No adjustments are needed. The main reason that high-altitude cooking is hard is the reduced boiling point of water at low altitudes. But here, where the meat will be under the boiling point of water for the whole cook time, this is hardly an issue. Check out this article from the Spruce Eats:
Dry-heat cooking techniques like roasting or grilling are not affected in the same way because high altitudes don't alter the way air is heated.... Note that the temperature isn't affected, just the moisture content of the food. So a grilled steak might be drier at high altitude than at sea level — even if it's not overcooked temperature-wise.
I don't think that the issue of dryness is a big deal here; since you are cooking a large cut, only the surface will dry out. In fact, increased surface dryness would be a benefit if you plan to sear the meat after cooking. I highly recommend searing the meat if you plan to serving it hot; browning adds great flavor and texture that I think you will miss otherwise.
Meat is Love: Slow Roasting for Perfectly Pink Roast Beef
My oven is old: "Warm" shows as 200F roughly. My plan is to preheat to 250 then cook for 45 minus to kill the bacteria. Then drop back to the "Warm " setting for at least two hours following the second article then check for doneness.. But this recommendation does not account for my altitude and seems to run against the grain of the times in the first article.
– Mike Oct 03 '20 at 14:36