Head of Finance

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 $16MM in funding from First Round Capital, Left Lane Capital, and Menlo Ventures.

In this role, you’ll own finance, support sales with pricing and deal analysis, and partner with leadership on budgeting, forecasting, and strategic growth initiatives. You’ll play a pivotal role in shaping how we deploy capital, win new business, and scale our operations. You should be someone who has experience in finance and operations, can handle ambiguity, and is ready to take ownership of strategic initiatives. If you're excited to shape the financial strategy of a rapidly growing, mission-driven company, this role might be for you.

Financial Planning & Analysis (FP&A)

• Build and maintain financial models (revenue forecasts, cash flow, headcount planning)

• Track actuals vs. budget and provide variance analysis

• Help prep materials for board meetings and investor updates

Strategic Projects

• Analyze new revenue opportunities, markets, and business lines

• Evaluate cost efficiency and recommend budget reallocations

• Assist in evaluating partnerships, M&A opportunities, or geographic expansion

Go-To-Market & Sales Support

• Partner with sales to model ROI for large deals or custom pricing

• Build financial justifications and business cases for prospective clients

• Support pricing strategy and profitability analysis

Operational Finance

• Support month-end close with bookkeeping/accounting partners

• Help implement financial systems or dashboards (e.g. Ramp, QuickBooks, Mosaic)

• Liaise with external vendors (accountants, payroll, legal) on finance matters

• Manage collections from customers, reconcile unpaid invoices, and coordinate with internal teams and customer finance contacts to ensure timely payment

• Bachelor’s Degree in Economics, Finance, Business, or related field

• 3-5+ years of work experience including investment banking, private equity, venture capital, strategic finance, financial planning & analysis, or consulting; At least 1 year working at a startup

• Strong analytical, financial modeling, problem-solving and communication skills

• A penchant for impact and ownership

• Ability to collaborate with cross-functional partners and distill complex issues into structured frameworks and action plans

• Ability to thrive in a fast-paced, high-growth environment

• Bonus: Knowledge of SQL or strong desire to learn

• Bonus: familiarity with SaaS metrics (LTV, CAC, net retention, burn multiple)

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.

• Equity Compensation

• Medical, Dental, and Vision coverage

• HSA / FSA

• 11 paid holidays each year

• Flexible PTO

• Training and professional development

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

Decide and Deliver: We are trusted to make nimble decisions without layers of sign-off and bureaucracy. We take smart risks, embrace the occasional failure, and focus on delivering results that matter.

Stay Driven and Humble: There’s no room for ego here - just a shared drive to learn, improve, and take on what’s next.

Own It: We think and act like owners of our business. We are accountable for our actions, decisions, and results, even when things go wrong.

Customer Obsessed: Our customers are at the center of everything we do. We listen, adapt, and build flexible solutions that meet their needs. By staying responsive and proactive, we deliver value and build lasting partnerships.