Kari Miller

C-level executive with 15+ years of experience leading and scaling regulated healthcare, pharmacy, and compliance-driven enterprises through revenue growth, EBITDA expansion, AI-enabled go-to-market strategy, and acquisition exits. Proven leader in enterprise sales, GTM transformation, P&L ownership, operational discipline, and compliance alignment (DSCSA, FDA, DEA, EPA). Track record of building executive teams, professionalizing founder-led organizations, and positioning companies for successful M&A outcomes.

Chief Sales Officer at Ecopharm Returns (2025-09 – Present)

• Led enterprise commercial strategy during an early scale phase, securing the company's first multi-site $1.4M enterprise contract within seven weeks, validating positioning and scalability
• Built and professionalized the revenue organization, implementing AI enabled repeatable GTM systems, forecasting discipline, and KPI dashboards and executive-level reporting
• Implemented onboarding and enablement programs, increasing conversion rates by 26% and improving pipeline quality and predictability
• Directed CRM optimization and AI-enabled platforms to institutionalize sales operational execution
• Partnered cross-functionally on product and compliance strategy to ensure alignment with DSCSA, FDA, DEA, EPA, and Board of Pharmacy requirements

Chief Executive Officer at 5 Star Global Management, LLC (2022-11 – Present)

Full P&L ownership of multi-site healthcare waste management operations, driving margin expansion, operational discipline, and enterprise scalability

• Delivered 24% operating cost reductions per site, materially improving EBITDA performance and financial resilience with AI stacking
• Maintained 100% retention of Tier-1 hospital systems through performance-based SLAs, disciplined execution, and executive-level account oversight
• Built enterprise-wide SOPs, compliance frameworks, and training programs to professionalize operations and support scalable growth
• Established customer reporting, governance cadence, and accountability across multi-site operations in highly regulated environments

CEO, Healthcare Compliance Solutions at RX Destroyer (2014-10 – 2022-11)

• Led the company through rapid growth, achieving 305% month-over-month revenue growth and positioning the business for a successful eight-figure acquisition exit
• Transformed the organization from founder-led execution to an enterprise-ready platform, building scalable GTM, operations, manufacturing, and compliance systems
• Drove enterprise revenue by converting C-suite relationships into $1M+ ACV contracts, expanding penetration with hospital systems and enterprise buyers
• Launched differentiated controlled-substance waste disposal products and a secure compliance platform, increasing switching costs and strategic value
• Negotiated and managed complex enterprise and channel agreements (MSAs, SLAs, GPOs, IDNs), expanding market access and long-term contract value
• Implemented lean, automated manufacturing and regulatory processes to improve efficiency, compliance, and scalability ahead of exit
• Served as an industry authority on healthcare compliance and waste management, reinforcing credibility with buyers, regulators, and customers

Senior Vice President at Fetch Pet Care (2009-10 – 2014-11)

Vice President, Business Development at Signature Wines (2007-10 – 2009-10)

Chief Development Officer at Cache Box (2004-01 – 2007-02)

Bachelor of Business Administration – University of Wisconsin, Oshkosh