VP, Product Engineering
Alto Pharmacy
Leading product engineering across prescription processing, billing, fulfillment, inventory management, and delivery. Building exceptional teams and growing with ambitious goals for the future of pharmacy.
Nir Sheep · VP, Product Engineering · Alto Pharmacy
Product leader.
Digital carpenter.
Product leader with a pirate's edge and an artist's hands, fueled by curiosity and a love for elegant systems. I build products that navigate complexity, tell a story, and push boundaries.
Fig. 01 — Nir SheepHover for color
Experience15+Years leading product and engineering teams
Reach1000+US hospitals running a workflow I led at Viz.ai
Revenue$50M+Annual ad business launched on Alexa
Scale6Countries expanded into with audio ads
Currently
Alto Pharmacy · 2023 — now
Leading product engineering for the future of pharmacy
Alto Pharmacy · 2023 — now
What I believe
“Products should feel like they were designed by someone who cares deeply about the person using them.”
02 / Record
Experience
Healthcare, AI, and advertising. Five roles across twenty years.
Oct 2023 — Present
VP, Product, Data Analytics & Design
Viz.ai
Led AI product launches for detecting cerebral aneurysm, aortic dissection, and pulmonary embolism. Built the workflow product now active in 1000+ US hospitals.
Head of Product & Tech, Amazon Care
Amazon
Oversaw integration of MuleSoft and Salesforce Health Cloud. Led a team of 19 engineers driving care coordination and population health.
Principal PM, Technical, Audio Advertising
Amazon
Launched Amazon's audio advertising business on Alexa, generating $50M+ in annual ad sales. Expanded to six countries and built the infrastructure for audio ads at scale.
Director, Product Operations
McKesson
Drove excellence in medical imaging solutions for healthcare workflows. Support Person of the Year and Innovation Award recipient.
03 / Foundation
Education
Signals and systems first, then business.
NYU Stern School of Business
MBA, Technology and Entrepreneurship track
Sep 2010 — May 2013
Ben Gurion University
BSc, Electrical Engineering. Biomedical signal processing.
Oct 2002 — Aug 200604 / Capabilities
Expertise
Where I spend my time.
04.1
Product leadership
15+ years launching products across healthcare, advertising, and pharmacy.
04.2
Engineering management
Cross-functional teams, mentoring engineers, organizations that ship with care.
04.3
AI & machine learning
Shipping AI into clinical and consumer workflows, from detection to LLM experiences.
04.4
Strategy & vision
Connecting businesses with customers in tech-driven markets.
05 / Notes
Writing
Occasional essays on product, hiring, and teams.
February 15, 2025 · Hiring
My go-to question when interviewing candidates
Hiring is the most critical decision a product leader makes. Over the years, one question has consistently revealed more about a candidate than any other.
Read the essayAll writing
Product leadership, AI, and building remarkable teams.