Director of Clinical Operations

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 Director of Clinical Operations to build the function that keeps Brellium's clinical intelligence sharp.

Brellium's product works because it understands clinical care deeply — what a high-quality visit looks like, where compliance risks hide, how documentation standards vary across specialties. Today that knowledge lives across the team. We need someone to turn it into a system: a scalable clinical operations function with the right people, processes, and standards to keep our clinical intelligence sharp as we grow.

This role sits inside the Product org and reports to the Head of Product. That's deliberate — at Brellium, clinical operations is a core input to what we ship, not a back-office function. You'll work directly with product and engineering to make sure clinical knowledge flows into the platform, and with customer success to make sure it holds up in the field.

A note on how we work: Brellium moves at startup pace. Decisions happen in hours, not weeks. Communication is concise and direct - Slack over meetings, bullets over decks. We're looking for someone who's energized by that pace and knows healthcare well enough to move through it quickly.

WHAT YOU'LL DO

• 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.

YOU'LL BE GREAT AT THIS IF…

• You have 5+ years of operations, strategy, or clinical operations experience at a healthcare or digital health company.

• You've built and scaled a team or function from scratch — not inherited one, built one.

• You operate at startup pace: default to action, keep communication tight, and treat delay as a cost.

• You understand clinical workflows deeply, whether through direct clinical experience, managing clinical teams, or operating in clinical domains for years.

• You're a systems thinker who designs scalable processes without over-engineering them.

• You translate clinical nuance into clear direction for product and engineering teams who don't speak the same language.

• You learn quickly, thrive in ambiguity, and aren't afraid to adjust course as we grow.

Don't worry if you don't tick every box — we still want 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) — helpful context, but what matters more is that you can work with clinical expertise at scale, not be the sole source of it.

• Experience at a digital health or health tech startup, especially one working 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 http://brellium.com, or no-reply@ashbyhq.com http://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 http://brellium.com