- Job Type: Full-Time
- Function: Executive
- Industry: Health Tech
- Post Date: 02/28/2026
- Website: alto.com
- Company Address: 645 Harrison St, Suite 200, San Francisco, California 94107, US
About Alto Pharmacy
Alto is America’s leading digital pharmacy, transforming a $500 billion industry. Founded in 2015, Alto’s better pharmacy model is centered on the critical role of pharmacists as the final link in a person’s health journey.Job Description
- Remote - Texas
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- Remote - Missouri
- Remote - Nevada
- Remote - New York
- Remote - Oregon
- Remote - Florida
- Remote - Pennsylvania
- Remote - Arkansas
- Remote - Kansas
- Remote - Tennessee
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- Remote - Colorado
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- Remote - North Carolina
- time type
- Full time
- posted on
- Posted 8 Days Ago
- job requisition id
- R200596
Job Summary
Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.
Job Description
The Chief Operating Officer (COO) of FuzeRx will serve as the strategic operational leader for our comprehensive digital pharmacy division. Reporting directly to the CEO of FuzeRx, you will provide executive oversight for the end-to-end operational engine of the business, including warehouse and fulfillment centers, patient services, facilities, and workforce planning.
This is a transformational leadership role responsible for harmonizing operations across acquired entities, driving operational excellence, and ensuring a seamless, patient-centric experience at scale. You will manage a large, diverse team of operations leaders and work cross-functionally to maximize revenue, profitability, and efficiency while maintaining the highest standards of quality and compliance.
Job Description
Key Responsibilities
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Strategic Operational Leadership: Integral to the C-suite team at FuzeRx and drive outcomes for the business. Develop and execute comprehensive operational strategies that maximize revenue and profitability for pharmacy operations. Align operational goals with customer preferences and broader corporate objectives.
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Safety: Operate a safe, secure and compliant environment, aiming for highest regulatory compliance standards.
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Industry & Competitive Advantage: Drive operational innovation to transform execution, scalability, and customer satisfaction.
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End-to-End Oversight: Provide executive leadership for all operational functions, including Fulfillment Operations, Facilities, Workforce Planning, Vendor Management, and Patient Services.
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Operational Excellence & Harmonization: Lead the development and implementation of unified processes and standards to ensure operational excellence across all locations. Drive the harmonization of operations from multiple acquired businesses into a single, efficient ecosystem.
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Patient Experience: Create and maintain a differentiated customer experience that drives loyalty, satisfaction, and repeat business. Ensure that operational efficiency never comes at the cost of patient care.
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Supply Chain & Inventory Management: Manage inventory levels and distribution processes to meet demand and minimize stock-outs while optimizing inventory turnover.
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Team Leadership & Development: Drive staff development initiatives, including training, performance management, and talent acquisition. Build a highly engaged, inclusive environment for a large-scale operations workforce.
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Performance Management: Monitor performance metrics and KPIs, including quality measures. Leverage data to identify areas for improvement and implement corrective actions.
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Cross-Functional Collaboration: Collaborate with Marketing, Product, and Finance to align operations with overall business strategies.
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Strategic Partnerships: Critical leader and partner with external partners (customers, partners, investors, industry stakeholders. Play a central role in M&A activities including operational diligence, synergy identification, and post-merger execution.
Required Experience & Qualifications
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15+ years of progressive operations experience, with at least 8+ years of executive leadership experience (VP/SVP/C-Level).
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Industry Experience: Proven track record in the med-tech, pharmaceutical, or digital health industry is required. Experience in a combined B2B and B2C operational environment is highly preferred.
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M&A & Harmonization: Proven success in harmonizing operations from multiple businesses or integrating acquired entities into a centralized operational model.
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Scale & Workforce Management: Deep understanding of best practices for inventory management and workforce planning, with specific experience leading and scaling large operations workforces.
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Strategic Acumen: Strong strategic planning abilities with a history of developing operational strategies that drive revenue growth and profitability.
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Data-Driven Leadership: An analytical mindset with the ability to leverage data and metrics to inform decision-making and drive continuous improvement.
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Education: Bachelor's degree in Business Administration, Operations Management, or a related field is required. MBA or PharmD is strongly preferred.
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Travel: Ability to travel domestically for site visits, leadership meetings, and customer engagements.
Work Environment
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Location: Remote / Home Office setting with standard office hours.
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Flexibility: Some flexibility in scheduling is necessary to accommodate site visits, executive meetings, and events.
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Travel: Domestic travel required for site visits (warehouse/fulfillment centers), leadership, and customer meetings.
Additional Information
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.
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 Fuze Health’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 Range: $265,000 - $400,000
Commission Eligible: No
Travel: Yes - Required up to 25% of the time
Location Requirement:
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FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin
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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: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, (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, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.
More Benefits Information Here: Fuze Health Benefits Site
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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.
Alto Pharmacy recruiters and hiring managers may use automated decision-making tools to assist with identifying candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. If you have any questions or would like to request an alternative process, please contact us at CandidateHelp@alto.com. To learn about Alto Pharmacy's privacy practices including compliance with applicable privacy laws, please click here.