Head of TPA Partnerships

We’re in this for the greater good at ParetoHealth. Our 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.

Position Summary:

Pareto is seeking a strategic leader to serve as the Head of TPA Partnerships. Pareto’s TPA partners play a key role in shaping a consultant and employer’s experience in our captives by facilitating access to provider networks, plan / benefit design and cost containment programs. As the Head of TPA partnerships, you will be a growth-oriented leader responsible for managing and growing existing partnerships, cultivating new partnerships and serving as Pareto’s subject matter expert for all TPA market trends. In managing existing TPA partnerships, you will own the day-to-day relationship and oversee execution of key cross functional initiatives including contracting, cost containment program integration, relationship management and development of partner accountability scorecards. For new partnerships, you will lead on partner prospecting, vetting and contracting to ensure we add partnerships that enable Pareto’s growth and revenue goals. As our internal TPA SME, you will have deep knowledge of regional and national provider networks and serve as a conduit between Pareto, stop-loss carriers and TPA partners. You will also play a critical role in supporting Pareto sales and account management while staying abreast of market trends such as M&A.

The Head of TPA Partnerships candidate will thrive in a fast-paced, high-performance environment, with an ability to triage and provide solutions in an expedient manner. This role requires a candidate with a demonstrated track record of relationship management and growth. You will report to the VP of Strategy for Cost Containment and work closely with Pareto’s sales, account management and underwriting teams.

Key Responsibilities:

• Develop and own our TPA partnership strategy including management of existing partnerships, vetting / launching new partnerships and serving as Pareto’s TPA SME
• Oversee all aspects of our existing TPA partnerships including contracting, relationship management, joint sales / growth initiatives and development of accountability scorecards
• Establish “rules of engagement” for partner organizations through an accountability framework that measures operational excellence, growth and retention
• Serve as conduit and facilitator between TPA partners, Pareto teams (sales, account management, underwriting) and stop-loss partners
• Identify, evaluate and contract with new TPA partners that align with Pareto’s macro growth strategy
• Navigate and develop relationships with key stakeholders and executives at partner TPAs to drive commitment and engagement
• Utilize your expertise and influence to assist and resolve escalations from internal and external stakeholders
• Serve as the subject matter expert: stay abreast of TPA landscape, M&A activity, channel conflicts, and provide competitive intelligence back to Pareto leadership on market dynamics

Required Skills & Qualifications:

• 8-10+ years of TPA or plan administration experience, preferably in a Health Benefits environment with a wide range of experience with consultants and stop-loss carriers
•  Excellent professional customer service skills with a high level of customer focus, motivation, teamwork orientation, and demonstrated follow-through
• Ability to multi-task in a fast-paced environment with excellent prioritization, communication, problem solving and time-management skills
• Demonstrated expertise and success driving operational excellence and executing process improvement within a fast-paced, changing business setting; includes creating/enhancing metrics, delivering timely updates, and achieving targeted outcomes
• Availability to travel up to 25% of time with frequent travel to Pareto HQ in Philadelphia, as well as domestic travel to clients /broker partners/TPAs

Pareto Perks:

Pareto offers a competitive compensation package commensurate with skills and experience. In addition, Pareto offers a robust benefits package including Medical (100% employer paid), Dental, Vision, STD/LTD, and employer 401(k) contribution.

What We Live By:

1. Get it Done and Get it Done Right – We crank out work at higher rates and at a higher quality than our peers in the industry. Our ability to do a lot with a little is a driving force behind Pareto Health, one that's made our brand synonymous with class, quality, and extreme competence.

2. Fire in the Belly - We only make time for champions; we only consider those with an inner desire to excel and push things forward. Our team, our partners, our members–everyone in the Pareto Health universe–works hard, learns constantly, improves furiously, and does so with a fire in the belly.

3. See the Field - As you're stuck thinking about tomorrow, we're already on to thinking about next year. Pareto Health embodies a culture of anticipation, perception, and acting with intent. In one-on-ones, in meetings, at a company level, and at an industry level, we're always two steps ahead.

4. For the Greater Good - Our vision extends past the here and now. We're rowing in the same direction toward the common goal of transforming an industry. It's our accountability, teamwork, and responsibility that ensure as we're changing industry tides, we're helping them rise. Now watch as we lift all boats in the process.

Disclosures:

ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.

California Applicants:  See Pareto’s CCPA Notice of Collection for California Employees and Applicants for information about how Pareto Captive Services, LLC, Pareto Health, LLC, and Pareto Underwriting Partners, LLC, together with their respective subsidiaries (collectively, “Pareto”) collects and uses personal information submitted by employment applicants.