Head of UK Operations 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'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.

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.

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
• Ensure delivery reliability at scale

Need to have:

• Scale in live operations: You've run or scaled a fulfillment/distribution site at 10k+ orders/day.
• Process + layout design: You've mapped end-to-end flows and balanced stations.
• Security & stock control: You're comfortable with high‐value inventory controls.
• People leadership: You hired effective leaders and built teams with high cultural standards.
• Ownership & autonomy: You are obsessed with efficiency.
• UK logistics experience: You've worked with parcel carriers at scale.
• Multi‐site scalability: You've built systems and playbooks that can be replicated across future locations.

Nice to have:

• Automation/robotics: You've evaluated or deployed practical automation.
• Pharmacy/regulated ops: You've worked in or alongside GPhC/MHRA environments.
• Delivery network depth: You've negotiated SLAs and improved first-attempt success at scale.
• Startup pace: You've operated in high-velocity settings.

Our cultural standards:

• Belief in the mission: We transform the life of most patients who join.
• Unwavering integrity: We maintain impeccable ethics.
• Only the paranoid survive: We execute with unhesitating conviction.
• If we're average we fail: We focus on the quality of our execution.
• Commitment to candor: We expect full transparency.
• A maniacal sense of urgency: Speed is critical.
• Enduring frugality: We are frugal and spend wisely.
• Bulldozing barriers: We shape the world around us.
• Keep your head down: We focus on what matters.
• The power of focus: We know our One Thing and nail it.

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
• 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