Senior Platform Engineer

Brelliums mission is a big one to improve the standard of care across the US healthcare system. Weve 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 weve grown to serve over 250000 providers across all 50 states who use Brellium to take better care of their patients and ensure data-driven compliant care. Were a Series A company with over $30MM in funding from First Round Capital Left Lane Capital and Menlo Ventures.

Were hiring a founding platform engineer. Brellium audits clinical notes against millions of criteria a day with AI pipelines processing billions of tokens. Youll be the first person whose full-time job is scaling towards a highly available production environment by making our infrastructure reliable and observable defining the patterns others build on and making every engineer more effective in their work.

This is a hands-on senior IC role reporting directly to the VP of Engineering. Youll set this functions roadmap in collaboration with engineering leadership.

• Manage and scale infrastructure that runs audits on clinical notes across millions of criteria daily

• Define and support infrastructure patterns that can improve latency (e.g. making audits real time) reliability and cost effectiveness

• Improve developer productivity through CI/CD and local / testing environments

• Simplify observability and drive key reliability metrics across all of our services including AI pipelines that process billions of tokens daily

• Manage our infrastructure and developer tooling spend

• Steward our security posture (e.g. SOC 2 HIPAA compliance)

• Consolidate SSO identity device management and access controls across internal tools

• You have owned the infrastructure / platform function somewhere

• You have informed opinions about infrastructure and collaborate with product engineers to find right-sized solutions

• You understand product engineering work to a high degree

• You measure your work by whether other engineers actually use it

• Youd rather ship something narrow in two weeks than complete in two months

• You are used to the blurred lines at a startup and are biased towards taking ownership

• You are experienced working in an environment with a high degree of autonomy

• 5 years where platform was your primary work

• Built production infrastructure at an early-stage startup

• Depth in AWS and infrastructure-as-code. Our tech stack includes AWS Vercel Azure Foundry Claude Platform OpenAI Platform Gemini and Clickhouse

• You know how to write production-level code. Our applications are written in Python and Typescript

• You have driven towards a target number for a cloud bill

• You have managed audits for software compliance (e.g. SOC 2)

• Healthcare or another regulated industry that includes sensitive-data handling

• Experience with LLM infrastructure: inference cost management gateways (e.g. Bifrost) tracing and evals (e.g. Langfuse)

• Rolled out an identity provider like Okta

• Mentored engineers or led a small team

Compensation: $230000 - $300000

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 isnt low maintenance - its 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 or 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

Required Experience:

Senior IC