Senior Manager, Pharmacy Operations

Overview

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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.

• 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.

• 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.

• 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 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…