[2][1][3] She is the daughter of Giorgio DeRosa, a lobbyist who is a senior partner at Bolton-St. Johns, an Albany-based lobbying firm.

While an undergraduate student at Cornell, she worked in the Senate office of Hillary Clinton in Washington, D.C. during a summer.

[9] After graduation from college in 2004, DeRosa worked for a year as a publicist for Theory, a fashion house in New York.

[1][15] She helped steer bills through the legislature, including the $15 minimum wage, paid family leave and expanded insurance coverage for in vitro fertilization.

[20] The New York Times also reported state officials said DeRosa contacted the New York Health Commissioner to request rapid testing for her father after he was exposed to someone with COVID-19, and the decision to grant access to rapid testing was made by health officials due to DeRosa's close contact with the governor.

"[24] DeRosa was named in an August 3, 2021, report by the New York State Attorney General as having spearheaded efforts to retaliate against and discredit a woman who has accused Cuomo of sexual harassment.

[26] CNBC reported on August 6, 2021, that DeRosa's father and her brother actively lobbied members of Cuomo’s staff in 2021 for clients on a range of issues.

[31] In October 2023, DeRosa released a memoir titled What’s Left Unsaid: My Life at the Center of Power, Politics & Crisis, published by Union Square.

"[34] A review by Lloyd Green in The Guardian states, "DeRosa's memoir is pocked with scenes of a marriage gone south, of trying to cope with Covid-19 and of general governmental strife.

"[35] According to a Publishers Weekly review, "While this glowing defense of Cuomo will appeal to his supporters, it’s unlikely to mollify his detractors.