VP, Ecosystems Strategy and Partnerships

ParetoHealth•Philadelphia, PA

3d•Hybrid

About The Position

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.

Requirements

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

Responsibilities

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.
Direct Leadership & Organizational Accountability
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 are responsible for building the right team to support the platform.
Full Executive Accountability for Partner Portfolio
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.
Build Best-in-Class Partner Management
Professionalize 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.
TPA Strategy & ParetoOne Accountability
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 ParetoOne (package with the “best” experience, limited to a smaller number of Preferred TPAs)
Where performance gaps exist, you are accountable for resolution.
Commercial & Marketing Integration
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 growth and retention strategy
You are accountable for ensuring ecosystem strategy produces measurable commercial impact.