General Manager, Denver at Alto Pharmacy

| Greater Denver Area
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About Alto

We’re building a new kind of pharmacy to cure one of our healthcare system’s most startling ills: over 50% of prescriptions are never picked up. Because staying on track with doctor’s orders requires more than just delivering pills, we’re managing everything from insurance logistics to pricing, late-night questions to supply chain, and anything else that could stand in the way of effective treatment. Our more than 400 employees are dedicated to fulfilling medicine’s true purpose: to improve the quality of life for everyone who needs it. We’ve filled over 1 million prescriptions to date. To aid our calling, we’ve raised $354 million in funding, and we’re on track to achieve $1 billion in annual recurring revenue (ARR) by 2021. Join us as we prove just how much a pharmacy can deliver.

The General Manager position will be one of the most challenging and impactful roles at Alto as we scale from 2 markets to over 50 locations over the next 36 months. The General Manager will be responsible for growing the adoption of Alto among providers and patients, delivering excellent service, and building a profitable business. You will hire a world class team, work in tandem with sales, marketing, product and operations to guiding new market growth strategy, including the selection, sequencing and investment of therapeutic areas and to inform Alto’s broader expansion efforts.

If you have an entrepreneurial mindset, are known as a jack of all trades and a charismatic leader, and hungry to hit ambitious growth targets, we want to hear from you. 


  • Deliver a world class pharmacy experience for patients and providers, making Alto the leader in online pharmacy. 
  • Develop a deep understanding of your market and communicate actionable insights that inform our launch and go-to-market decisions and subsequent growth. You will spend time speaking to providers, patients, manufacturers, and potential partners, and analyze data to validate your hypotheses.
  • Partner with the Pharmacist in Charge to build and manage a world class team with individuals focused on business development, sales, marketing, operations, and healthcare. 
  • Manage the P&L for one of Alto’s newest markets 
  • Collaborate with senior leadership in setting strategies and OKRs for your team and drive on the ground sales and marketing initiatives
  • Manage key performance indicators on a daily, weekly, and monthly basis and dig into root causes to understand and address emerging trends
  • Be an internal champion for your market with cross-functional teams and communicate product/fulfillment/operation needs to HQ. 
  • Work with community, local manufacturers, health plans and community events to drive awareness of Alto 
  • Help scale other cities through developing and sharing best practice

You are an ideal candidate if you have:

  • 10-15 years work experience in operations, management, professional services or other related fields
  • An instinct for getting stuff done, with a willingness to roll up your sleeves and do “whatever it takes”
  • Analytical and data driven decision making mentality
  • A strong people leader with the ability to motivate and inspire cross-functional teams and a proven track record of managing high performance teams
  • Excellent team player with strong written and verbal communication skills
  • Comfortable working cross-functionally to make your city successful
  • Out-of-the-box thinker who will find creative ways to hit growth targets
  • Ability to thrive in a remote market, leading a small local team, in an autonomous way
  • Insane curiosity about the differences between markets and how to build a successful business for Alto in each
  • B.A/B.S, MBA preferred; healthcare experience a plus
  • A passion for Alto’s mission and values!
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Technology we use

  • Engineering
  • Product
    • GolangLanguages
    • JavaLanguages
    • PythonLanguages
    • RLanguages
    • RubyLanguages
    • SqlLanguages
    • ReactLibraries
    • Ruby on RailsFrameworks
    • PostgreSQLDatabases
    • SnowflakeDatabases
    • AsanaManagement
    • JIRAManagement


Golden Triangle area just south of downtown Denver

An Insider's view of Alto Pharmacy

How would you describe the company’s work-life balance?

Work/life balance is definitely encouraged at Alto! I never have to think about work on my weekends, and my boss has even reminded me that I haven't taken a vacation day in a while and to be sure to use some or take a long weekend.

Scott Carmichael

Software Engineer, Infrastructure

What projects are you most excited about?

I am excited about empowering our data scientists to perform both ad-hoc and repeatable analysis using our Snowflake data warehouse (loaded via dbt + Airflow). Our business users are leveraging the same reliable data sources to gain insights via Looker. Most rewarding: we are actively using data in our mission to fulfill medicine’s true purpose.


Software Engineer, Data Engineering

How does the company support your career growth?

Alto enables me to work on projects I find interesting and technically engaging. I’ve been able to work on a variety of projects ranging from integrating our pharmacy management software with external EHR systems to setting up a modern data infrastructure from scratch.

Le Qi

Software Engineer, Data Engineering

What is your vision for the company?

It’s really easy to assume that Alto Pharmacy just delivers medications, but it goes beyond this when you have patients who are bed bound or who don’t know how to navigate the medical field by themselves. We support you in navigating this tricky realm, we ensure that adherence is more feasible, and the healthcare experience is transparent.


Patient Care Lead

What are Alto Pharmacy Perks + Benefits

Alto Pharmacy Benefits Overview

As an employee of Alto Pharmacy, we couldn’t be effective in achieving our mission without you. That’s why we’re continually looking for ways to enhance your employee experience, with benefit programs and perks that allow you to be successful in your work. Whether it’s caring for your loved ones, staying healthy, or creating opportunities for a better work-life balance, we want to provide you with meaningful support mechanisms.

Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Open office floor plan
Dedicated Diversity/Inclusion Staff
Unconscious bias training
Diversity manifesto
Someone's primary function is managing the company’s diversity and inclusion initiatives
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
Disability Insurance
Dental Benefits
Vision Benefits
Health Insurance Benefits
Life Insurance
Wellness Programs
Retirement & Stock Options Benefits
Company Equity
Child Care & Parental Leave Benefits
Generous Parental Leave
Vacation & Time Off Benefits
Generous PTO
Paid Holidays
Paid Sick Days
Perks & Discounts
Casual Dress
Commuter Benefits
Stocked Kitchen
Some Meals Provided
Fitness Subsidies
Professional Development Benefits
Diversity Program
Cross functional training encouraged
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