Telehealth Care Navigator

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 work alongside our COO to keep clinical ops humming. 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 in a fully remote healthcare role with async patient communication.
• Excellent written and spoken English — your tone and clarity matter. You'll be communicating directly with US-based patients and partners.
• Reliable in morning ET hours. This is non-negotiable — please don't apply if you can't work mornings New York time on weekdays.
• Comfortable with startup chaos. Tools change, processes are half-built, and you're fine with that. Bonus if you've worked at a concierge clinic, telehealth 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
• Rate: $25-$40/hour, depending on experience
• Classification: 1099 independent contractor