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 Alto

Healthcare is complicated. But it doesn't have to be. Alto's mission is to fulfill medicine's true purpose—to improve the quality of life for everyone who needs it. We are a modern pharmacy changing the way people manage and fill their prescriptions with a patient-centric, technology-driven online pharmacy. Alto provides same-day, free delivery, seven days a week for prescriptions. More importantly, we offer cost transparency, personalized mobile support, and real-time coordination with doctors and insurance companies. 

Getting medicine to everyone who needs it involves a dizzying number of moving parts. We aim to make every aspect of that experience as safe, seamless, and delightful as humanly possible. That's why we're committed to fixing a broken pharmacy industry and enhancing the quality of life for others.

We recently raised our Series D, surpassed 400 employees across six locations. Our journey is just beginning, and we welcome you to join us in building a better pharmacy experience for all who need it, everywhere.


Alto seeks a dynamic and energetic General Manager (GM) to develop and launch a best in class Over-The-Counter (OTC) business.  The GM is responsible for the P&L for the OTC business from revenue through to contribution.  The GM will work in close partnership with product and engineering to develop an in app experience launched as MVP and progressing to a best in class patient shopping experience and basket suggestion logic for scheduled deliveries.  The GM will be directly responsible for product assortment selection on an ongoing basis as well as developing and maintaining “the digital shelf.”  Furthermore, the GM will analyze and develop solutions to improve patient metrics across the patient lifecycle journey with focus on deepening basket penetration and share of wallet. The GM will also work closely with the marketing teams to develop and optimize consumer communication to drive OTC growth.

At Alto, culture is one of the key differentiators enabling the firm 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 leader will be single mindedly focused on defining and delivering a rolling 6 month business plan for the OTC business.

This position reports to the Chief Commercial Officer with interfaces across President/CEO, Therapeutic Area General Managers (TA GMs,) Chief Financial Officer (CFO,) Head of Operations, and Head of Product.   The GM will initially lead a team including one Associate and build out the team as the business scales.


The successful candidate will have strong skills and experience across the following areas:

  • eCommerce merchandising, assortment, pricing, and digital shelf management; particularly in an app enabled ecommerce context

  • Creating in app basket recommendations and basket expansion marketing campaigns

  • Thinking strategically to translate high level business objectives into clear, actionable initiates

  • Operating cross functionally working to bring solutions across sales, product, and operations

  • Taking initiative to simplify and solve complex problems influencing across a wide range of interdependent functions


  • Develop and implement 6 month OTC operating plan including leading a clear set of priorities that will rapidly scale the business

  • Partner with product, engineering, and fulfillment to develop and launch a MVP OTC customer experience; rapidly progress to a best in class customer experience

  • Develop item assortment and digital shelf assets for MVP launch and subsequent OTC expansion

  • Analyze and manage profitability from revenue to contribution on the OTC business

  • Establish and manage corporate relationships with key manufacturers to ensure access, maximize margins, and identify revenue driving opportunities

  • Collaborate with marketing to develop OTC-specific content and promotions

  • Monitor customer shopping behavior in app and identify opportunities for improvement

  • Maintain competitive pharmacy OTC pricing analysis at national and regional levels to inform product assortment and pricing


  • 10-15+ years leadership experience in ecommerce, digital marketing, and merchandising/assortment/retail buyer related roles

  • 3-5 years pharmacy related experience desired

  • Excellent business judgment and analytical skills, and can use data to prioritize, drive strategic discussion, and ultimately deliver real outcomes 

  • Resourceful and entrepreneurial spirit. You enjoy doing whatever it takes to break through unexpected barriers and obstacles, and balance detail-orientation with the ability to move fast

  • Deep comfort with cross functional collaboration and leadership through influence

  • Stellar written and verbal communication skills

  • Proven success in a startup or other fast-changing environment a plus

  • B.A/B.S, MBA is a plus

  • A passion for Alto’s mission and values! 

Physical Job Requirements:

  • Read English, comprehend, and follow simple oral and written instructions.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.

  • Communicating with others to exchange information.  Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.

  • Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.

  • Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.

  • Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally. 

    Travel: Yes - Required up to 20% of the time for select industry events and field work

    Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.


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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