Backend or Fullstack Developer

We’re looking for a passionate Backend or Fullstack Developer to help build and scale the core systems that power Brellium’s platform. For this role, we value prior experience deploying or integrating AI models into real-world applications. You’ll play a key role in shaping the technology that supports our AI-driven medical review platform and contributes directly to improving patient care across the U.S.

What You’ll Do at Brellium

• 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

• Have 0-6 years of experience as a Software Engineer (Bonus if you hold a master’s degree with a focus on AI or a related field)
• Are proficient in Python and TypeScript
• Have a track record of developing AI applications and architecting AI-centric systems that deliver real-world impact
• Are proficient with modern AI frameworks and APIs, such as LangChain and LlamaIndex
• Love to keep up to date with new models / tools and their application to real world, high-impact use cases
• Have strong problem-solving skills and a bias toward action, tackling ambiguous challenges head-on
• Are proficient with SQL and relational databases, and comfortable owning end-to-end data workflows
• Are experienced with AWS deployments and have experience with modern LLMs (bonus for React/Next.js)
• Thrive in fast-paced, high-impact startup environments
• Communicate effectively and collaborate across teams
• Are excited to grow with an early-stage company over the next several years, taking on increasing responsibility, helping shape the team, and contributing directly to the company’s success

Compensation: $140,000 - $200,000

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)

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., 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.