scaling organizations
Communicate clearly with both finance and non-finance stakeholders
Are highly organized, detail-oriented, and able to manage competing priorities and deadlines
Have experience with modern accounting and finance tools (e.g., QuickBooks, Sage Intacct, Rillet, Ramp, Carta, Salesforce)

Compensation:

$150,000 - $175,000

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

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