About ParetoHealth
ParetoHealth is redefining the way employers fund healthcare. As the largest and fastest-growing benefits captive in the United States, we help thousands of small and midsize employers take control of healthcare costs through a smarter, more sustainable model.
Our mission is simple: give small and midsize employers the scale and protection they need to eliminate volatility and lower healthcare costs.
By combining data-driven insights, innovative risk management, and the collective purchasing power of our community, we enable employers to reduce volatility, improve long-term outcomes, and reinvest savings into their businesses and their people.
Headquartered in Philadelphia, ParetoHealth is growing rapidly and transforming one of the country's largest industries. Our success is fueled by talented people who are united by our four core values: Fire in the Belly, For the Greater Good, See the Field, and Get It Done Right. These values shape how we innovate, collaborate, make decisions, and deliver exceptional results for our clients and one another.
If you're energized by solving complex challenges, thrive in a high-growth environment, and want to help reshape the future of healthcare, we'd love to meet you.
Please note that ParetoHealth does not provide employment visa sponsorship for this position. Candidates must be authorized to work in the United States without sponsorship both now or in the future.
Position Summary:
As Pareto continues to scale, we're expanding our product portfolio, which will include the development of new alternative funding solutions. We are seeking a Senior Manager, Product Strategy & Operations to build and run the operating system that powers disciplined execution, strong partner performance, and scalable growth for the new solutions.
This individual will serve as the internal integrator for a new Pareto product — translating strategy into cross-functional execution across underwriting, partner management, onboarding, client management, renewals, and governance. This is not a back-office operations role.
What You’ll Own:
Build the Product Operating System
- Design and implement scalable workflows across underwriting, onboarding, renewals, customer and partner operations.
- Establish governance cadence (SteerCo, OKRs, dashboards, decision logs).
- Improve operational visibility and reduce friction as the business scales.
- Ensure infrastructure supports 2–3x growth without operational instability.
Lead Operational Partner Management
- Serve as day-to-day operational counterpart to TPAs and stop-loss carriers.
- Run structured performance reviews and escalation processes.
- Maintain accountability to service expectations and contractual mechanics.
- Ensure operational readiness for new partner launches.
Translate Expansion into Execution
- Own rollout plans for new TPAs, stop-loss carriers, markets, and program enhancements.
- Align underwriting, commercial, product, operations, and finance stakeholders.
- Identify risks early and drive resolution.
- Deliver clean, on-time implementation of approved initiatives.
What Success Looks Like (12–18 Months)
- The new product solutions operate through defined systems, not tribal knowledge.
- Cross-functional teams execute with clarity and accountability.
- Partner relationships are structured, disciplined, and proactive.
- Expansion initiatives launch cleanly and predictably.
- Growth does not introduce operational instability.
What You Bring:
- Experience building operating infrastructure in complex, matrixed organizations.
- 7-10 years in health plan operations, level-funded, stop-loss, MGU, or adjacent risk-based environments.
- Strong executive presence and ability to influence without authority.
- Credible fluency in level-funded mechanics and stop-loss dynamics.
- Experience managing TPA and/or carrier operational relationships.
- High attention to detail with a bias for disciplined execution.
- Comfort operating in fast-paced, ambiguous environments.
Why This Role Matters:
The new alternate funding solutions will require disciplined infrastructure and cross-functional coordination. This role ensures that growth decisions translate into scalable, reliable execution and long-term operational strength.
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
Fire in the belly
The drive to learn, to improve, and to deliver outstanding value every day.
See the field
The ability to see the big picture and prepare to meet tomorrow’s needs.
Get it done right
The passion to produce at higher rates and to the highest standards.
For the greater good
A united community creating better health benefit solutions for all.
Please note that any communication from our recruiters and hiring managers at ParetoHealth about a job opportunity will only be made by a ParetoHealth employee with an @paretohealth.com address. ParetoHealth does not conduct text message or chat-based interviews. Any other email addresses, agencies, or forums may be phishing scams designed to obtain your personal information. We will not ask you to provide personal or financial information, including, but not limited to, your social security number, online account passwords, credit card numbers, passport information, and other related banking information until we begin onboarding activities, which will be coordinated by a member of the ParetoHealth People Ops Team with an @paretohealth.com email address.Disclosures:ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.California Applicants: See Pareto’s CCPA Notice of Collection for California Employees and Applicants for information about how Pareto Captive Services, LLC, Pareto Health, LLC, and Pareto Underwriting Partners, LLC, together with their respective subsidiaries (collectively, “Pareto”) collects and uses personal information submitted by employment applicants.Skills Required
- Experience building operating infrastructure in complex, matrixed organizations
- 7-10 years in health plan operations or related environments
- Strong executive presence and ability to influence without authority
- Fluency in level-funded mechanics and stop-loss dynamics
- Experience managing TPA and/or carrier operational relationships
- High attention to detail with a bias for disciplined execution
- Comfort operating in fast-paced, ambiguous environments
What We Do
ParetoHealth is the largest health benefits captive in the country, with over $3B in healthcare benefits at hand, $800M in stop-loss premium under management, and over 600,000 covered lives. Our turnkey employee health benefit solution offers groundbreaking innovations in self-insurance with multi-year protection. With the purchasing power of a Fortune 500 company, we help small and medium-sized businesses take control of their healthcare spending and reduce risk. ParetoHealth is pulling an industry out of its past and into a future with more predictability, transparency, control, and actionable insights.
