Full-Time

Senior AI Engineer

Brellium

Brellium

51-200 employees

Automated clinical documentation auditing for compliance

Compensation Overview

$230k - $300k/yr

+ Equity Compensation

New York, NY, USA

Hybrid

Four days on-site per week; three days on-site if located more than one hour away.

Category
Software Engineering (1)
Required Skills
LLM
RAG
AWS

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Requirements
  • At least 5 years of professional software engineering experience.
  • Hands-on experience building and shipping large language model-powered applications in production.
  • Deep familiarity with large language model concepts, including prompt engineering, structured extraction, function and tool calling, retrieval-augmented generation, and evaluation frameworks.
  • Experience with Amazon Web Services or comparable cloud infrastructure for artificial intelligence workloads.
  • Strong software engineering fundamentals and the ability to write clean, maintainable production systems.
Responsibilities
  • Design and improve large language model-powered pipelines and agent architectures.
  • Build robust evaluation and benchmarking frameworks to measure output quality and regression.
  • Optimize latency, cost, determinism, and output quality across high daily volume.
  • Implement retrieval-augmented generation and tool-use strategies where appropriate.
  • Ship production-grade artificial intelligence systems rather than experiments.
  • Collaborate closely with backend and product teams to integrate artificial intelligence capabilities into the core platform.
Desired Qualifications
  • Experience building and deploying large language model systems in production at meaningful scale.
  • Understanding of modern agent patterns, including tool calling, retrieval-augmented generation, memory, and orchestration.
  • Experience with evaluation, hallucination mitigation, and reliability.
  • Focus on performance and operational excellence in addition to system capability.
  • Interest in building a core engine operating at massive daily volume in a high-stakes clinical domain.

Brellium helps clinical teams reduce compliance risks, improve quality, and save time by automatically auditing every patient visit against clinical and payer requirements. Its system scans each visit for documentation errors and flags issues so clinics can proactively fix them, ensuring nothing slips through the cracks. Unlike tools that rely on manual reviews, Brellium continuously checks every encounter to maintain compliance. The company’s goal is to keep clinics compliant and efficient by catching problems early and preventing missing or incorrect documentation.

Company Size

51-200

Company Stage

Series A

Total Funding

$16.7M

Headquarters

New York City, New York

Founded

2021

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Simplify Jobs

Simplify's Take

What believers are saying

  • Brellium claims over 250,000 providers and 15 million certified visits by March 31, 2026.
  • The April 2026 Okta integration lowers deployment friction for larger healthcare customers.
  • May 2026 advisor Ainsley MacLean strengthens payer-provider positioning and enterprise credibility.

What critics are saying

  • Upheal and Opus own the workflow layer, compressing Brellium into a back-end utility.
  • Behavioral health concentration exposes Brellium if Rula, Headspace, or Grow Therapy switch vendors.
  • CMS audit standards shifting in 2026 can erase Brellium’s rules engine advantage quickly.

What makes Brellium unique

  • Brellium audits 100% of patient charts against payer rules, not random samples.
  • Okta Network integration on April 7, 2026 embeds Brellium into enterprise healthcare identity.
  • Andrey Ostrovsky joined May 7, 2026, adding Medicaid and CMS compliance expertise.

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Benefits

Equity Compensation

Medical, Dental, and Vision coverage

Health Savings Account/Flexible Spending Account

Paid Holidays

Unlimited Paid Time Off

Training and professional development

Hybrid Work Options

Growth & Insights and Company News

Headcount

6 month growth

3%

1 year growth

8%

2 year growth

-1%
Citybiz
May 7th, 2026
Brellium adds former Medicaid chief medical officer andrey Ostrovsky as advisor.

