Full-Time

Director – Delivery

Posted on 10/30/2025

Alto Pharmacy

Alto Pharmacy

501-1,000 employees

Same-day digital pharmacy with pharmacist consultations

Compensation Overview

$144k - $180k/yr

+ Commission + Bonus

No H1B Sponsorship

Washington, USA + 17 more

More locations: Kansas, USA | Pennsylvania, USA | Oregon, USA | California, USA | Texas, USA | Jackson Township, NJ, USA | Florida, USA | Nevada, USA | South Carolina, USA | Arizona, USA | Tennessee, USA | Arkansas, USA | Colorado, USA | New York, NY, USA | Maryland, USA | North Carolina, USA | Missouri, USA

Remote

Must reside in one of the following states: AZ, AR, CA, CO, FL, KS, MD, MO, NV, NJ, NY, NC, OR, PA, SC, TN, TX, WA, WI.

Category
Operations & Logistics (3)
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Requirements
  • Bachelor’s degree or equivalent experience in Business, Supply Chain, Logistics, or a related field.
  • 5-8 years of progressive experience in operations or delivery logistics, including 3+ years in a leadership role.
  • Experience managing delivery operations, with knowledge of last-mile logistics and route optimization.
  • Self-motivated individual with the capacity to take full ownership of tasks from start to finish while collaborating effectively with team members.
  • Strong understanding of operational metrics, reporting, and continuous improvement methodologies.
  • Proven ability to manage teams, drive accountability, and foster a culture of safety and excellence.
  • Demonstrated ability to take ownership of work, driving projects and tasks to completion with minimal oversight.
  • Strong sense of accountability for results, with a track record of delivering on commitments and following through on responsibilities.
  • Ability to proactively identify issues, propose solutions, and see them through to resolution.
  • Excellent communication and interpersonal skills; comfortable working cross-functionally.
  • Familiarity with delivery software tools, routing systems, and CRM platforms.
Responsibilities
  • Manage daily operations of courier and mail last mile delivery across the nation.
  • Develop and drive key performance indicators to ensure accurate, on-time deliveries, positive patient experience and continuous improvement.
  • Execute existing delivery strategies and provide daily and weekly input and formal report outs to senior leadership on performance and enhancements.
  • Assess delivery carrier and performance risks and opportunities and provide timely communication regarding such assessments.
  • Act as the lead communicator internally and externally regarding Alto’s delivery needs.
  • Facilitate communication between external delivery partners and internal stakeholders such as Legal, Finance, and Pharmacy Operations.
  • Partner with and manage vendors, evaluate service excellence and cost optimization.
  • Collaborate with internal stakeholders to support the launch of new delivery capabilities or markets.
Desired Qualifications
  • Experience in a regulated healthcare, pharmacy, or digital health delivery environment.
  • Exposure to lean, six sigma, or other process improvement frameworks
  • Experience managing third-party logistics partners.
  • Proficiency in logistics or workforce management platforms.

Alto Pharmacy delivers medications to customers’ doors the same day and offers pharmacist consultations through its mobile app. Customers order through the Alto app, receive same-day delivery, and can ask licensed pharmacists about side effects and interactions, with the company also actively seeking discounts to keep prices low. It differentiates itself by prioritizing convenience, direct pharmacist access, and price-saving services, and it has joined the Team Cuban Card network to grow its reach. Its goal is to provide easy, affordable access to medications and reliable pharmacist guidance for busy people and those on long-term therapies.

Company Size

501-1,000

Company Stage

N/A

Total Funding

$683M

Headquarters

San Francisco, California

Founded

2015

Simplify Jobs

Simplify's Take

What believers are saying

  • Fuze Health acquisition expands reach into women's health and fertility markets nationwide.
  • Alto Technologies enterprise offering monetizes platform for pharma and digital health partners.
  • Cost Plus partnership with Mark Cuban increases medication affordability and customer acquisition.

What critics are saying

  • Fuze merger subordinates Alto brand to Truepill's scale, diluting independent market position.
  • Amazon Pharmacy's same-day delivery in 12 markets directly undercuts Alto's core convenience.
  • Thin pharmacy margins compressed by PBM dominance and aggressive pricing competition.

