Position Summary:ParetoHealth has built the strongest stop-loss platform in the market. Our continued growth now depends on fully integrating and elevating the ecosystem that surrounds it - medical cost containment, pharmacy (PRxC), and our preferred TPA network. We are seeking a senior executive to own the strategy, performance, and evolution of the Savings Engine ecosystem end-to-end. This is a platform-level leadership role with full accountability across partner strategy, performance, and expansion.
Key Responsibilities:1. Ecosystem Strategy (12-36 Month Horizon)Own and continuously evolve the multi-year roadmap across medical and pharmacy solutions.
Defensive Strategy- Proactively manage risk exposure within existing partnerships (performance, integration, economic sustainability).
- Lead renegotiation, restructuring, or exit decisions where warranted.
- Ensure every ecosystem component continues to justify its economic and strategic role.
Offensive Strategy- Identify and prioritize high-impact new areas (e.g., cell & gene therapy, infusion management, specialty risk, site-of-care optimization).
- Develop and execute sequencing for expansion.
- Advance multiple strategic initiatives in parallel to maintain market leadership.
You are accountable for ensuring the ecosystem evolves at the pace required by the market.
2. Direct Leadership & Organizational AccountabilityDirectly manage:
- Head of Point Solution Partnerships
- Head of PBM Strategy & Partnerships
- Head of TPA Relationship Management
You will:
- Set strategic direction and execution priorities
- Establish measurable KPIs
- Drive performance discipline
- Ensure cross-vertical alignment
- Elevate leadership capability
In addition, you will assess organizational needs and advocate for team expansion or structural adjustments as the ecosystem grows.
You are responsible for building the right team to support the platform.
3. Full Executive Accountability for Partner PortfolioYou hold executive accountability for all ecosystem partners - existing and future - across:
This includes:
- Executive-level relationship ownership
- Performance oversight and escalation
- Renewal and renegotiation strategy
- Strategic expansion or exit decisions
Operational relationship management will continue within the team, but ultimate accountability sits with this role.
4. Build Best-in-Class Partner ManagementProfessionalize partner management as a core Pareto capability.
This includes:
- Partner tiering and segmentation
- Formal launch and GTM integration processes
- Performance scorecards and QBR discipline
- Renewal governance
- Escalation frameworks
- Cross-ecosystem integration accountability
The expectation is to institutionalize partner management as a scalable, repeatable discipline.
5. TPA Strategy & ParetoOne AccountabilityOwn performance and alignment across the TPA portfolio.
Responsibilities include:
- Contractual and operational performance standards
- Implementation quality and reporting consistency
- Renewal coordination and discipline
- Integration with PRxC and medical solutions
- Differentiated experience within ParetoOne (package with the "best" experience, limited to a smaller number of Preferred TPAs)
Where performance gaps exist, you are accountable for resolution.
6. Commercial & Marketing IntegrationPartner closely with Marketing and Commercial leadership to:
- Clarify and strengthen the Savings Engine narrative
- Improve ecosystem simplicity and positioning
- Drive increased adoption and utilization across members
- Align ecosystem design with growth and retention strategy
You are accountable for ensuring ecosystem strategy produces measurable commercial impact.
What Success Looks Like:- A clearly articulated and executed 12- and 36-month ecosystem roadmap
- Multiple strategic initiatives advancing simultaneously
- Fully institutionalized partner management discipline
- Strong, accountable TPA and PBM performance
- Increased Savings Engine adoption and utilization
- Clear market perception of Pareto as a coordinated cost containment platform
Required Skills & Qualifications:- 10-15 years relevant experience within the healthcare/insurance space
- Deep experience in self-funded employer health benefits
- Strong understanding of stop-loss economics and claims dynamics
- Experience leading across PBMs, TPAs, and medical cost containment ecosystems
- Proven ability to scale partner portfolios and teams
- Executive presence with internal and external stakeholders
- Bias toward parallel execution and disciplined growth
This is a platform-shaping leadership role with enterprise-level impact.
Perks & Benefits:- Fully paid medical, dental, and vision benefits.
- Flexible PTO
- 401k company contribution
- Tuition reimbursement
- Professional development allowance
- Transportation allowance and daily parking reimbursement
- Engaging hybrid work environment
