The role of Pharmacy Fulfillment Manager, Pharmacy Operations is one of Alto’s most critical functions. In this role, you will be the Pharmacist in Charge and responsible for ensuring the compliant, efficient, safe, and scalable dispense and delivery of medication for a designated Alto site. A chief objective will be to establish operational excellence, particularly as it pertains to patient experience, employee safety, industry standards and compliance, and performance metrics. You will use your in-depth knowledge of Pharmacy regulations, inventory management, last-mile delivery, and patient safety practices to meet and exceed service level agreements. As a Pharmacy Fulfillment Manager, you will also ensure key network programs, processes and systems are successfully deployed locally while establishing a continuous improvement culture. You will have direct reporting of Alto Pharmacists and Couriers at your site and will be responsible for employee engagement, training, and communicating and adhering to performance standards.
Additional responsibilities include partnering with our Recruiting and HR teams to attract, hire, develop, performance manage, and retain a team of pharmacists and technicians. You will use your experience growing and managing teams to identify and evaluate high-performing, high-potential candidates.

Job Description

Accelerate Your Career as You

• Own end-to-end site operations.

• Ensure the critical metrics for safety, cost, quality, and on time delivery are met.

• Manage and maintain pharmacy inventory, including ordering, receiving, and proper storage of medications and supplies.

• Coach and develop a team of Pharmacists, Pharmacy Technicians, Fulfillment Coordinators, Delivery Support, and Couriers to optimize quality and patient experience.

• Implement and enforce safety protocols for employees, couriers, and other site visitors while ensuring ongoing preparedness for emergencies and extreme events.

• Manage staffing, scheduling, workflows, hiring, performance evaluations, and disciplinary action.

• Establish and maintain quality assurance and improvement programs to ensure accurate dispensing and patient safety.

• Oversee deployment, training, and standardization of company policies and procedures.

• Partner with finance to analyze financial data to identify trends and opportunities for improvement for the site.

• Establishing a continuous improvement culture.

• Incorporate the principles of 5S and Kaizen into problem-solving efforts.

• Ensure that the pharmacy is compliant with:

  • Local, state, and federal rules and regulations regarding the practice of pharmacy

  • Third party payor contract rules and regulations

  • Policies and procedures as set forth by Alto

• Ensure the pharmacy remains in good standing with all applicable regulatory bodies including the State Board of Pharmacies.

• Occasional assistance with medication dispensing.

This job description does not identify every requirement of the role. Alto may change role responsibilities and work environment with or without notice.

A Bit About You

Minimum Qualifications:

• Graduate of an accredited school of pharmacy and a Licensed Pharmacist (RPh) in good standing with the State Board of Pharmacy in the state where the pharmacy site is located and also in good standing for any Non Resident Licenses as dictated by business strategy

• Previous experience as a Pharmacy Fulfillment Manager or leader of a large mail order/fulfillment center/hospital system pharmacy

• 3+ years leading a high-performing pharmacy operation and managing a multi-function, specialized staff

• 5+ years experience leading a team of Pharmacists as a Pharmacist-in-Charge

• Expertise maintaining pharmacy compliance and interacting with regulatory authorities such as the State Boards of Pharmacy and the Drug Enforcement Agency

• Experience making data-based decisions using analytical tools such as Excel, Tableau, or Looker to collect, analyze, and interpret data for operational excellence

Preferred Qualifications:

• Masters of Business Administration or similar

• 1+ Years managing end-to-end pharmacy business operations, including pharmacist patient interactions, delivery courier oversight, and/or inventory management

• Expertise establishing and improving complex workflows within a high-volume fulfillment operation

• Experience using lean, Kaizen, or similar continuous improvement methodologies

• APICS, Six Sigma, or other certification

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, frequently move around the pharmacy away from the computer terminal, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer and other pharmacy equipment that include the wrists, hands and fingers, and lift, carry, push, pull, and move objects up to 50 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.

Salary and Benefits

Salary Range: $134,400 - 168,000

Commission Eligible: No

Equity Eligible: Yes

Travel: Yes - This is an in-pharmacy position.

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: RFull-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 11 paid holidays (seven for Pharmacy and Care team members), and eight weeks of paid parental leave for eligible employees.

More Benefits Information Here: https://west.acrisure.com/alto-pharmacy/benefits/

Application deadline: September 20, 2025

#LI-Onsite

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.