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Alto // digital pharmacy
San Francisco, CA, United States    Posted: Saturday, January 11, 2020
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Healthcare is complicated. But it doesn't have to be. Alto's mission is to fulfill medicine's true purposeto improve the quality of life for everyone who needs it. We are a modern pharmacy changing the way people manage & 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, & real-time coordination with doctors & 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, & delightful as humanly possible. That's why we're committed to fixing a broken pharmacy industry & enhancing the quality of life for others.

We recently raised our Series C, surpassed 400 employees across four locations, & achieved $200M ARR in 2019. Our journey is just beginning, & we welcome you to join us in building a better pharmacy experience for all who need it, everywhere. We are looking to scaling Alto from 3 markets today to over 50 markets in 36 months.

Alto is building the world's most patient-centric, tech enabled pharmacy, & we are seeking an FP&A (Customer Care) Analyst to be a key member of our quickly growing FP&A team. You will be responsible for building & maintaining all revenue & demand planning & for preparing analysis to drive optimized decision-making & assess business development opportunities.

You will help create the framework to measure the success of therapeutic areas, return on Sales initiatives & marketing investments, & the preparation & design of our next generation of business metrics, reporting & forecasting models. As a result, you will gain exposure to senior-level decision making & develop lasting relationships across the company.

The ideal candidate needs to be a dynamic self starter with a passion for continuous process improvement in a fast paced, high growth environment, & the ability to clearly communicate deliverables & recommendations.


  • Work closely with Finance & Operations leadership to own, build & evolve complex financial models, budgeting processes & forecast for the Customer Care department (including resource planning, workflow management etc)
  • Develop a stable cadence with business partners to review monthly actuals, update forecast & deliver monthly reporting of headcount, spend & capital.
  • Partner with Customer Care to interpret financial information, evaluate operational & workflow effectiveness, & participate in streamlining organizational activity & reporting.
  • Develop performance indicators, highlighting trends & analyzing causes of unexpected variances & support the creation & reporting of financial KPIs for the Customer Care department as applicable.
  • Identification & maintenance of key metrics & forward-looking modelling tools to help Customer Care enhance their financial & operational performance trends, provide insights into performance & unit profitability (including Care cost per delivery, time sent per prescription, etc.)
  • Identify & lead initiatives to continuously improve, automate, & scale forecasting, dashboards & reporting tools, processes, & methodologies, to monitor the financial performance of the company, & ensure reporting, measurement & forecasting consistency across all regions
  • Invest in yourself - be creative, adaptive, & eager to learn new technical skill sets
  • Collaborate with the Accounting team with monthly close by preparation of variance analysis for forecast Customer Care costs to actual spend.
  • Prepare & provide ad hoc reporting & analysis requested by Finance, Operations & Customer Care leadership as needed to support the business.

You are an ideal candidate if you:

  • Bachelors Degree in Accounting, Finance,Business Administration or similar field
  • At least 5 years experience in a similar role
  • Advanced proficiency in Microsoft Excel (macros, pivots, lookups), Access, SQL and/or VBA
  • Experience with Customer Care department or division is preferred
  • Highly analytical, strong attention to detail & an ability to set & meet tight deadlines.
  • Industry experience in healthcare a plus
  • Passionate about building a young company & comfortable working in a fast-past changing environment
  • Proven ability to thrive working in a highly collaborative team environment
  • Strong ability to self-reflect, learn, & be honest about development areas
  • A passion for Altos mission & values!

Youll love this role if you:

  • Want to be a part of a fast-paced & ever changing start up
  • Enjoy playing a key role in a growing team & want to be part of Altos success.
  • Want a passionate, humble, & exciting culture

Want to learn more about Alto? Check out our blog.

Alto Pharmacy is an Equal Opportunity Employer & 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 & conviction records. We are an E-Verify company.

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