Salary Range: $95,000–$110,000 base salary + equity + benefits
Location: Remote (United States)
Reports to: Chief Clinical Officer
Works Closely With: CEO, Product, Engineering, and Finance
Type: Full-Time
About Rosarium Health
Rosarium Health is building the healthcare infrastructure that helps people age safely and independently at home.
We partner with Medicaid, D-SNP, and Medicare Advantage plans to deliver clinician-led in-home assessments and home modifications that reduce falls, hospitalizations, and long-term care admissions. Our platform coordinates occupational therapists, physical therapists, contractors, and care teams through a single operational workflow.
We recently closed a $6 million Seed round and are expanding across California and the Northeast. This is an opportunity to join early and help build a company at the intersection of healthcare, housing, and technology.
The Opportunity and What You Will Do
We are hiring a Manager, Clinical Operations to:
Manage the Prior Authorization process with Payers
- Oversee the end to end process for prior authorization submission, timely approval and respond to denials and appeals
- Work with operations staff for timely completion of internal documentation and processes that impact submission of prior authorizations
- Identify process improvement opportunities to streamline process for approval and mitigate denials
Onboard and support the clinician network
- Provide onboarding for all new network clinicians, including initial training on Rosarium processes, expectations and assessments
- Provide ongoing support to clinicians
- Identify opportunity for improvement for current training documents, development of educational programs and ideas to enhance the knowledge/skills for our clinicians
Oversee clinician performance including documentation on assessments, compliance with Rosarium Health requirements, and provide additional training and support as needed.
- Identify opportunities for improvement in structure, ability to obtain proper information and/or other enhancements to ensure quality and efficiency of the clinical assessment
- Collaborate with product and tech to enhance the ability for data collection and reporting from assessments
You will work directly with the Chief Clinical Officer and collaborate with Product and Engineering to improve the systems used by clinicians and operations teams.
This role is designed for someone who wants to grow into a senior leadership position in clinical operations.
What We’re Looking For
- 4–8 years of experience in homecare, health plan, clinical operations, utilization management
- Knowledge and/or experience with Payer Prior Authorization process
- Strong clinical background, preferably in the home setting
- Experience in training clinicians, developing training materials, managing clinician performance
- Ability to identify areas for operational efficiencies and improvement
- Comfortable working across functional areas, including Product and Engineering teams.
Preferred Clinical Background
Occupational Therapist (OT), Physical Therapist (PT), Registered Nurse (RN)
Preferred Experience
Experience in evaluation of home environment for safety and accessibility gaps
Understanding of clinical documentation requirements to support medical necessity for home modifications
Knowledge of Managed Medicaid, Medicare Advantage, D-SNP
Experience at a venture-backed healthcare or digital health company.
Who You Are
- Detail-oriented and organized
- Comfortable interpreting clinical documentation
- Able to identify and solve process issues
- Reliable in following through on important tasks
- Motivated by improving processes that improve clinical outcomes
Why This Role Matters
Rosarium’s ability to grow depends on delivering high-quality, timely clinical and contractor services that results in high Member satisfaction.
Compensation & Benefits
- Base salary: $95,000–$110,000
- Meaningful equity ownership
- Medical, dental, and vision coverage
- Flexible PTO
- Remote-first culture
- Opportunity to grow into a senior leadership role
Disclaimer: Pay will be determined based on skill/experience and location.
