This article examines employer choice in relation to job quality (JQ). Acknowledging the important role of market, institutional, and technological constraints, the authors highlight the role of employer agency in shaping JQ by reporting on an employer-led service redesign initiative in hospital pharmacy services in Scotland. This redesign initiative aimed at upskilling employees and redirecting their work effort toward high value-added, patient-facing work using robotics implementation. The article provides a critical assessment of the success of the initiative in enhancing JQ and explores a range of factors constraining and shaping employers’ JQ choices.