UK General Manager at Bolt Pharmacy — On Site, £100,000–£150,000/yr inc equity in London

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’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 including Y Combinator, Global Founders Capital, AngelList Early Stage Fund, and BrandProject.

As Head of Operations UK 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 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: lead the on‑site operations team day to day. This includes hiring, training, scheduling, performance management, and making hard calls when needed.
• Process improvement & throughput: continually improve how work gets done. This means driving micro‑optimizations in layout, tooling, and workflow to increase throughput while maintaining quality.
• Daily facility operations: 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).

Key responsibilities include:

• 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.
• 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.
• Escalate and resolve issues quickly to protect patient experience.

Need to have:

• Scale in live operations: run or scaled a fulfillment/distribution site at 10k+ orders/day.
• Process + layout design: mapped end‑to‑end flows, balanced stations, and removed failure points.
• Security & stock control: comfortable with high‑value inventory controls.
• Cost & ROI mindset: reduce cost per order while maintaining speed, quality, and compliance.
• People leadership: hired effective leaders and built high‑cultural teams.
• Ownership & autonomy: obsess over efficiency, spotting bottlenecks, redesigning workflows.
• UK logistics experience: worked with parcel carriers at scale.
• Multi‑site scalability: built systems and playbooks replicable across future locations.

Nice to have:

• Automation/robotics: evaluated or deployed practical automation.
• Pharmacy/regulated ops: experience in or alongside GPhC/MHRA environments.
• Move & commissioning: stood up a new site.
• Delivery network depth: negotiated SLAs, built peak plans/contingencies.
• Hub‑and‑spoke literacy: understands central‑fill models.
• Startup pace: operated in high‑velocity settings.
• Throughput & quality metrics: built simple dashboards to spot bottlenecks.

Our cultural standards include belief in the mission, unwavering integrity, commitment to candor, and a maniacal sense of urgency.

Compensation: £100,000–£150,000/year including equity. Healthcare: comprehensive medical insurance. Vacation: PTO with a yearly minimum (≥2 weeks/yr + local national holidays). Remote: our team is fully distributed across the world. Personal development: budget for books, courses, coaching ($1,200/yr). Personal wellness: budget for gym, health apps ($1,200).