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.

Alto is building the world's most patient-centric, tech enabled pharmacy, and we are seeking a Senior Manager, Revenue to be a key member of our quickly growing Accounting team. You will lead the revenue team and play a critical role in ensuring the accuracy of Alto’s financial information. In this role you will be the go-to person for revenue in the company. As a result, you will gain exposure to senior-level decision making and develop lasting relationships across the company.

The ideal candidate needs to be a dynamic self-starter with a passion for continuous process improvement in a fast paced, high growth environment, and the ability to clearly communicate deliverables and recommendations.

Reporting to the Controller, the Senior Manager, Revenue will:

  • Manage monthly close activities including accounting for all related revenue transactions, financial statement analysis, reconciliation review, billings and collections, reserve for doubtful accounts, bad debts and customer rebates and refunds 
  • Review and interpret policies, reporting requirements, rules and regulations, providing guidance to direct reports on complex accounting / disclosure issues, and ensuring timely communication of issues to relevant stakeholders
  • Work cross functionally to evaluate new strategic partnership contracts to determine appropriate accounting treatment under ASC 606 and implement new processes and systems to operationalize and ensure compliance (including maintenance of Alto’s revenue recognition policy)
  • Work with internal finance, engineering, expansion, operations and billing teams to strengthen the order to cash process, identify and implement automation efforts, and document controls 
  • Drive continuous action with internal team members to obtain timely payment on failed transactions and resolve undistributed cash
  • Manage multiple systems to ensure timely and accurate accounts receivable aged reporting and ensure tight processes around the identification of outstanding aging balances to be written-off as uncollectible
  • Develop and mobilize the setup of processes, procedures and other improvement efficiencies, managing and contributing to the department and company initiatives to improve processes and understand / translate financial impacts.
  • Ensures IT systems effectively support accounting transactions and that appropriate team members are trained on systems. Manages system issues with IT and suggests improvements where appropriate.
  • Lead and manage a team of direct reports, driving performance by setting goals and development plans and fostering an environment to achieve those goals, through ongoing feedback and conducting performance reviews
  • Act as point revenue liaison for external auditors for year-end audits

What You'll Need

  • 8+ years of increasing responsibility within accounting roles. Must have experience managing high volumes of revenue and receivables with multiple revenue streams.
  • Thorough knowledge of applicable order to cash processes, US GAAP (including ASC 606), systems, internal controls, and corporate procedures
  • Strong problem-solving skills with the ability to manage multiple projects simultaneously
  • Meticulous attention to detail and effective communication skills (verbal and written)
  • Strong people management experience, high EQ, and proven ability to deliver outstanding results through others in a timely manner using a strong sense of focus, organization, and meticulous attention to detail
  • Strong proficiency with Microsoft Word, Excel and other office software application
  • Passionate about building a young company and comfortable working in a fast-past changing environment
  • Proven ability to thrive working in a highly collaborative team environment
  • Strong ability to self-reflect, learn, and be honest about development areas
  • Experience with system implementation a strong plus
  • Industry experience in healthcare a plus
  • A passion for Alto’s mission and values!


  • Bachelor’s Degree in Accounting or Business Administration
  • CPA

You’ll love this role if you:

  • Want to be a part of a fast-paced and ever changing start up 
  • Enjoy playing a key role at the company level and want to be part of Alto’s success. 
  • Want a passionate, humble, and exciting culture

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.


Apply for this Job

* Required

U.S. Equal Opportunity Employment Information (Completion is voluntary)

Individuals seeking employment at Alto Pharmacy are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation. You are being given the opportunity to provide the following information in order to help us comply with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file.

Race & Ethnicity Definitions

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection. As a government contractor subject to Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categories is as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Form CC-305

OMB Control Number 1250-0005

Expires 1/31/2020

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities1. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebral palsy
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)
Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

1Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.