
Shilpa Paul on designing pharmacy services around health-system workflows
Shilpa Paul is Director of Product and Innovation at Longitude Rx, a partner built by health systems to run specialty pharmacy, 340B and market access programs. The company builds services and technology around clinical and operational workflows and aligns incentives with client health systems; this profile shows how they use AI to remove administrative work so staff can focus on patient advocacy and clinical judgment.
Start with the workflow, not the AI: apply automation to repetitive, rules-based or data-intensive tasks so teams spend less time on administration and more on judgment, empathy and advocacy – and resist adding AI merely to claim you have it.
What’s the quick origin story of your business, and what makes what you do genuinely different from the other options your customers are looking at?
Longitude Rx was created around a simple idea: health systems should have a partner that understands their challenges from the inside because they have lived them. We were built by health systems for health systems, and our team includes pharmacy leaders, clinicians, technicians, operators, 340B and market access experts who have spent their careers building and running these programs. That gives us a different starting point. Rather than bringing an outside solution into a health system and asking teams to adapt to it, we design our services and technology around the realities of their workflows, priorities, and patients. Our structure also keeps our incentives aligned with the health systems we serve, which makes the relationship fundamentally more collaborative than a traditional vendor model.
Where does most of your new business come from today, and where do you wish it came from?
Much of our growth today comes through relationships, referrals and word of mouth within the health system community. Many of our leaders have spent years building successful specialty pharmacy programs, so there is natural interest in what they are building together at Longitude Rx. We would like that to continue. The strongest growth for us is when the work speaks for itself and health systems hear from their peers about the value of the partnership. We are not trying to lead with a transactional sales approach; we want growth to follow trust, results and relevance to the problems health systems are trying to solve.
What’s one thing you’ve actually handed over to AI in the last year, and one thing you tried it on and went back to doing the human way?
We are increasingly using AI and automation for work that is repetitive, rules based or data intensive, such as organizing and surfacing information, standardizing workflows and helping teams identify what requires action without manually searching across multiple systems or spreadsheets.
Where we are very deliberate about keeping humans involved is in work requiring judgment, empathy and persistence. Patient access is a good example. Technology can help identify a barrier or surface a potential financial assistance pathway, but navigating a complex patient situation, finding an alternative when the obvious path fails and advocating until there is a resolution still requires a person. The same is true for patient counseling and clinical situations where a conversation may uncover something that needs immediate escalation. For us, the goal is not AI replacing people; it is AI removing administrative work so people can spend more time on the work that requires them.
Have you noticed a change in how customers find you or what they already know before they reach out? Is anyone arriving through AI assistants like ChatGPT yet?
We are starting to see a broader shift in how people research companies and solutions, including through AI powered search and answer engines. But our market is still highly relationship driven. Health systems are not simply purchasing a standalone product; they are evaluating a partner that may support complex clinical, operational, technology and market access needs. AI may increasingly influence how someone first discovers us, but peer relationships, reputation and direct conversations remain critical to understanding the full scope of what Longitude Rx can provide.
If you were advising someone in your industry on all of this for the next 12 months, what would you tell them to actually do, and what would you tell them to ignore?
I would tell them to start with the workflow, not the AI. Question processes that exist simply because "that is how we have always done it," identify where people are spending time on repetitive or fragmented work, and then determine where AI or automation can meaningfully simplify that process. At the same time, keep humans involved where judgment, clinical expertise, empathy or advocacy matters.
What I would ignore is the pressure to add AI simply to say that you have AI. The value is not in the technology label. It is in whether the technology solves a real problem, reduces unnecessary work and ultimately allows people to make better decisions or better serve patients.
Thank you to Shilpa Paul and the team at Longitude Rx for sharing what actually worked with Leaders Perception readers.
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