Executive Vice President of Operations | High-Growth Compounding Pharmacy

Optimal Balance Pharmacy; Houston (TX); On-site; USD 240,000 - 420,000; Full time

Benefits offered by this job

Relocation package

Performance incentives

Job summary

Optimal Balance Pharmacy is seeking an Executive Vice President of Operations to lead national growth and build the operating infrastructure required to scale well beyond current size. The role demands a builder, operator and strategic leader capable of shaping people, processes, technology and facilities for multi-state expansion.

The EVP will oversee pharmacy operations, fulfillment, shipping, inventory and procurement, reporting to ownership and collaborating with Quality, Regulatory and

Qualifications

• PharmD or pharmacy background is valuable but not required.
• Experience scaling operations in large, high-volume organizations.
• Ability to design KPIs and management dashboards for performance.

Responsibilities

• Lead and develop the operational leadership team across pharmacy operations, fulfillment, shipping, inventory and procurement.
• Build a scalable operating structure with clearly defined responsibilities and accountability.
• Drive improvements in prescription throughput, turnaround time, labor efficiency and operating cost.
• Develop staffing models and workforce plans aligned with current volume and future demand.
• Partner with Quality and Regulatory to ensure compliance and inspection readiness.

Skills

Executive leadership

Operations management

Strategic planning

Data-driven decisions

Automation technology

Cross-functional leadership

Regulatory compliance

Education

PharmD (preferred but not required)

Tools

Automation systems

Pharmacy workflow technology

Job description

Optimal Balance Pharmacy is seeking an exceptional Executive Vice President of Operations to help lead the organization through its next stage of national growth.

Optimal Balance Pharmacy is entering its next stage of growth, and we are searching for an exceptional Executive Vice President of Operations to help build the operating infrastructure required to scale us several times beyond our current size.

Today, OBP has approximately 150 employees, is licensed in 35 states with additional states in process, operates a nationwide sales organization of approximately 70 representatives, and offers more than 250 compounds.

We are not looking for someone to maintain an operation. We are looking for someone who has scaled one.

Our ambition is to build Optimal Balance into one of the largest and most recognized compounding pharmacy brands in the country. Reaching that level will require an entirely new level of operational infrastructure, leadership, technology and discipline.

We are looking for a builder, operator and strategic leader who understands what pharmacy operations look like at serious scale and can help architect the organization required to support several times our current volume.

We are investing heavily in automation, technology, facilities, leadership, quality and infrastructure.

We are not looking for someone to simply maintain an existing operation.

We are looking for someone who has scaled one.

We are investing heavily in quality systems, regulatory expertise, technology, facilities, automation, training, leadership, and infrastructure to support OBP's long-term growth.

This is not a role for someone who simply checks boxes or prepares for an inspection when one is approaching.

We are looking for someone who builds systems that keep the organization inspection-ready every day.

The right executive will be a builder, operator and strategic leader capable of helping architect the people, systems, processes, technology and infrastructure required to support several times our current volume.

Reporting Structure and Organizational Scope

The Executive Vice President of Operations will report directly to ownership and serve as a key member of the executive leadership team.

The EVP will directly lead pharmacy operations, fulfillment, shipping, inventory, procurement and related operational functions. The Program Manager responsible for supporting major operational initiatives and implementation will also report to the EVP.

This executive will partner closely with Compounding, Quality, Regulatory and Compliance leadership, while respecting the independent authority and statutory responsibilities of the Pharmacist-in-Charge.

What You Will Own

You will have executive-level responsibility for the performance, scalability and continued development of our pharmacy operations.

Your mandate will include:

