Director, Risk Strategy

ParetoHealth•Philadelphia, PA

1d•Hybrid

About The Position

ParetoHealth is seeking a Director of Risk Strategy to lead the evolution of our captive-based stop-loss solutions and drive innovation across our risk-sharing model. This role is responsible for defining product vision, advancing innovation, and aligning cross-functional teams to deliver competitive, data-driven solutions for self-funded employers. As a strategic leader, you will shape and execute initiatives that strengthen Pareto’s differentiated approach. This will include assessing alternative risk structures, managing and evolving our overall suite of protections, identifying market pain points, and developing solutions to address those needs. The ideal candidate brings strategic thinking, creativity, strong analytical acumen, and a demonstrated ability to translate market and customer insights into impactful product strategies. Additionally, strong communication and collaboration capabilities are required to drive alignment across the organization.

Requirements

3-5 years of top-tier consulting experience
3-5 years in Product Management or Strategy in insurance (e.g., carrier, broker, MGU)
Strong nose for value with ability to translate market pain points into solutions; creative, innovative mindset
Data-driven with strong analytical and financial acumen
Demonstrated ability to lead cross-functional initiatives in a complex, matrixed environment; superior communication skills

Nice To Haves

Deep understanding of risk-sharing structures and stop-loss mechanics
Experience with captive programs, alternative risk arrangements, or level-funded products
Experience working with mid-market employers (50–1,000 lives)
Exposure to clinical programs, cost containment vendors, and population health strategies
MBA or advanced degree

Responsibilities

Define and own the risk product strategy for Pareto’s captive and stop-loss portfolio
Assess alternative risk structures and determine whether/how Pareto should evolve captive structures, contribution models, and risk corridors to optimize performance and member experience
Identify market pain points and associated opportunities through broker feedback, claims analysis, regulatory insights, and assessment of the competitive landscape
Develop and prioritize a roadmap to expand/manage a suite of protections for captive Members aligned with company growth objectives and risk appetite
Understand industry trends, including cost drivers, network strategies, and alternative funding models
Evaluate alternative product designs, pricing approaches, and underwriting methodologies
Partner with sales and marketing to capture voice-of-customer insights from brokers, consultants, and employer groups
Understand risk/ product management capabilities at carriers and TPAs in detail to identify gaps and opportunities
Drive alignment on product priorities and ensure effective execution of key initiatives across underwriting, product, and technology
Support go-to-market efforts in partnership with Product, Sales, and Marketing, including messaging and sales enablement