We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits.
The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions.
But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come.
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:
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.
- 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:
- Point solutions
- PBMs
- TPAs
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
- 10+ years of relevant experience within the healthcare/insurance space
- 10+ years of progressive people management experience, overseeing team performance, engagement, and growth
- 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
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
- 10-15 years relevant experience in healthcare/insurance
- 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
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.
