UK General Manager at Bolt Pharmacy — On Site, £100,000–£200,000/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 are 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 will 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 will 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 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 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), and 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.
• Process + layout design: You’ve mapped end‐to‐end flows (receiving → dispensing → checking → packing → handoff), balanced stations, and removed failure points.
• 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.
• People leadership: You hired effective leaders and built teams with high cultural standards and clear accountability.
• Ownership & autonomy: You are obsessed with efficiency: spotting bottlenecks, redesigning workflows.
• UK logistics experience: You’ve worked with parcel carriers (e.g., DPD/Royal Mail/3PLs) 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 for dispensing, checking, packing, or cold‐chain handling.
• Pharmacy/regulated ops: You’ve worked in or alongside GPhC/MHRA environments.
• Move & commissioning: You’ve stood up a new site: layout, staffing plan, go‐live, and a low‐downtime transition.
• Delivery network depth: You’ve negotiated SLAs, built peak plans/contingencies.
• Startup pace: You’ve operated in high‐velocity settings where priorities move fast.

Our cultural standards:

• Belief in the mission: We will have served 100 million patients by the end of 2035.
• Unwavering integrity: We must maintain impeccable ethics and unwavering integrity.
• Only the paranoid survive: We choose to sail straight towards the storms with unhesitating conviction.
• If we’re average we fail: We are only interested in "insanely great" execution.
• Commitment to candor: We expect full transparency from you.
• A maniacal sense of urgency: Speed is critical and we need things done yesterday.
• Enduring frugality: We are frugal and hate being wasteful.
• Bulldozing barriers: We believe the world is malleable and we shape it.
• Keep your head down: We focus on what matters and ignore short‐term status.
• The power of focus: Know your One Thing, and nail it.

Compensation & Benefits:

• Compensation: £100,000–£150,000/year inclusive of 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.

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