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Our mission is to be the world’s most patient-centric pharmacy.

Finance Director & Controller — New Market Expansion

$130k – $175k AngelList Est.
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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 C, surpassed 200 employees across four locations, and are on track to achieve $300M ARR by the end of 2019. Our journey is just beginning, and we welcome you to join us in building a better pharmacy experience for all who need it, everywhere.

The finance director & controller for new market expansion will directly support the Head of Expansion to in scaling Alto from 3 markets today to over 50 markets in 36 months. You will be responsible for all financial analysis, planning, budgeting, P&L management, and coordination with the FP&A team. You will also support identifying the top markets for us to enter, building the business case including the market opportunity, competitive and stakeholder landscape, and ultimately helping defining the GTM playbook. As we expand into new markets this role will build out a regional finance team responsible for financial controllership of each market and directly support the General Manager of each market.


* Develop comprehensive, timely, and accurate financial reporting including a bottoms up financial plan and operational goals
* Leverage financial insights and business acumen to drive effective decision making related to new market prioritization, market launch execution, and new market growth execution
* Financial controllership and accounting for physical facilities and operations including fulfillment, delivery, inventory, local sales and marketing, and local tax compliance.
* Sophisticated financial modeling - build models from scratch, improve existing models, and incorporate into corporate financial reporting consolidations
* Drive Alto’s maturity from startup to enterprise
* Work closely with accounting to provide input on management reporting needs and better understand our actuals vs. plan and forecast
* Develop analytical frameworks and define new processes to support Alto’s growth in new markets
* Identify operational weaknesses and help improve or pioneer new processes to keep local teams as efficient as possible
* Develop high profile communications and presentations targeted to Alto’s leadership team

You are an ideal candidate if you:

* 8+ years of experience in a combination of controllership, operations, and finance/FP&A roles 
* Experience supporting ecommerce, delivery models, B2B sales, and/or consumer retail - healthcare experience a plus, but not required
* Experience in a startup or other fast-changing environment and in consumer markets 
* 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
* Experience building and managing a distributed team
* Have strong business judgment and analytical skills, and can use data to prioritize, drive strategic discussion, and ultimately deliver real outcomes. Ability to communicate and listen effectively with great written, verbal and presentation skills. 
* Are extremely resourceful and entrepreneurial. Enjoy doing whatever it takes to break through unexpected barriers and obstacles, and balance detail-orientation with the ability to move fast.
* B.A/B.S, MBA is a plus.
* Have a passion for Alto’s mission and values!

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 apart of Alto’s success. 
* Want a passionate, humble, and exciting culture

Want to learn more about Alto? Check out our blog. (blog.alto.com)  

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.