About AIOS

AIOS is building the first vertically integrated AI doctor in Europe.

We’re >$250M ARR, serving >100k/mo patients, growing >10x YoY. We’re Europe’s fastest growing healthcare company. We’re profitable.

As our wedge into the European healthcare system we’re using GLP-1s, the fastest growing consumer product in history. We’re the only AI-native GLP-1 provider in Europe.

Our master plan:

• Step 1 → $1Bn/yr: Over the last 12 months we've grown 40x to >100k UK GLP-1 patients. In 2026, we’ll hit $1Bn/yr and become #1 GLP-1 provider in UK.

• Step 2 → $10Bn/yr: Blitzscale Europe. Become Europe’s largest GLP-1 provider by acquiring, retooling, then rapidly scaling regulated infrastructure across the top 10 EU markets, just as we did in the UK.

• Step 3 → $100Bn/yr: Use our scale to vertically integrate across agentic patient care, autonomous prescribing, robotic dispensing, and dark factory manufacturing of medication. We'll be the first and only vertically integrated AI doctor in Europe.

TLDR = 2026-2030 is the blitzscale landgrab until the semaglutide patent cliff, then we vertically integrate and own the whole value chain. The only way to keep up with this scale is to replace all marginal human time with AI.

Our infrastructure will have served 100 million patients worldwide by 2035. We’ll then use that infrastructure to deliver next-generation healthcare products at mass scale for low cost so every human can live at least 100 healthy years.

In so doing, we’ll become the world’s first trillion-dollar healthcare company.

We’re a young, founder-led startup. This is still Day 1 and all our work is ahead of us.

You can read more about working with us here:Working at AIOS

Being a Site Operations Lead at Bolt Pharmacy

We are building a world-class team.

As Site Operations Lead at Bolt Pharmacy, your fundamental role is to make sure our world class team delivers a world class experience for our customers everyday.

This is not a traditional operations manager role. We operate with a lean team and you’ll maintain high ownership and high accountability. You’ll need high emotional intelligence, relentless standards and a willingness to lead visibly from the front.

If your preference is to observe remotely from behind a computer in an office, this is a bad fit for you. We are on a rocket ship growth trajectory with life changing products, so intensity is paramount.

Your mandate is simple, but that does not mean it will be easy:

• Deliver our operational plans flawlessly

• Take full accountability for the day-to-day performance of the site

• Be a culture vector: set the standards and lead from the front

• Lead on the deployment of new products, technology and automation at the site

Great performance in this role means growth is never constrained by operational readiness, low performance or sloppy processes.

You will be comfortable with forecasting, labour planning, performance management and setting the tone. You will work in partnership with key leaders from across the org to make sure the operation hums.

Given the pace and scale of growth, there is significant opportunity for growth into a more senior role as we scale to be the largest GLP-1 provider in the UK and Europe.

This is a full-time, fully on-site role at Bolt Pharmacy in Blackburn, England.

You’ll report directly to Rich Hannibal (UK General Manager)

You’ll also work most closely with:

• Phuong Nguyen (Superintendent Pharmacist)

• Mashal Mamoon (Dispensing Lead)

• Tanvir Ahmed (Founder’s Associate)

Key responsibilities

• Hands-on Leadership: You are an experienced operations leader, comfortable leading leaders & teams in a hands on warehouse environment

• Onwership: You carve out clear goals with your team, setting high standards with clear ownership and pride

• Deliverer:You help define—then turn the dial on—all operational metrics. Our customers deserve the best and you deliver this day-in day-out

• Set the Bar: Reinforce high standards, urgency, ownership, radical candour, care, and low tolerance for mediocrity across every new hire and team. You develop your leads to become exceptional leaders in their own right

• Performance Management: Help retain strong performers, identify high-potential operators, and address underperformance quickly and fairly

• Forecasting: You know what it takes to set up a warehouse for success. You ensure that supply always meets demand, creating and executing flawless daily, weekly, and peak plans

Need to have

• Operations Leadership: While the exact industry/sector is not important, you must have ≥5 years leading on-site ops teams in a warehouse/distribution environment.