• Lead and develop the operational leadership team across pharmacy operations, fulfillment, shipping, inventory, procurement and related operational functions.
• Build a scalable operating structure with clearly defined responsibilities, accountability and decision-making authority throughout the organization.
• Drive measurable improvements in prescription throughput, turnaround time, labor efficiency, productivity, capacity utilization, inventory performance, service levels and operating cost.
• Evaluate and continuously improve the entire prescription lifecycle, from prescription receipt and processing through compounding, pharmacist verification, fulfillment and shipping.
• Identify operational bottlenecks, determine causes and eliminate constraints to growth.
• Develop staffing models and workforce plans aligned with current prescription volume, production requirements and anticipated future demand.
• Build leadership bench strength by recruiting, mentoring and developing managers and future operational leaders.
• Manage and develop managers while establishing a culture where leaders understand their numbers, own their departments and are accountable for results.
• Evaluate and implement systems capable of supporting significantly greater prescription volume without requiring proportional increases in headcount.
• Lead capacity planning across people, facilities, equipment, technology and automation.
• Develop future-state operating plans based on projected demand rather than waiting for capacity constraints to occur.
• Support facility expansions, new production areas, equipment installations, automation deployments and other major operational projects.
• Create an operating culture built around accountability, urgency, ownership, measurable performance and continuous improvement.
• Break down organizational silos and create strong collaboration between Operations, Pharmacy, Compounding, Quality, Regulatory, Technology, Finance, HR, Sales and executive leadership.
• Partner closely with Quality and Regulatory leadership to ensure rapid operational growth occurs within a strong culture of compliance, quality and inspection readiness.

The Leader We Are Looking For

This is not a position for someone whose experience has primarily consisted of maintaining an established operation.

The ideal candidate has operated inside a large, complex, high-volume organization and understands what fundamentally changes when a company moves from entrepreneurial growth into true enterprise scale.

You understand that scaling is not simply about adding more people.

It requires better systems, stronger managers, smarter automation, clearer accountability, disciplined capacity planning, better data and an operating model capable of producing consistently at substantially greater volume.

You should be equally comfortable sitting with ownership discussing long-term operating strategy as you are walking the pharmacy floor, examining the numbers, identifying a bottleneck and working with the team to solve its root cause.

We are particularly interested in executives who have successfully scaled operations within pharmacy, healthcare, pharmaceutical manufacturing, healthcare fulfillment, distribution, logistics or other complex and highly regulated environments.

Preferred Experience

Strong candidates will ideally bring:

• 10+ years of progressive operations leadership experience, with meaningful experience at the VP, Senior Director, Director or equivalent level.
• Significant experience leading large teams through multiple layers of management.
• Demonstrated success scaling a high-growth organization through periods of substantial operational complexity.
• Experience with high-volume pharmacy operations strongly preferred.
• Experience within 503A compounding, 503B outsourcing, specialty pharmacy, mail-order pharmacy, central-fill pharmacy, pharmaceutical manufacturing, high-volume healthcare fulfillment or another highly regulated operation is highly desirable.
• Demonstrated experience designing and implementing operational KPIs, executive scorecards and management dashboards.
• Experience with automation, robotics, pharmacy workflow technology or automated fulfillment systems.
• Experience materially increasing production or prescription capacity.
• Experience with workforce planning, capacity modeling, demand forecasting and operational forecasting.
• Demonstrated ability to diagnose operational problems using data, identify root causes and redesign complex workflows.
• Experience building management teams, developing leaders and creating succession plans.
• Working knowledge of Lean, Six Sigma or comparable continuous-improvement methodologies.
• Strong analytical and data-driven decision-making capability.
• Experience working effectively alongside independent Quality, Regulatory and Compliance organizations.
• Experience supporting multi-state or multi-site operations is highly desirable.
• A track record of building infrastructure ahead of growth rather than reacting to growth after the organization has already exceeded its capacity.

A PharmD or pharmacy background is valuable but not required. We are more interested in finding an exceptional operational leader who understands scale, people, systems, technology and execution.

Why Optimal Balance Pharmacy

This is a rare opportunity to join an organization where the foundation for significant national scale already exists while there is still an opportunity to meaningfully influence how the company itself is built.

You will join an experienced leadership team with deep knowledge across pharmacy, compounding, quality, regulatory and compliance, technology, sales and commercial leadership.

You will not be inheriting a finished operating system.

You will help build it.

If you have helped scale a complex organization before, know what operational excellence looks like at serious volume, and want the opportunity to help architect the next stage of a rapidly growing healthcare company, we want to meet you.

Compensation & Relocation

Optimal Balance Pharmacy is prepared to offer a highly competitive executive compensation package designed to attract an exceptional operational leader.

The package will include competitive base compensation, meaningful performance-based incentives, and long-term upside aligned with the company’s continued growth.

For the right candidate, a comprehensive relocation package will be provided to support relocation to the Houston/Woodlands area.