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.

Requirements

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

Benefits

Logistics Location: US-based, remote Hours: Approx. 30-35hrs/week, with morning availability Eastern Time required Rate: $25-$40/hour, depending on experience Classification: 1099 independent contractor