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. This is enabled by Ro's vertically integrated platform that helps patients achieve their goals through a convenient, end-to-end healthcare experience spanning from diagnosis, to delivery of medication, to ongoing care. Since 2017, Ro has helped millions of patients in nearly every single county in the United States, including 99% of primary care deserts.

Ro is consistently recognized as a top workplace in Health Care, in New York, and for Women and Parents—earning more than 20 honors from Fortune, Great Place to Work, and PEOPLE since 2021. In 2025 alone, we ranked top 5 among medium workplaces in Health Care and New York, and top 50 nationwide.

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 play a critical role in shaping the future of pharmacy operations at Ro, driving innovation through automation, regionalization, and continuous improvement. The ideal candidate brings a systems-thinking mindset, strong operational rigor, exceptional interpersonal skills, and the ability to lead high-performing teams in a complex, regulated environment.

This role is embedded onsite, with its primary location at our Romeoville, IL facility, and requires regular travel to other pharmacy sites, including Florida and California.

What You'll Do:

• 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 that enhance scalability, improve patient outcomes and delivery experience, 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 to support uninterrupted operations
• Ensure compliance with all applicable FDA, Board of Pharmacy, OSHA, quality, safety, and regulatory requirements through rigorous operational controls and strong cross-functional partnership with Quality, People, and Compliance teams
• 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

What You'll Bring:

• 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

We've Got You Covered:

• 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

The target base salary for this position ranges from $237,200-$279,000, in addition to a competitive equity and benefits package (as applicable). When determining compensation, we analyze and carefully consider several factors, including location, job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

Ro recognizes the power of in-person collaboration, while supporting the flexibility to work anywhere in the United States. For our Ro’ers in the tri-state (NY) area, you will join us at HQ on Tuesdays and Thursdays. For those outside of the tri-state area, you will be able to join in-person collaborations throughout the year (i.e., during team on-sites).

At Ro, we believe that our diverse perspectives are our biggest strengths — and that embracing them will create real change in healthcare. As an equal opportunity employer, we provide equal opportunity in all aspects of employment, including recruiting, hiring, compensation, training and promotion, termination, and any other terms and conditions of employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, familial status, age, disability and/or any other legally protected classification protected by federal, state, or local law.

Ro is committed to providing reasonable accommodations for qualified individuals with disabilities in our application and interview process. If you require a reasonable accommodation in the application or interview process, please contact us at talent@ro.co.

See our California Privacy Policy here.