Senior Accountant

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.

You are an experienced accounting professional who enjoys owning day-to-day financial processes and ensuring things run smoothly and accurately. You thrive in fast-paced environments where you can take ownership, execute with precision, and continuously improve how work gets done.

You are comfortable rolling up your sleeves across core accounting workflows and are excited to use modern tools and AI to increase efficiency, reduce manual work, and scale output. You enjoy partnering closely with finance leadership and contributing to building scalable systems as the company grows.

The Senior Accountant is essential to our finance team, responsible for managing key accounting functions and ensuring accuracy and compliance with company policies and industry standards. The ideal candidate will have a solid accounting background, with at least 3 years of relevant experience and a degree in accounting. This role requires a proactive professional who can work effectively both independently and as part of a team in a dynamic, fast-paced environment.

• Execute the monthly close process, including journal entries, reconciliations, and support for financial statement preparation

• Manage day-to-day accounting activities, including:

  • Accounts payable

  • Accounts receivable and billing

  • Payroll processing

  • T&E reimbursements

  • Maintaining commission calculations

• Support accurate and timely GAAP-compliant financial reporting

• Assist in revenue recognition processes and contract accounting

• Work on special projects as they come eg (eg. implementation of ERP, ad-hoc anaysis)

• Maintain and improve accounting processes to ensure accuracy, efficiency, and scalability

• Support internal controls and ensure proper documentation of workflows

• Assist with tax filings, compliance requirements, and audit readiness

• Partner with the VP of Finance on close, reporting, and ad hoc analyses

• Work closely with GTM and operations teams on billing, collections, and contract terms

• Coordinate with external partners (accountants, payroll providers, tax advisors) as needed

• Use modern tools and AI to streamline accounting workflows and reduce manual effort

• Identify opportunities to automate recurring processes (billing, reconciliations, reporting)

• Help maintain and improve financial systems and data integrity

• Minimum of three years of accounting experience working in a similar role.

• Bachelor’s degree in accounting, Finance, or a related field.

• Understanding of GAAP accounting principles.

• Experience working with spreadsheet tools (e.g., Microsoft Excel, Google Sheets).

• You have a curious mindset and are embracing AI tools to improve your work output.

• Have experience with modern accounting and finance tools (e.g., QuickBooks, Sage Intacct, Rillet, Ramp, Carta, Salesforce)

Compensation: $100,000 - $125,000

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.

• 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)

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 [email protected], 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 [email protected]