Job Summary
 

About the Role
The role of Senior Manager, Pharmacy Operations is responsible for overseeing the operational excellence, compliance, and performance of multiple pharmacy fulfillment sites within a designated region of the US. You will lead a high-performing team of Pharmacy Fulfillment Managers and serve as the strategic operator guiding execution across a multi-site network. Your key objectives include driving best-in-class patient experience, ensuring rigorous compliance with pharmacy regulations, fostering a culture of safety and continuous improvement, and delivering on performance targets at scale.
You will leverage your deep expertise in pharmacy operations, inventory management, last-mile delivery, waste elimination, and regulatory compliance to guide site-level leadership and align regional execution with Alto’s national strategy. In this role, you will be responsible for driving the successful rollout of corporate initiatives across your region, collaborating cross-functionally to ensure teams are operationally prepared and positioned for scalable growth.
Success in this position requires a seasoned leader with a track record of developing high-performing teams, influencing stakeholders at all levels, and consistently delivering results in a dynamic, highly regulated environment.

Job Description
 

Accelerate Your Career as You

• Lead regional operational strategy, execution, and performance across multiple pharmacy fulfillment sites, ensuring alignment with Alto’s strategic goals.

• Develop, drive and monitor enhanced regulatory practices in accordance with federal, state and payer requirements.

• Mentor and develop a high-performing team of Pharmacy Fulfillment Managers, building leadership capability and driving succession planning.

• Build tools and create resources to drive site-level success, and sustainable improvements.

• Ensure sites consistently meet or exceed key metrics for safety, cost, quality, and delivery timeliness, while fostering a culture of operational discipline and continuous improvement (e.g., lean/Kaizen principles).

• Oversee compliant and efficient inventory management, staffing, and space utilization in collaboration with site leaders.

• Serve as a strategic partner to Recruiting and HR to attract, retain, and grow top pharmacy talent.

• Leverage analytical skills to source and analyze  financial and operational data to identify trends, manage costs, and drive efficiency and service improvements.

• Act as a point of escalation for site-level extreme events, while proactively resolving challenges to ensure uninterrupted service.

• Conduct regular audits and quality reviews to maintain inspection readiness and regulatory standing.

• Support site launches and transitions related to expansion or restructuring initiatives.

A Bit About You

Minimum Qualifications:

• Graduate of an accredited school of pharmacy and a Licensed Pharmacist (RPh) in good standing with the applicable State Board(s) of Pharmacy

• 5+ years of progressive pharmacy leadership experience, including multi-site management

• Demonstrated success leading high-volume pharmacy fulfillment or lin operations

• Expertise managing teams in a highly regulated, compliance-driven environment

• Proven track record of managing and developing pharmacy leaders and diverse staff

• Experience using data tools (e.g., Excel, Tableau, Looker) and a P&L to  interpret operational trends and drive decision-making

• Prior experience as a Pharmacist-in-Charge with accountability for regulatory interactions and audits

Preferred Qualifications

• Master’s degree in Business Administration or Healthcare Leadership

• 3+ years of regional or multi-site pharmacy leadership experience

• Lean Six Sigma, APICS, or other operations/quality certifications

• Deep knowledge of fulfillment workflows, courier logistics, and end-to-end pharmacy operations

• Experience leading through change and scaling operations in high-growth environments

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 ex