VP, Ecosystems Strategy and Partnerships

We’re in this for the greater good  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 Pareto Health 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.

Pareto Health 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.

• Own and continuously evolve the multi‑year roadmap across medical and pharmacy solutions.
• 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.

Directly 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 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.

Professionalize partner management as a core Pareto capability. This includes:

• Partner tiering and segmentation
• Formal launch and GTM integration processes
• Performance scorecards and Q  discipline
• Renewal governance
• Escalation frameworks
• Cross‑ecosystem integration accountability

The expectation is to institutionalize partner management as a scalable, repeatable discipline.

Own 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 Pareto One (package with the “best” experience, limited to a smaller number of Preferred TPAs)

Where performance gaps exist, you are accountable for resolution.

Partner 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…