VP, Ecosystems Strategy and Partnerships

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: 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. 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. 2. Direct Leadership & Organizational Accountability Directly manage: Head of Point Solution Partnerships Head of PBM Strategy & Partnerships Head of TPA Relationship Management You will: Set s...