Head of Design & Development & Construction

Role overview

The Head of Design, Development & Construction owns the end-to-end launch process for new compounding pharmacies across the U.S., from concept to licensure and go-live. This role combines pharmacy development expertise with construction/facilities engineering and regulatory compliance. The position is AI-first, using LLMs and AI-native workflows as part of daily work.

What you’ll do

• AI-first execution: Use LLMs to clarify intent, draft/research, and accelerate decisions; apply judgment to ensure quality.
• Validate and iterate: Test outputs with real users and stakeholders and refine based on feedback.
• Share AI-native workflows: Document prompts/processes/workflows and share them to raise team standards.

Key responsibilities

• Acquisition / site selection

  • Lead market analysis and national site selection.
  • Perform feasibility assessments and due diligence (regulatory feasibility, build-out complexity, operational fit).
  • Develop and execute entitlement strategy with legal and operations.
  • Liaise with landlords and brokers to support lease and site acquisition.

• **Entitlements / compliance

  • Navigate zoning and land-use requirements.
  • Lead master plan coordination and manage environmental compliance obligations.
  • Coordinate community outreach and represent the company at public hearings.
  • Coordinate regulatory submissions and interface with state Boards of Pharmacy, DEA, FDA, and local authorities for inspections and approvals.
  • Create and maintain a facility compliance playbook for new designs and modifications.

• Design / development / construction

  • (From the role intent) Own the concept-to-build-out process, including design team and contractor selection and project management for pharmacy facility build-outs.

Requirements

• Hands-on experience designing and building commercial spaces and pharmacy environments.
• Deep knowledge of state and federal regulations for pharmacy facility approval.
• Experience relevant to 503A compounding pharmacies and FDA-registered 503B outsourcing facilities operating under cGMP.
• Strong communication (written and verbal) and comfort partnering with designers, engineers, and marketers.
• People-first collaboration style: empathetic, self-aware, low ego, highly positive; able to wear many hats in a small team.
• Craft focus on performance, accessibility, and reliability.

Nice to haves

• Comfortable taking on projects you may not have done before.
• Strong stakeholder management with external parties (landlords, brokers, regulators, community).

Location / logistics

• Remote with travel required.

Reporting / type

• Reports to Director of Pharmacy Development & Operations.
• Full-time.