VP, Ecosystems Strategy and Partnerships
ParetoHealth
| Company | ParetoHealth |
| Category | Sales |
| Location | Philadelphia |
| Remote | On-site (inferred) |
| Employment | Not stated |
| Level | Director |
| Salary | Not stated by the employer |
| Posted | 14 Apr 2026 |
| Last verified | 11 Aug 2026 |
| Source | Employer ATS (greenhouse) |
Description
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 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 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.
4. Build Best-in-Class Partn