Senior Manager, Gross Margins at Alto Pharmacy

| Greater Denver Area
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Alto is a telehealth pharmacy focused on helping people live healthier by making the prescription experience easier, more supportive, and more affordable. We’re transforming a $500 billion industry by reinventing what a pharmacy can do, for both patients and providers—from hand-delivering medications for free to offering on-call help by text or chat. Over one million deliveries, over a thousand five-star Yelp reviews, and an NPS score of +86 later, we’re proud to say we’ve built a pharmacy that people truly love.

About the Team

Alto’s Supply Chain Business Operations team seeks to optimize Alto’s margins across all segments of the business.  This role relies on a combination of pharmacy optimization skills, data analysis and relationship building to maximize Alto’s gross margins.  The team audits dispensed transactions on a weekly basis, gathering insights from low-margin and negative-margin fills to generate new profit-maximizing initiatives that can make Alto’s business more sustainable.  The team also leverages its relationships across the enterprise to understand margin opportunities across the enterprise, to create technology and process solutions to solve these issues and to see these solutions through to execution.  Finally, the team partners with Finance and with members of Executive Leadership to track performance and set goals for future initiatives.    

Accelerate your Career as You:

  • Directly manage the weekly margin audit process.  The audit process helps to identify new opportunities and also to measures outcomes as projects shift into the execution phase  
  • Partner with Therapeutic Area-specific teams to understand margin ideas and initiatives from each team. Engage to support or drive benefits for these initiatives.  
  • Work with the Data Analytics team to accurately size and prioritize initiatives.  
  • Interface with senior management of the company (President, CFO, VPs Supply Chain and Reimbursement, VPGMs) to monitor margin enhancement success/learnings and to set goals for margin opportunities.  
  • Partner with the Finance team to ensure that sized initiatives get added into the margin roadmap to support the forecasting process.  Also partner with Finance to measure and trace outcomes to the P&L 
  • Partner across the enterprise (Care, Procurement, Fulfillment, Therapeutic Area teams, Product, Finance, etc.) to change business processes and operations to capture margin upside opportunities.  
  • Work closely with Product and Engineering teams to properly scope and spec pharmacy system fixes to achieve margin opportunities.  Manage this relationship further to ensure that Product fixes remain on time and on scope to support margin initiatives

A Bit About You:

Minimum Qualifications:

  • 3-5 years of pharmacy, payer/PBM or pharmaceutical business experience.  Strong understanding of pharmacy operations, fulfillment, billing, procurement and financial processes as they relate to overall business profitability. 
  • 3-5 years of experience with data and analytics ownership, including experience generating data visualizations using tools such as Looker, Mode or Tableau.
  • Proven ability to build medium- and long-term project plans, then project manage against and execute on these plans (3 to 5 years experience).  
  •  Proven ability to  plan for, manage against, and deliver on gross margin and/or profitability projects.

Preferred Qualifications: 

  • 2+ years of experience in financial analysis, auditing and/or FP&A background 
  • Deep understanding of pharmacy reimbursement methods and strategies to optimize profitability in a pharmacy setting
  • Clinical background/expertise a plus (Pharmacy Technician or PharmD)

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
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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