Head of UK Operations

Aios Medical (YC W20/S21); United Kingdom; On-site; GBP 100,000 - 150,000; Full time

Job summary

An innovative healthcare startup is looking for a UK General Manager for their Bolt Pharmacy operations. This role involves overseeing a new facility aimed at processing over 35,000 orders daily. The ideal candidate will have a strong background in managing fulfillment sites, driving process improvements, and ensuring operational efficiency. This position requires effective people management skills and the ability to handle rapid growth without chaos. There's a comprehensive compensation package including salary range of £100k–£150k/year, equity, and extensive benefits.

Benefits

Comprehensive medical insurance

PTO with a minimum obligation

Personal development budget

Free biweekly health coaching

Macbook & work-from-home equipment

Qualifications

• Experience managing fulfillment sites handling 10,000+ orders daily.
• Proven record in process design and layout to improve workflow.
• Strong understanding of high-value inventory controls.

Responsibilities

• Oversee operations for the new UK site to handle 35,000+ orders per day.
• Build and manage an operations team focused on efficiency and accountability.
• Drive continuous improvement across all operational processes.

Skills

People management

Process improvement

Cost management

Security & stock control

Operational efficiency

UK logistics experience

Job description

About Aios Medical

Our overarching mission is to accelerate the mass-market global adoption of consumer biotech products so every human can live at least 100 healthy years.

Our immediate focus is excess bodyweight. We are accelerating the global take-up of GLP-1 medications by increasing their accessibility to help solve obesity worldwide.

To do that, we’re building an AI-powered clinical operating system: ClinicOS. ClinicOS makes it effortless for consumer brands to easily offer direct-to-patient healthcare, globally. We work with external Brand Partners, as well as using this infrastructure to scale our own internal consumer healthcare brands.

Since we launched Fella Health in the US in June 2021, Fella has positioned itself as no-nonsense weight loss for busy bigger guys. Today, we operate multiple brands across the US & UK — our two biggest are Fella Health (US & UK) and Bolt Pharmacy (UK).

Our infrastructure will have served 100 million patients worldwide by 2035. We’ll then use that direct-to-patient infrastructure to serve next-gen biotech products at-scale to increase the proportion of humans living at least 100 healthy years.

In so doing, we’ll become the world’s first trillion dollar healthcare company.

How far along are we?

We’ve grown >1000x since Aug 2021, >200x since Aug 2022, >40x since Aug 2023. We’re serving >40k customers with high NPS. We’re >$50M/yr revenue. We’ve been cashflow positive for >24mo.

We’re a young startup and we’re just getting started. This is still Day 1 and all our work is ahead of us.

We're backed by top healthcare & consumer investors:

• Y Combinator

• Global Founders Capital — backed Facebook, Slack, LinkedIn, Revolut, Rocket Internet

• AngelList Early Stage Fund (backed by Naval Ravikant)

• BrandProject (venture-builder behind 2 unicorns)

• The founders of Indeed, Curative (unicorn), Alan (unicorn), Kaia Health (>$300mil valuation), Vouch Insurance (>$500mil valuation), Not Boring (Packy McCormick)

You can read more about working with us here: Working at Aios Medical https://fella.notion.site/working-at-aios-medical

The opportunity as the UK General Manager at Bolt Pharmacy

We’re building a world-class team.

As Head of UK Operations at Bolt, your fundamental role is to build and scale the physical and logistical backbone that makes fast, safe, and high-quality patient delivery possible. You’ll take full ownership of our UK operations from the current pharmacy setup to the design and launch of our next-generation facility.

You’ll build the systems that let us move from 4,000 to 35,000 orders a day without chaos. You’ll streamline every step of dispensing, automate where possible, and create clear flow across receiving, checking, packing, and handoff. You’ll strengthen cold chain and inventory security, implement scan-based verification, and ensure the operation is ready to handle 10x scale.

At its core, this role is about running the four walls of the operation:

• People management:

  You’ll lead the on-site operations team day to day. This includes hiring, training, scheduling, performance management, and making hard calls when needed. You’ll set clear standards on the floor and build a culture of pace, precision, and accountability.

• Process improvement & throughput:

  You’ll continuously improve how work gets done. This means driving micro-optimizations in layout, tooling, and workflow to increase throughput while maintaining quality. You’ll own the path from today’s scale to 10k, 20k, and 35k+ orders per day.

• Daily facility operations:

  You’ll keep the building running. From suppliers and pickups to equipment, maintenance, safety, and site readiness, you’ll ensure the operation is stable, compliant, and resilient even under spikes or unexpected issues.

Great performance in this role means the site runs smoothly at scale, error rates trend down, speed increases, and the team can absorb rapid growth without chaos or burnout.

This is a full-time, UK-based role, with some meetings around midday Pacific Time for calls as needed.

You’ll report directly to Jordan Pellikan (Head of CX & Ops).