• Team Building: You have a track record of building strong and capable teams through periods of extensive growth and change. You have lead leaders before.

• Data Driven: Data is your language of love. It underpins your decision making and you leverage it to remove emotion and variability from operational decisions.

• Performance: You need to be comfortable operating in a highly metrics driven environment, where expectations are clearly set and standards relentlessly upheld.

• Integrity: You do the right thing even when no-one is looking and make sure every single person in the org does the same

• Sharpness: You are organised, detail-oriented, and able to build simple systems that enable the org to move faster without getting sloppy

• Collaboration: You are comfortable working directly with senior leadership, especially challenging them when needed

• Ownership: You have helped build and/or protect a high-performance culture where strong people feel challenged and supported, and learning from mistakes is celebrated

Nice to have

• Startup/scale-up experience: You have worked in a high-growth environment where priorities change quickly, the bar keeps rising, and nobody hands you a playbook

• Regulated experience: You have worked in a heavily regulated environment where sloppy people processes create real risk. This doesn’t scare you

• Systems thinker: You look past the immediate people problem and fix the system that created it

• AI-native: You use AI tools to move faster, improve quality, reduce admin, and increase your own output

• Agentic: You are a doer. You have been pulled into important problems, taken ownership outside your lane, and figured things out without waiting for permission

• Clockspeed: You can get dangerous in a new area quickly

• Range: You can run several important workstreams at once without dropping the ball

Our cultural standards

We aim to make this your life’s work. This should be the most challenging, most rewarding role of your life. Accordingly, these are the core cultural standards to which we hold ourselves & our team-members:

1. 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.

2. 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.

3. Only the paranoid survive: Bad sh*t is coming. By joining us, you’re choosing to sail straight towards the storms with unhesitating conviction. However much we’ve already done, however far we’ve already come — it’s still Day 1 and all our work is ahead of us.

4. If we’re average we fail: We are only interested in “insanely great”, a focus on the quality of our execution that in everyday life would be considered pathological. We have a dedication to excellence and reject incompetence.

5. Commitment to candor: That which can be destroyed by the truth should be. You get full transparency from the company and the company expects full transparency from you. We never say anything about someone that we wouldn’t say to them directly. We give feedback with love and do not need to protect people from fleeting physical sensations.

6. A maniacal sense of urgency: We execute at an intensity that most people think is impossible. Speed is critical and we need things done yesterday. We all work very hard and in such a competitive world there really is no other way to win.

7. Enduring frugality: We are frugal. We hate being wasteful and we are anti-luxury. A culture of cheapness keeps us young. We spend our cash wisely & carefully — in a way that would make our grandmas proud.

8. Bulldozing barriers: The world is malleable and we shape it. We truly believe this and act accordingly. We are relentlessly resourceful and are at the mercy of no-one but ourselves. You’ll be shocked how capable you are and how much you can achieve.

9. Keep your head down: We’re boring people doing exciting work. We don’t chase short-term status — we ignore short-term dopamine hits and focus on what matters. Outsiders will underestimate us and we revel in that.

10. The power of focus: We live in a world of power laws and we cannot overestimate the unimportance of practically everything. Know your One Thing, and nail it.

🎯 “You just build a fing amazing experience. Make each step amazing. Make every decision in the long term interest of the customer. Give the customer massively more value than you take.”*

Compensation & Benefits

You get paid above market salary and you get early stage equity, so you get really rich if we nail this.

• Compensation: £65k-85k/yr, incl equity

Benefits

• Vacation: Annual leave with a yearly minimum (≥2wks/yr + local national holidays)

• Personal development: budget for books, courses, coaching (£1000/yr)

• Personal wellness: budget for gym, health apps (£1000/yr)

• GLP-1s: free membership with a clinic offering GLP-1s (if clinically appropriate)

• Coaching: free biweekly health coaching

• Equipment: Macbook & equipment provided as needed

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

How to apply

1. Apply on Ashby