Aios Medical (YC W20/S21)
Jan 21, 2026
Full time
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 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) 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 evrything. 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 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. 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. Only the paranoid survive: Bad sh t is coming. By joining us . click apply for full job details