Tyler Peters · Founder & Principal

Healthcare technology, raised to the fourth power

I've worked pharmacy purchasing from both sides of the counter: eleven years running purchasing and inventory inside health systems, then six years leading product for the platforms pharmacies buy and manage drugs with. Fourth Power brings that experience to healthcare and health technology teams that need program, product, project, and process moving together.

Start a conversation See selected work

Background

Two sides of the same counter

2009 – 2020 · Fairview, HealthPartners

Inside the health system

Ran enterprise pharmacy purchasing and inventory, from purchasing specialist to manager of a 10-person team
Negotiated specialty pharmacy contracts with covered entities, GPOs, and primary suppliers
Built 340B replenishment processes, purchasing governance, and a centralized procurement function

2020 – 2026 · McKesson Supplylogix, Omnicell

Inside health technology

Owned product strategy and P&L for 340B TPA and specialty pharmacy business lines
Took a new pharmacy purchasing solution from business case and executive approval into build
Built a customer advisory network to guide discovery and de-risk product launches

$10M+: sustained annual savings from cost-containment and vendor strategy
$500M+: in healthcare contracts negotiated and structured
15+ yrs: in pharmacy operations, purchasing, and supply chain
6+ yrs: leading enterprise healthcare products, concept to commercialization

Most technology for pharmacy buyers is designed by people who have never placed the order. I have, and that changes which problems I solve first.

Approach

Four disciplines, one direction

Initiatives rarely stall for lack of ideas. They stall when the program, the product, the project plan, and the day-to-day process each move on their own. My job is to raise all four together.

P¹

Program

Align leaders on outcomes, connect related initiatives, and keep one roadmap everyone builds toward.

P²

Product

Turn customer workflows into a clear vision, prioritized capabilities, and requirements engineers can build from.

P³

Project

Scope, schedule, risks, and partners managed so delivery stays predictable and decisions get made on time.

P⁴

Process

Workflows that hold up after go-live, so the people using the solution actually work differently.

Selected work

From business case to build

Client and employer details are kept general to respect confidentiality.

Pharmacy purchasing solution for health system customers

Health technology · Product · Program

Challenge: Health systems managed pharmacy inventory in one platform but bought drugs from suppliers in separate tools.

What I did: Built and presented the business case, secured executive approval and funding, designed the solution, and wrote the requirements for an outside engineering firm.

Result: Approved, funded, and moved into build with an engineering partner.

340B business line transformation

Health technology · Product · Process

Challenge: A 340B TPA product team shipped features but struggled to tie delivery to business outcomes.

What I did: Owned strategy and P&L, reset the roadmap around customer and financial outcomes, and embedded agile practices with Finance and Sales aligned on forecast.

Result: Shorter delivery cycles and a team working toward outcomes instead of output.

Enterprise pharmacy procurement

Health system · Program · Process

Challenge: Decentralized purchasing, rising specialty drug costs, and supply risk across a large health system.

What I did: Centralized procurement, built purchasing governance and 340B replenishment, restructured the supplier network, and led contract negotiations exceeding $500M.

Result: More than $10M in sustained annual savings, with stronger supply stability and audit compliance.

Purchasing optimization partnership pilot

Health technology · Program · Project

Challenge: Prove a partner's purchasing optimization capability with real customers before committing to a long-term partnership.

What I did: Defined the pilot: use cases, success measures, customer selection, data flows, governance, and decision gates.

Result: A gated pilot plan and tracker that gave both companies one shared path to a go or no-go decision.

Career

Where the experience comes from

2026 –Founder & PrincipalFourth Power Consulting LLC
2023 – 2026Senior Manager, Product ManagementOmnicell
2020 – 2023Senior Product ManagerMcKesson · Supplylogix
2019 – 2021Independent Consultant, part-timeNetsavvy LLC
2013 – 2020Manager, Pharmacy Purchasing & InventoryHealthPartners
2011 – 2013Pharmacy Inventory ManagerFairview Pharmacy Services
2009 – 2011Purchasing SpecialistFairview Health Services

B.S., Business & History · University of Minnesota A.S., Certified Pharmacy Technician · Rasmussen College Pragmatic Institute Product Management Certified Scrum Product Owner (CSPO) Apexus 340B University APICS CSCP coursework Google Analytics

Working together

Three ways to engage

Engagement	What you get	Typical length
Strategy & roadmap	Current-state assessment, a product or platform vision, and a phased roadmap leadership can fund.	8–16 weeks
Delivery leadership	Program or project leadership for a defined initiative: plan, partners, risks, and status through launch.	3–12 months
Advisory	A few hours a week of senior product and purchasing expertise on the decisions that matter most.	Ongoing, month to month

About Tyler

I started my career placing the orders. I've spent the years since building better ways to place them.

I'm Tyler Peters, founder of Fourth Power Consulting. I combine more than fifteen years in pharmacy operations, purchasing, and supply chain with six years leading product at McKesson and Omnicell. Clients bring me in when an initiative needs someone who understands the customer's workflow and can still run the roadmap, the partners, and the plan.

Based in: Minnetonka, Minnesota · working with clients remotely
Focus: Health systems, pharmacy, and health technology
Status: Accepting select engagements

Have an initiative that needs all four?

Tell me what you're working on. I reply to every message within one business day.

Emailtyler.peters@fourthpowerllc.com

LinkedIn[Your LinkedIn profile URL]

LocationMinnetonka, Minnesota

Healthcare technology, raised to the fourth power4