Quick overview
Job description
About Altro
Altro powers the next generation of wellness businesses with clinical infrastructure built for growth.
We're building a platform that enables wellness businesses to offer clinical services they currently can't provide on their own, including blood testing, prescriptions, and peptides, supervised by a clinical team. Think Shopify for wellness businesses.
The team behind Altro has done this before: Harvard Business School MBAs and a second-time founder, alongside operators and executives who've taken startups through exits as founding-team members. We're backed by top venture capital firms.
The tailwinds are massive: Peptides going mainstream, GLP-1s unlocking the category, the longevity movement in full swing, and AI unlocking what wasn't possible a year ago.
We're still early. Which means every hire matters. Join at the ground floor, work directly with the founders, and be part of something rare: a company at the intersection of a massive market shift and the moment when AI is reshaping what small teams can build.
What you'll do
You'll keep clinical ops humming alongside our COO in a digital health company with a human-centered mindset at the cutting edge of longevity. You won't own the function — you'll be the extra set of eyes and hands that makes sure nothing slips.
Specifically:
- Execute clinical protocols — follow established clinical workflows for order processing, patient communication, and care coordination. Flag deviations early and escalate appropriately.
- Manage the daily order queue — monitor at-risk orders, coordinate with labs and pharmacies to keep fulfillment moving, and escalate before delays occur.
- Handle asynchronous patient messaging and phone line — triage inbound patient messages and respond in a warm, clinically-sound voice. You know when to answer, when to escalate, and when to loop in a clinician.
- Support internal care coordination — serve as the connective tissue between clinical, fulfillment, and partner teams as needed to provide clinical clarifications. Keep handoffs clean and nothing falling through the cracks.
Who we're looking for
- Clinically fluent. MA, LVN/LPN, RN, or clinical coordinator background. You've reviewed scripts, handled patient comms, and know when to escalate.
- 4+ years of clinical experience, including at least 1 year at a digital health company with async patient communication.
- Excellent bilingual written and spoken communication style— your tone and clarity matter. You'll be communicating directly with US-based English- and Spanish-speaking patients and partners.
- Reliable schedule, specifically in morning ET hours. This is non-negotiable — please don't apply if you can't work mornings New York time or do not have a reliable schedule.
- Excited by startup growth. Tools change, processes evolve, and you're fine with that. Bonus if you've worked at a concierge clinic, digital health company, or DTC health startup.
- Detail-oriented. You catch issues early and document as you go.
Compliance requirements
- Must be based in and work from the United States
- Willing to sign a BAA and complete a background check before starting
- Prior HIPAA training, or willing to complete it before starting
- All patient communication stays in company systems
Nice to have
- Professional Spanish fluency (spoken and written) — we serve a Spanish-speaking patient population and this is a meaningful differentiator
- Experience with EHRs, telehealth platforms, or pharmacy/lab portals
- Background in functional/longevity medicine, peptides, or hormone optimization
- Customer service experience at a high-touch consumer brand
- Weekend availability
Logistics
- Location: US-based, remote
- Hours: Approx. 30-35hrs/week, with morning availability Eastern Time required
- Hourly rate, negotiable based on experience
- Classification: 1099 independent contractor
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