General Manager, International (UK)

Rugiet Health

5d•Remote

About The Position

Rugiet is a rapidly expanding direct-to-consumer telemedicine company in the US, focused on men's health through personalized compounded medications and a superior digital patient experience. The company is now extending its operations internationally, beginning with the United Kingdom. As the inaugural employee in the UK, this role is pivotal in establishing Rugiet's presence, transforming the company from its inception to a fully operational, compliant, and commercially successful DTC health business. Key responsibilities include navigating the MHRA regulatory landscape, securing pharmacy and dispensing partnerships, developing local operational infrastructure, collaborating with the US team, and ultimately launching Rugiet's complete product line to UK patients. The focus is on execution and building the business from the ground up.

Requirements

8+ years of operating experience, with significant time spent launching or scaling a regulated health, pharma, or consumer health business in the UK.
Deep working knowledge of MHRA regulations for prescription medicines, online prescribing, and advertising.
Established relationships with UK dispensing pharmacies, independent prescribing networks, or CQC-registered telehealth platforms.
Direct P&L ownership experience.
Proven track record of building something from scratch in the UK market.
Strong cross-functional operating instincts, including managing a US-based headquarters.
Comfort with UK data protection law (UK GDPR, ICO), ASA advertising standards for healthcare, and CQC registration requirements for online clinical services.
High degree of self-sufficiency, comfort with ambiguity, and ability to prioritize effectively.
Excellent communication skills (written and verbal).

Nice To Haves

Experience in men's health, sexual health, or adjacent consumer health categories in the UK.
Prior experience launching a US DTC health brand into the UK or EU.
Existing relationships with UK private healthcare media, influencers, or corporate wellness channels.
Familiarity with the competitive UK telehealth landscape (e.g., MANUAL, Numan, Treated, Zava, Superdrug Online Doctor).
Experience working with UK-based compounding or specials pharmacies.
Knowledge of NHS and private prescribing dynamics in the UK context.

Responsibilities

Own Rugiet's UK regulatory strategy and execution, including navigating MHRA requirements for prescribing, dispensing, and advertising prescription medicines in a DTC context.
Manage relationships with regulatory consultants, legal counsel, and compliance partners.
Ensure all patient-facing communications, clinical protocols, and advertising materials comply with MHRA, ASA, and CQC guidelines.
Monitor and adapt to evolving UK telehealth and online prescribing regulations.
Coordinate with Rugiet's US Legal and Clinical teams to ensure consistency between US and UK standards.
Identify, evaluate, and contract with UK-registered dispensing pharmacy partners.
Manage ongoing pharmacy partner relationships, focusing on quality standards, SLAs, fulfillment performance, and patient experience.
Assess UK-specific formulation, licensing, and importation requirements in coordination with Rugiet's US compounding pharmacy network.
Build contingency and redundancy into the pharmacy supply chain.
Establish Rugiet's UK prescribing model, working with GMC-registered prescribers, independent prescribing networks, or CQC-registered telehealth platforms.
Adapt clinical protocols for the UK patient population and NHS context, partnering with Rugiet's US Chief Medical Officer.
Coordinate with Rugiet's US Product and Engineering teams to adapt the digital patient experience for UK compliance (e.g., UK address formats, UK GDPR).
Set up local customer support capabilities.
Manage third-party logistics, fulfillment, and returns infrastructure for UK operations.
Oversee UK data privacy compliance in partnership with Legal, including UK GDPR and ICO registration.
Own Rugiet's UK go-to-market plan, including product launch sequencing, pricing strategy, and channel mix.
Adapt creative, copy, and paid media for UK audiences and advertising regulations with Rugiet's US Growth and Marketing teams.
Build and own the UK P&L, including forecasting, budget management, and performance reporting.
Identify and develop UK-specific partnership and distribution opportunities.
Serve as the primary liaison between Rugiet's UK operations and US headquarters.
Translate US product, clinical, and operational capabilities into UK-viable solutions.