Alto Pharmacy is hiring a Vice President of Delivery to lead the design and execution of our nationwide delivery strategy. This senior leadership role is responsible for optimizing Alto’s courier and mail network to deliver high-priority, time-sensitive medications with exceptional precision, speed, and reliability.

You will oversee a multi-modal operation that is central to Alto’s value proposition and core to our patient experience. The ideal candidate combines strategic vision with operational rigor—capable of scaling systems, teams, and processes while delivering on unit economics, performance goals, managing external partners and contracts while elevating the Alto service offering through industry leading speed, precision and reach. You’ll bring a strong track record of operational excellence, lean six sigma methodologies, and tech-enabled logistics execution.

You will lead delivery operations across all sites, launch new markets, develop new capabilities (including automation and 3P integrations), and partner closely with Product, Tech, and Pharmacy teams to drive innovation in home prescription delivery. This role will report directly to the Chief Operating Officer.

Job Description

Accelerate Your Career as You

• Lead the development of a world-class operational engine that serves as a competitive advantage for Alto Pharmacy.

• Identify and eliminate inefficiencies, streamline processes, and deliver innovative services for our Patients, Providers, and Partners.

• Develop and execute strategic plans and operational rigor that deliver meaningful results in a fast-paced environment.

• Build and manage the fulfillment network strategy, including the development of a network budget and operating plans that align with company objectives.

• Oversee operations in current markets and provide support for the launch of new locations.

A Bit About You

Minimum Qualifications:

• Bachelor’s degree in Business, or a related business or healthcare fields

• 15+ years of progressive leadership experience in an operations environment, with at least 5 years in senior leadership roles supporting operations in fulfillment, pharmacy, or delivery.

• 5+ years of direct experience managing Last Mile network design and/or execution.

• Strong P&L experience, with the ability to drive financial performance and optimize operational cost.

• Proven ability to partner with technology teams on the development and execution of new product solutions.

• Expertise in defining, implementing, and revising operational policies and guidelines across the organization.

• Experience collaborating with departmental leaders to develop financial plans and ensure company-wide operational compliance.

• Proven track record of managing revenue margins, conducting budget reviews, and maximizing output.

• Demonstrated experience in overseeing client support services and maintaining high-quality support standards.

• Strong relationship management skills with the ability to build partnerships with frontline teams, product teams, and patient care teams.

• Extensive experience in scaling teams, building sustainable tools, and implementing repeatable processes.

• Demonstrated focus on data analysis and KPIs with a strong history of driving operational improvements.

• Proven leadership skills, including experience leading managers and inspiring high-performance teams.

• Strong communication skills, with the ability to effectively engage stakeholders and build compelling project proposals and business cases.

• Ability to deliver impactful results while operating in a fast-paced environment.

• Passion for training, motivating, and coaching teams to maintain high patient care standards and foster a positive, engaging work environment.

Preferred Qualifications:

• MBA, PharmD, or advanced degree.

• Cross-functional experience working with product, software development, and science teams.

• Experience in digital health technology.

• M&A and strategic partnership experience.

• SaaS product sales experience.

• Proficiency with CRM software.

Additional Information

Additional Physical Job Requirements

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Alto’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.

Salary and Benefits

Salary Range: $$222,000 - 275,000

Commission Eligible: No

Equity Eligible: Yes

Travel: Yes - Required up to 30% of the time

Location Requirement: Employment at Alto is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin.

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time employee benefits include: Multiple group medical, dental and vision plans to choose from, 401(k) plan, group life, AD&D, FSA/HSA, employer paid STD/LTD, Take-What-You-Need vacation time, accrued paid sick time, 11 paid holidays (7 for Pharmacy and Care teams), 8 weeks paid parental leave for eligible employees.

Application deadline: July 15, 2025

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Alto Pharmacy is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at CandidateHelp@alto.com.

Alto Pharmacy considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, and New York City Fair Chance laws. We are an E-Verify participating company.

To learn about Alto's privacy practices including compliance with applicable privacy laws, please click here.