You’ll also work closely with:

• Richie (CEO)

• Saim (UK Lead)

• Ben Dowdle (Head of Product)

Key responsibilities

• Take full ownership of the new UK site built to handle 35,000+ daily orders

  • Own day-to-day execution across the facility, ensuring the site runs smoothly every day

  • Build systems and routines that keep dispensing, packing, and delivery running reliably at scale

  • Own cold-chain integrity end to end as volume grows, including capacity planning, monitoring, and failure response

  • Tighten physical security and stock control for high-value inventory

  • Own throughput, error rates, and SLAs, using metrics to drive daily decisions on the floor

• Build and lead the operations team

  • Define clear structure, ownership, and station responsibilities on the floor

  • Hire, train, and coach team members for consistency, speed, and quality

  • Manage performance actively, address underperformance early, and make hard people decisions when needed

  • Establish daily reporting, operating rhythms, and clear escalation paths

• Drive process improvement and throughput

  • Continuously improve workflow across receiving, checking, packing, and handoff

  • Lead micro-optimizations in layout, tooling, and standard work to increase throughput without sacrificing quality

  • Scale the operation in clear steps (current state → 10k → 20k → 35k+ orders per day)

• Evaluate automation pragmatically

  • Explore automation and tooling only where it meaningfully reduces errors or manual load

  • Pilot practical solutions in packing, checking, or cold-chain prep when stability and volume justify it

  • Prioritize reliability and execution over heavy or experimental tech builds

• Ensure delivery reliability at scale

  • Own outbound performance and day-to-day coordination with logistics partners

  • Ensure delivery remains predictable and resilient as order volume increases

  • Escalate and resolve issues quickly to protect patient experience

Need to have

• Scale in live operations: You’ve run or scaled a fulfillment/distribution site at 10k+ orders/day. You know how to take a site from hundreds to a few thousand orders/day without chaos.

• Process + layout design: You’ve mapped end-to-end flows (receiving → dispensing → checking → packing → handoff), balanced stations, and removed failure points. You can design a floor layout for speed and clarity.

• Security & stock control: You’re comfortable with high‑value inventory controls: Access, storage, counts, reconciliations, and chain of custody.

• Cost & ROI mindset: You reduce cost per order while holding the line on speed, quality, and compliance. You

• People leadership: You hired effective leaders and built teams with a high cultural standards and clear accountability. Leading large teams 100+ in fast‑paced, operational environments such as logistics, warehousing etc

• Ownership & autonomy: You are obsess with efficiency: spotting bottlenecks, redesigning workflows. Anticipate blockers and proactively solve them before they become an issue.

• UK logistics experience: You’ve worked with parcel carriers (e.g., DPD/Royal Mail/3PLs) at scale and can make pickups, manifests, and exceptions reliable

  • You can build and maintain close relationships with senior leadership at key partners like Novo Nordisk and Lilly to drive growth and resolve challenges.

• Multi‑site scalability: You’ve built systems and playbooks that can be replicated across future locations. You are able to translate vision into concrete plans, projects, and targets and then work towards achieving those roadmaps.

Nice to have

• Automation/robotics: You’ve evaluated or deployed practical automation for dispensing, checking, packing, or cold‑chain handling (including external vendors).

• Pharmacy/regulated ops: You’ve worked in or alongside GPhC/MHRA environments and understand what “good” looks like for compliance in a live pharmacy setting.

• Move & commissioning: You’ve stood up a new site: layout, staffing plan, go‑live, and a low‑downtime transition & documented everything.

• Delivery network depth: You’ve negotiated SLAs, built peak plans/contingencies, and improved first-attempt success at scale.

• Hub-and-spoke literacy: You understand central‑fill models and how they change staffing, flow, and stock positioning.

• Startup pace: You’ve operated in high-velocity settings where priorities move fast and “done” beats “perfect.”

• Throughput & quality metrics: You build simple dashboards (throughput, error rates, SLAs, cold‑chain readiness) and use them to spot bottlenecks and improve week over week.

Our cultural standards

1. Belief in the mission: We will have served 100 million patients by the end of 2035 and we transform the life of most patients who join. We have a lot of work to do. We are obsessed with our patients and are dedicated to the mission.

2. Unwavering integrity: We are at the frontier, so we often live in ambiguity with no trodden path. When we can’t look to others for guidance, we must maintain impeccable ethics and unwavering integrity.

3. Only the paranoid survive: Bad sh*t is coming. By joining us, you’re choosing to sail straight towards the storms with unhesitating conviction. However much we’ve already done, however far we’ve already come — it’s still Day 1 and all our work is ahead of us.

4. If we’re average we fail: We are only interested in “insanely great”, a focus on the quality of our execution that in everyday life would be considered pathological. We have a dedication to excellence and reject incompetence.

5. Commitment to candor: That which can be destroyed by the truth should be. You get full transparency from the company and the company expects full transparency from you. We never say anything about someone that we wouldn’t say to them directly. We give feedback with love and do not need to protect people from fleeting physical sensations.

6. A maniacal sense of urgency: We execute at an intensity that most people think is impossible. Speed is critical and we need things done yesterday. We all work very hard and in such a competitive world there really is no other way to win.

7. Enduring frugality: We are frugal. We hate being wasteful and we are anti-luxury. A culture of cheapness keeps us young. We spend our cash wisely & carefully — in a way that would make our grandmas proud.

8. Bulldozing barriers: The world is malleable and we shape it. We truly believe this and act accordingly. We are relentlessly resourceful and are at the mercy of no-one but ourselves. You’ll be shocked how capable you are and how much you can achieve.

9. Keep your head down: We’re boring people doing exciting work. We don’t chase short-term status — we ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that.

10. The power of focus: We live in a world of power laws and we cannot overestimate the unimportance of practically everything. Know your One Thing, and nail it.

🎯 “You just build a f*ing amazing experience. Make each step amazing. Make every decision in the long term interest of the customer. Give the customer massively more value than you take.”

Compensation & Benefits

• Compensation: £100,000–£150,000/year including equity

• Healthcare: comprehensive medical insurance (if appropriate)

• Vacation: PTO with a yearly minimum (≥2wks/yr + local national holidays)

• Remote: our team is fully distributed across the world and functions fully remotely

• Personal development: budget for books, courses, coaching ($1200/yr)

• Personal wellness: budget for gym, health apps ($1200/yr)

• Coaching: free biweekly health coaching

• Equipment: Macbook & work-from-home equipment provided as needed

• What are we missing? We’re still early so you get to shape our culture.