What makes Alto Pharmacy unique

  • Pharmacist-led model with 70% medication adherence versus 50% industry average.
  • Full-stack platform integrating prescription management, delivery, and 24/7 virtual care.
  • Industry-leading NPS score of 86 with active price optimization across insurance plans.

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Benefits

Generous time off

Comprehensive medical, dental, & vision plans

401k

Life & disability insurance

Parental leave

Equity

Growth & Insights and Company News

Headcount

6 month growth

-1%

1 year growth

0%

2 year growth

-1%
Femtech Insider
May 26th, 2025
Fuze Health Expands with Alto Acquisition

Fuze Health has launched with a focus on women's health after acquiring Alto, a digital pharmacy specializing in women's health and fertility treatments. This acquisition enhances Fuze Health's capabilities in providing comprehensive at-home care, including nationwide fertility treatment delivery. The platform offers lab tests, genomic testing, prescription management, and 24/7 virtual care. The integration aims to improve care quality and accessibility for women with specialized health needs.

HIT Consultant
May 23rd, 2025
Fuze Health Launches, Uniting Truepill, Letsgetchecked, And Alto To Transform At-Home Personalized Care

What You Should Know: – Fuze Health, a new technology-powered healthcare solutions company, launches with a commitment to transforming patient experiences and advancing personalized care. – The company aims to enable healthcare partners—including care providers, employers, health plans, and life sciences companies—to excel in an outcomes-focused system, while empowering patients to more comprehensively manage their health at home.Comprehensive At-Home Care: From Testing to Treatment and BeyondFuze Health emerges from the 2024 merger of virtual pharmacy pioneer Truepill and home health screening leader LetsGetChecked. This week, Alto, a leading digital pharmacy with deep expertise in women’s health, also joined the company. This powerful combination is positioned to deliver more therapies and support to a greater number of patients in more locations, particularly through innovative digital tools for in-home care.Fuze Health powers technology-led health experiences that millions of patients currently rely on by digitally connecting them to their care providers, essential health resources, and necessary treatments. Through their providers, patients can access a suite of at-home services, including lab tests, genomic testing, and preventative screenings. Additionally, Fuze Health enables patients to manage their prescriptions, arrange home delivery of medications, and receive ongoing 24/7 virtual care support for a wide range of health conditions.By connecting the patient experience across the entire continuum of care—from testing to treatment to overall wellness—Fuze Health helps advance more personalized care tailored to each patient’s specific needs. This more complete, real-time view of patient conditions, risks, and treatment experiences allows healthcare partners to proactively refine care and treatments, reduce care gaps, prevent more serious health issues, and help patients achieve better overall health.Alto Joins Fuze Health, Expanding Pharmacy and Women’s Health CapabilitiesThe integration of Alto significantly expands Fuze Health’s pharmacy services

Babcox Media
Mar 8th, 2025
Alto introduces PowerPack for GM 6L80E, 6L90E

Alto has introduced a high-performance PowerPack for GM 6L80E and 6L90E transmissions, model years 2006 and on.

Bloomberg L.P.
Nov 26th, 2024
SoftBank-Backed Alto Pharmacy Raises $40 Million Via Convertible Note

Alto Pharmacy, a digital pharmaceutical startup based in San Francisco, has raised at least $40 million from investors in the form of a convertible note, according to people familiar with the matter.

PYMNTS
Nov 25th, 2024
How Alto Pharmacy Is Redefining The Pharmacy Experience Through Digital Innovation

Alto Pharmacy is changing the pharmacy experience by leveraging digital solutions to improve patient care, streamline medication access and lower costs, said Karen Martell, vice president of enterprise partnerships for Alto Pharmacy. In an interview with PYMNTS, Martell explained the company’s business model is designed to raise adherence rates by eliminating barriers associated with traditional pharmacies, whether it’s finding the time to go to a pharmacy, waiting in line, sticker shock at the cost of a medication, insurance coverage or accessing expert care. “What started as two founders hand-delivering medication to patients has evolved into a full-service, digital pharmacy that’s served more than 500,000 patients,” Martell said. “We also recently launched Alto Technologies, our enterprise services offering that empowers pharmaceutical companies, digital health providers, and others across the industry with tailored technology solutions that elevate the patient experience, improve medication access and delivery, and set new standards for convenience, cost, and care

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