Principal, Operational Excellence & Deployment

| Greater Denver Area
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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 700 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.

Alto seeks a dynamic and energetic director level (individual contributor) Operational Excellence leader to support the achievement of industry leading effectiveness and efficiency across the rapidly growing care and fulfillment organizations. The position will support the successful deployment of the Alto Business System (ABS), which will enable the business to effectively scale from $200M to $20B in annual revenue. This transformation will enhance Alto’s operations, enabling the business to maintain and enhance the patient & provider experience during a period of explosive growth. 

At Alto, culture is one of the key differentiators enabling the company to disrupt the entrenched competition.  The successful candidate will fit into and strengthen the culture while balancing the requirement to aggressively drive change across people, process, and technology. The Operational Excellence Lead will be single minded in their execution of initiatives to increase company productivity and effectiveness, improve process efficiency, and deliver against immediate and critical long-term milestones. Key responsibilities will include project managing the execution of operational excellence projects and fostering accountability, operational excellence, and fast-cycle improvement.


  • As the Operational Excellence leader you will scope, execute and facilitate Lean-based continuous improvement initiatives.  This leader will establish and build effective relationships with the Care Operations and across the company including Product and Engineering, Fulfillment, Finance, Marketing, and HR, working in close partnership to coach and mentor the teams on process improvement and business excellence efforts.  
  • Develop the Alto Business System.  Drive teaching for Operational Excellence. Train and develop staff (from Management to entry-level) on Lean, TPS, TPM, Six Sigma principles, creating a cultural transformation and Lean-based continuous improvement mindset. Mentor Alto Pharmacy staff in lean principles and drive adoption of standard work systems into the daily work and habits of the Pharmacy
  • Lead key strategic projects. Drive improvements to the effectiveness, efficiency, profitability, and lifetime value of both Patient and Provider relationships. Work to enhance and strengthen the deep relationships that Alto has built with critical stakeholders across the value chain. 
  • Actively find new opportunities for process improvement. Identify and scope new project areas that eliminate rework, waste, and over processing to deliver best-in-class operational performance.  
  • Lead the implementation of new systems and process as well as the elimination of manual or ad hoc practices to reduce process variance and streamline operations.  
  • Drive the development, deployment, and monitoring of KPIs tied to strategic goals, as well as evaluation of team performance against these metrics. 
  • Organize focus on sustainability of gains through standard work concepts 
  • Drive the development, deployment, and monitoring of KPIs tied to strategic goals, as well as evaluation of team performance against these metrics. 
  • Utilize dynamic visual management to drive real-time performance accountability. 
  • Implement effective governance models and processes to ensure excellence across all sites as the firm rapidly scales.
  • Collaborate, consult and influence management in a cross-functional environment. Ability to challenge business leaders at all levels while building relationships and gaining respect.
  • Strict adherence to the Company’s corporate policies and all regulatory requirements.

A bit about you:

Minimum Qualifications:

  • A minimum of 7 to 10+ years’ experience in operations management with direct experience in the implementation of Lean-based continuous improvement programs.
  • Certification in process improvement (e.g. Lean Expert, Black Belt, Master Blackbelt)
  • Business process improvement experience in a customer-centric, tech-enabled, call center environment.  
  • Demonstrated ability to successfully execute large, complex change efforts in a rapidly scaling business. 
  • Hands on experience in lean manufacturing implementations, including analysis, design and implementation
  • Deep experience in project and program management methodologies, tools, and technologies. 
  • Ability to travel up to 50%

Preferred Qualifications:

  • Undergraduate degree in Operations Management or Engineering preferred. Advanced degree or MBA preferred. 
  • Prior experience working with private equity or in fast-paced mid-sized companies is a plus.
  • Master Black Belt certification preferred.

Alto Pharmacy is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status, or any other legally protected basis. 

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

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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
We provide up to 12 weeks of parental leave for the primary caretaker. Acme Co. also provides 6 weeks of leave for the secondary caretaker.
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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