Brellium adds former Medicaid chief medical officer andrey Ostrovsky as advisor. May 7, 2026 Dr. Andrey Ostrovsky Brellium, a healthcare compliance technology company serving more than 200 healthcare organizations across the United States, has appointed Dr. Andrey Ostrovsky as a strategic advisor as providers and payers face mounting regulatory oversight and reimbursement complexity. The company said Ostrovsky will advise on compliance strategy, product development and relationships with healthcare payers and providers. His appointment comes at a time when healthcare organizations are navigating increased audit activity, evolving Medicaid requirements and heightened scrutiny from the Centers for Medicare & Medicaid Services. Ostrovsky currently serves as managing partner at Social Innovation Ventures, where he invests in and advises healthcare-focused companies and nonprofit organizations. He previously served as chief medical officer for the Center for Medicaid and CHIP Services under both the Obama and first Trump administrations, helping oversee programs tied to healthcare coverage for nearly 90 million Americans. During his time at CMS, Ostrovsky was involved in federal healthcare policy decisions affecting Medicaid operations, payer oversight and care delivery systems. His background also includes direct operational healthcare experience, including work operating methadone clinics and engaging with state Medicaid programs. Healthcare providers and insurers have faced growing pressure in recent years to improve documentation accuracy, reduce billing disputes and strengthen compliance controls as reimbursement requirements become more complex. Technology platforms focused on clinical documentation and compliance management have drawn increasing attention from healthcare organizations seeking to reduce administrative burdens while limiting regulatory risk. Chief Executive Officer Zach Rosen said Ostrovsky's combination of federal policy experience and frontline healthcare operations knowledge brings valuable perspective to the company as it expands its compliance and quality platform. Rosen said the company believes his understanding of both payer and provider systems will help strengthen its products and broader healthcare mission. Ostrovsky said administrative complexity and inconsistent documentation requirements can interfere with patient care and create challenges for providers and insurers alike. He said Brellium's focus on creating greater alignment between healthcare organizations and payers around quality and compliance standards was a key reason for joining the company as an advisor. Brellium develops compliance and quality management technology designed to analyze patient visits for clinical quality, documentation accuracy and operational risk. The platform is used by healthcare provider groups seeking to manage compliance exposure while improving patient outcomes and reimbursement consistency. The company said the addition of Ostrovsky reflects broader efforts to expand its expertise in healthcare policy, regulatory strategy and payer-provider collaboration as compliance requirements continue evolving across the healthcare industry.

Brellium
Apr 7th, 2026
Brellium now integrates with Okta.

Brellium now integrates with Okta. The integration offers users simple access and stronger security. By Alex Le-Tu, Co-founder, Brellium Brellium is now available in the Okta Integration Network, supporting Single Sign-On (SSO) via OIDC and automated user provisioning via SCIM. For organizations already using Okta to manage identity across their tools, this means Brellium fits directly into that existing infrastructure, with no parallel access management process required. With SSO enabled, your providers and staff authenticate into Brellium through Okta, the same way they access every other integrated tool. That means your existing security policies - multi-factor authentication, session controls, login restrictions - apply to Brellium automatically, without additional configuration. This integration is about more than convenience. In healthcare environments, credential sprawl is a security risk. Every separate username and password is another surface for phishing, reuse attacks, and access that persists longer than it should. Centralizing authentication through Okta reduces that exposure and gives your security team a single place to enforce and audit access policy. User provisioning that keeps pace with your organization. The SCIM integration handles the user lifecycle automatically. When a new team member is onboarded in Okta, they're provisioned in Brellium. When someone leaves or transitions to a different role, their access is deactivated through the same workflow. This integration cuts manual work, lags between HR changes and access changes, and gives you confidence that the right people always have appropriate access. In an industry where staff turnover is high and improper access to clinical tools carries compliance risk, this automation is the standard that auditors and security teams expect. Enabling the integration. The Brellium integration is live in the Okta Integration Network. Existing Okta customers can add it directly from the Okta catalog. If you're a current Brellium customer and want to enable SSO or SCIM provisioning for your organization, contact your account team to get started. Alex Le-Tu Co-founder, Brellium Alex Le-Tu is a co-founder of Brellium.

Brellium
Mar 18th, 2026
Brellium and Opus announce strategic partnership to strengthen compliance for behavioral health providers.

Brellium and Opus announce strategic partnership to strengthen compliance for behavioral health providers. Brellium and Opus are partnering to help behavioral health providers scale practices faster - with zero added compliance risk. By Eric Campagna, Strategic Partnerships Lead at Brellium Eric Campagna Strategic Partnerships Lead at Brellium Eric Campagna is the Strategic Partnerships Lead at Brellium, where he's building new business lines and forging the partnerships that are shaping the future of healthcare technology. He brings over two decades of enterprise sales and strategic account experience, with deep roots in AI-driven industrial and clinical tech companies like Augury and Intenseye. Eric is known for his ability to navigate complex B2B relationships, turn big ideas into repeatable processes, and build lasting partnerships that drive real results.

Business Wire
Feb 26th, 2026
Healthcare compliance firm Brellium adds Dr. Ainsley MacLean as strategic advisor

Brellium, a healthcare compliance platform trusted by over 175 organisations, has appointed Dr Ainsley MacLean, MD, FACR as strategic adviser. The company aims to create a shared compliance solution for both healthcare payers and providers. Brellium reviews patient charts against payer requirements before billing, reducing administrative burden for providers and helping payers detect billing and coding issues. The platform has certified over 12 million patient visits, processing 240 million compliance data points across 100-plus health plans nationwide. Dr MacLean spent nearly 14 years at Kaiser Permanente, serving as the organisation's first Chief AI Officer for the Mid-Atlantic region. She currently leads private equity firm Ainsley Capital and healthcare AI advisory firm Ainsley Advisory Group. Brellium is backed by First Round Capital, Left Lane Capital and Menlo Ventures.

FinSMEs
Apr 21st, 2025
Brellium Raises $13.7M in Series A Funding

Brellium raises $13.7M in Series A funding.