Manager, Clinical Operations

Rosarium Health

3d•$95,000 - $110,000•Remote

About The Position

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.

Requirements

4–8 years of experience in homecare, health plan, clinical operations, or utilization management.
Knowledge and/or experience with the Payer Prior Authorization process.
Strong clinical background, preferably in the home setting.
Experience in training clinicians, developing training materials, and managing clinician performance.
Ability to identify areas for operational efficiencies and improvement.
Comfortable working across functional areas, including Product and Engineering teams.

Nice To Haves

Occupational Therapist (OT), Physical Therapist (PT), or Registered Nurse (RN) background.
Experience in evaluating the 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.

Responsibilities

Manage the Prior Authorization process with Payers, including submission, timely approval, and responding 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 the prior authorization process and mitigate denials.
Onboard and support the clinician network, including initial training on Rosarium processes, expectations, and assessments.
Provide ongoing support to clinicians and identify opportunities for improvement in training documents and educational programs.
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 the structure and ability to obtain proper information for clinical assessments to ensure quality and efficiency.
Collaborate with product and tech teams to enhance data collection and reporting from assessments.