Lead QA Specialist (ABA)

About Brellium

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.

About the Role

We are looking for a BCBA QA Clinician to join our new Quality function and help shape the future of clinical quality and compliance at Brellium.

In this founding role, you’ll serve as the clinical quality leader for ABA — partnering directly with customer QA teams, Brellium engineers, and executive stakeholders to elevate documentation accuracy, compliance, and clinical integrity across the behavioral health ecosystem.

You’ll use Brellium’s AI-driven insights to identify patterns in provider documentation, design improvement plans, and guide organizations through operational change. This role blends hands-on clinical expertise with systems-level thinking — perfect for someone who’s built QA programs and wants to influence how technology and clinical standards converge.

This is a customer facing hourly retainer position with flexible engagement options (remote, hybrid, or on-site collaboration as needed).

What You’ll Do

Direct and Enforce QA Standards

• Establish documentation, compliance, and quality standards for ABA customers

• Provide structured feedback and education to customer teams

• Communicate with customers to facilitate remediations

Identify Trends and Drive Systemic Improvements

• Analyze data to uncover quality trends and training opportunities across provider networks

• Collaborate with Brellium’s product and engineering teams to ensure product reflects current payer and accreditation standards

Be the Liaison for Clinical Change

• Serve as the primary clinical quality liaison between Brellium and customer teams

• Support change management initiatives including revising QA workflows and designing training programs

• Represent the clinician’s perspective in product feedback

What We’re Looking For

• 5+ years of ABA experience as a registered BCBA

• Deep expertise in quality assurance, compliance, or utilization review with a record of measurable improvement in documentation or audit outcomes

• Strong understanding of payor requirements, accreditation standards, and Medicaid/commercial documentation frameworks

• Experience designing and scaling QA programs, including training, process improvement, and policy development

• Comfort with health tech and AI-enabled solutions; ability to translate clinical quality needs into operational or product requirements

• Collaborative, humble, and motivated by impact

Bonus points if you have:

• Experience building or leading QA programs in multi-site or virtual ABA organizations

• Background in auditing or compliance leadership at payers, or ABA providers

• Familiarity with EMRs, audit software, and healthcare analytics tools

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:

• 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)

What We’re About

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.