VP, Pharmacy Operations

Ro is a direct-to-patient healthcare company with a mission of helping patients achieve their health goals by delivering the easiest, most effective care possible. Ro is the only company to offer nationwide telehealth, labs, and pharmacy services, enabled by a vertically integrated platform that spans diagnosis, medication delivery, and ongoing care. Since 2017, Ro has served millions of patients in nearly every U.S. county, including 99% of primary care deserts, and has earned over 20 workplace honors from Fortune, Great Place to Work, and PEOPLE since 2021.

About the Role

As the VP of Pharmacy Operations, you will lead end-to-end fulfillment strategy and execution across a multi-site pharmacy network, with full ownership of operational performance, service levels, patient experience, regulatory compliance, and financial outcomes. You will partner closely with leaders across Supply Chain, Tech, Finance, Quality & Safety, Compounding, and Patient Experience teams to build a scalable, efficient, and patient-centric operation. Reporting to the Chief Pharmacy & Logistics Officer, you will drive innovation through automation, regionalization, and continuous improvement. This role is based onsite at our Romeoville, IL facility and requires regular travel to other pharmacy sites, including Florida and California.

Responsibilities

• Own operational performance management across the pharmacy network through KPI reporting, forecasting, and standardized operating mechanisms that drive throughput, quality, delivery reliability, and unit economics.
• Drive large-scale operational excellence and continuous improvement initiatives to enhance scalability, improve patient outcomes, reduce costs, and strengthen operational resilience.
• Own the strategy and performance of automation systems, driving uptime, throughput optimization, and capital efficiency across the network.
• Lead network optimization and routing strategies in partnership with Supply Chain and Logistics teams to improve delivery speed, routing efficiency, fulfillment accuracy, and overall network performance.
• Establish and execute workforce planning & strategy, aligning staffing models with demand forecasts, automation capabilities, productivity targets, and budget.
• Build, lead, and develop a high-performing operations organization through strong leadership, employee engagement, talent development, and a culture of accountability and continuous improvement.
• Collaborate closely with cross-functional partners to ensure seamless execution from production through final-mile delivery.
• Own pharmacy licensing strategy and execution across all operating states, ensuring proactive management of new licenses, renewals, and related regulatory requirements in partnership with Legal and Compliance teams.
• Ensure compliance with all applicable FDA, Board of Pharmacy, OSHA, quality, safety, and regulatory requirements through rigorous operational controls and cross-functional partnership.
• Lead organizational transformation and change management initiatives related to automation, process redesign, operational scaling, and evolving business priorities.
• Serve as a key operational leader to executive stakeholders, translating business strategy into scalable operational capabilities and execution plans.

Requirements

• 12+ years of experience in pharmacy operations, fulfillment, or supply chain, with significant multi-site leadership experience.
• Proven track record of leading large-scale mail-order pharmacy operations or high-volume fulfillment operations.
• Deep experience in workforce planning, labor optimization, and scaling operations in high-growth environments.
• Strong understanding of automation and systems integration, with experience leading implementation or optimization initiatives.
• Experience operating in highly regulated environments, with knowledge of pharmacy licensing, compliance, and quality standards.
• Data-driven leader with strong financial and analytical acumen, including ownership of unit economics and operational KPIs.
• Demonstrated ability to influence and align cross-functional stakeholders at all levels, including executive leadership.
• Strong people leadership skills, with experience in building, developing, and retaining high-performing teams.

Benefits

• Full medical, dental, and vision insurance + OneMedical membership
• Healthcare and Dependent Care FSA
• 401(k) with company match
• Flexible PTO
• Wellbeing + Learning & Growth stipends
• Paid parental leave + Fertility benefits
• Pet insurance
• Student loan refinancing
• Virtual resources for mindfulness, counseling, and fitness

Pay

The target base salary for this position ranges from $234,200 to $275,500, in addition to a competitive equity and benefits package. Compensation is determined based on location, job-related knowledge, skills, and experience.

Schedule

Ro supports flexibility to work anywhere in the United States. For team members in the tri-state (NY) area, in-person collaboration is expected at HQ on Tuesdays and Thursdays. For those outside the tri-state area, in-person collaborations occur throughout the year (e.g., during team on-sites).