Manager, Real Estate

Alto Pharmacy San Francisco , CA 94118

Posted 2 months ago

We're building a new kind of pharmacy to cure one of our healthcare system's most startling ills: over 50% of prescriptions are never picked up. Because staying on track with doctor's orders requires more than just delivering pills, we're managing everything from insurance logistics to pricing, late-night questions to supply chain, and anything else that could stand in the way of effective treatment. Our more than 400 employees are dedicated to fulfilling medicine's true purpose: to improve the quality of life for everyone who needs it. We've filled over 1 million prescriptions to date. To aid our calling, we've raised $354 million in funding, and we're on track to achieve $1 billion in annual recurring revenue (ARR) by 2021. Join us as we prove just how much a pharmacy can deliver.

As the Manager, Real Estate, you will be responsible for strategizing, coordinating and driving successful delivery on all aspects related to our real estate expansion to new markets. You will work with a cross-functional internal and third party team to ensure that all facilities meet the requirements and are ready to operate on time. You will have the opportunity to work on projects distributed across the country, spanning from 4000 SF to 80,000 SF and from dispensing pharmacies to headquarters.

Accelerate your career as you:

  • Play a direct role in all set up activities for new real estate locations and are ultimately responsible for the successful execution of real estate related tasks at all new locations in both our existing and new markets.

  • Collaborate with multiple business partners internally (Workplace Services/IT, Expansion, Legal, Finance, Talent, etc) and externally (broker, landlords, GCs, architects, etc) to drive responsibilities and timely delivery of projects.

  • Coordinate all aspects of real estate expansion including touring new sites, RFP, LOI, lease, obtaining insurance, design, permitting, construction and build out, space planning and space management, furnishing etc, with ultimate handoff to business partners.

  • Select external vendors via an RFP process using RFP technologies (architects, general contractors, expeditors, security, IT, furniture, etc). Direct, manage and coordinate vendors day-to-day to ensure successful project outcomes.

  • Work cross functionally to gather requirements, and, effectively and efficiently plan, document, and prioritize all goals, objectives, and timelines. Develop and manage budgets. Produce executive level reporting and status to support decision making and prioritization.

  • Mentor cross-functional team members regarding real estate considerations.

  • Track progress of each project against goals, objectives, approved budgets, approved timelines. Report status and variances. Create action plans to meet objectives, budget and schedule.

  • Communicate and document project status, potential risks, and strategic recommendations to cross functional team members and senior management on a regular basis.

  • Identify project risks, develop risk mitigation and contingency plans, and implement action plans to reduce or eliminate project risks.

  • Be a champion of Alto's culture and bring our fun, empathetic, and inclusive work culture to new markets.

Role Requirements

Minimum qualifications:

  • At least 8 years of experience in high-growth and dynamic startup environments.

  • Prior end-to-end experience with real estate and construction projects, including working understanding of related activities (agreements/contracts, permits, leases, work letters, project charters, surveys and drawings, space plans, design and build out, etc.). Experience collaborating with FP&A to present pro forma budgets.

  • Working knowledge of applicable cost metrics (e.g. square foot and/or unit costs for design, interior tenant finish and general construction, FF&E, and associated project costs); expertise analyzing contractor proposals (inclusive of bids, change requests and change orders), and overseeing work to gain most value from project dollars expended; review of payment requisitions from contractors and vendors; and implement "value engineering" activities.

  • Ability to travel nationally at least 30%. Launching new markets means you will spend a lot of time on the road, traveling to wherever business needs you on short notice.

  • Very organized with excellent project management and communication skills and the ability to work across all levels of an organization.

  • Strong interpersonal skills: Ability to build cross functional relationships and create a hard-working but fun workplace.


  • At least a B.A./B.S. in Business, Finance, Economics or any related field.

  • Preferable to have experience with IT set up and other technical considerations for new site construction including security systems

  • Ability to work with remote teams and across time zones through clear and concise communication and reporting tools.

  • Problem-solving mindset, ready to crack any challenge that comes your way, all while being resilient. Ability to balance swift pace of execution with attention to detail. Self-motivated, self-directed and accountable to take ownership of tasks to ensure solution.

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 a part of Alto's success.

  • Want a passionate, humble, and exciting culture

  • Have a passion for Alto's mission and values!

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.

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Manager, Real Estate

Alto Pharmacy