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 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.

5. 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.

6. 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.

What Success Looks Like:

• A clearly articulated and executed 12- and 36-month ecosystem roadmap
• Multiple strategic initiatives advancing simultaneously
• Fully institutionalized partner management discipline
• Strong, accountable TPA and PBM performance
• Increased Savings Engine adoption and utilization
• Clear market perception of Pareto as a coordinated cost containment platform

Required Skills & Qualifications:

• 10+ years of relevant experience within the healthcare/insurance space
• 10+ years of progressive people management experience, overseeing team performance, engagement, and growth
• 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

This is a platform-shaping leadership role with enterprise-level impact.

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

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. 

Key Responsibilities:

Product Strategy & Vision

• 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

Market & Competitive Intelligence

• 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

Cross-Functional Leadership

• 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

Required Skills & Qualifications:

• 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

 Preferred:

• 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

Core Competencies:

• Creative with a focus on value –  ability to identify opportunities and develop appropriate solutions
• Data-driven – ability to utilize data to validate and size opportunities
• Strategic thinking grounded in data and real-world performance
• Strong communicator – ability to clearly communicate across all levels and functions to drive alignment
• Cross-functional/collaborative – able to work across teams to define a solution and bring it to market (commercial focus)

What Success Looks Like

• Continued evolution of Pareto’s captive model as a market-leading solution
• Strong adoption and advocacy from brokers, consultants, and employer groups
• Tight alignment between product strategy, underwriting, and commercial execution

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

ParetoHealth is seeking a highly analytical and business-oriented Underwriting Analytics Lead to support underwriting, pricing, and strategic decision-making. This role is responsible for transforming raw, imperfect data into actionable insights and owning the underwriting reporting ecosystem.

In this role, you will operate at the intersection of data, underwriting, and strategy—balancing structured recurring work with ambiguous, high-impact analytical problem solving. You will partner cross-functionally with Underwriting, Finance, and Leadership to deliver insights that directly influence business outcomes.

This role is ideal for someone who thrives in a fast-paced, evolving environment, is comfortable working with imperfect data, and can move quickly from question to insight.

Key Responsibilities:

Analytics & Insights

• Conduct deep-dive, diagnostic analyses to understand trends, performance drivers, and anomalies in underwriting and portfolio performance
• Translate ambiguous business questions into structured analytical approaches and clear conclusions
• Develop hypotheses, test them with data, and clearly communicate “why” behind outcomes
• Support strategic initiatives (e.g., QBRs, leadership presentations) with high-quality analysis and storytelling

Dashboard & Reporting Ownership

• Own the development, maintenance, and evolution of underwriting dashboards and reporting tools
• Ensure accuracy, consistency, and usability of core reporting assets
• Proactively identify gaps in reporting and define a forward-looking dashboard strategy (what should exist, who needs access, etc.)
• Partner with stakeholders to ensure reporting meets business needs and drives decision-making

Business Partnership

• Develop a strong understanding of underwriting, pricing, and insurance dynamics (especially medical stop loss)
• Frame analyses in the context of business problems and decisions—not just data outputs
• Provide clear, actionable recommendations that influence underwriting and strategic direction
• Collaborate closely with cross-functional stakeholders to refine questions and align on solutions

Required Skills & Qualifications:

• Bachelor’s degree in Data Analytics, Business, Economics, Mathematics, or a related field
• 5-7+ years of experience in analytics, data, or a related role (experience in insurance, healthcare, or financial services preferred)
• Strong SQL skills and ability to independently extract and manipulate raw data
• Advanced proficiency in Excel and Tableau (or similar BI tools)
• Strong analytical and problem-solving skills with a structured, hypothesis-driven approach
• Experience working with imperfect or messy datasets (e.g., missing values, inconsistent coding)
• Excellent communication skills, with the ability to translate complex analysis into clear insights

Preferred Qualifications:

• Experience in healthcare, insurance, or medical stop loss
• Exposure to actuarial concepts or pricing/underwriting processes
• Experience using Python for data analysis or transformation
• Experience building dashboards or reporting tools used by business stakeholders

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

The Implementation Manager leads onboarding for new Employers and Consultant partners, ensuring a clear, organized, and easy implementation process into the ParetoHealth community. This role owns each step from start to finish—owning timelines, coordinating details accurately, anticipating challenges and risks early, and delivering an exceptional experience that builds confidence and long-term satisfaction.

Reporting to the Manager, Implementation Delivery this individual independently manages multiple concurrent implementations in a fast-paced, seasonal environment. The Implementation Manager plays a critical role in strengthening overall onboarding quality by executing effectively, adapting to change, and identifying and adopting improvements. Their work builds lasting, valued relationships for Employers and Consultants alike.

Key Responsibilities:

• Own and manage implementations end-to-end, ensuring all deliverables are completed accurately, efficiently, and on time.
• Lead Employers and Consultant experience throughout onboarding by being proactive, managing expectations, and adapting to different audiences to ensure clarity, consistency, and customer satisfaction.
• Facilitate kick off calls, ongoing touchpoints, and status updates to maintain clarity, accountability, and momentum across all parties.
• Partner with internal teams including Sales, Underwriting, Account Management, and Cost Containment Operations to align priorities, share updates, manage dependencies, and anticipate needs across the onboarding process.
• Execute established processes and tools (e.g., Salesforce, InspirePlanner) with precision and timeliness, while identifying and adopting improvements that enhance efficiency and scalability.
• Demonstrate adaptability, initiative, and teamwork by responding to change, sharing insights, supporting peers, and promoting alignment across the Implementation function to contribute to collective success.
• Deliver successful onboarding outcomes that reduce errors/ escalations and build confidence, satisfaction, and long-term partnerships with Employers and Consultant partners

Required Skills & Qualifications:

• Bachelor’s degree or equivalent work experience required.
• 2+ years of experience in client implementation, onboarding, or project/account management; experience in health benefits, stop-loss, or insurance preferred.
• Proven ability to manage multiple projects simultaneously with accuracy, organization, and strong attention to detail.
• Strong communication and relationship management skills with ability to simplify complex concepts and tailor messages to different audiences.
• Demonstrated relationship-building skills and a strong commitment to customer satisfaction.
• Collaborative team player with experience working cross-functionally to meet deadlines, manage dependencies, and achieve goals.
• Analytical and problem-solving mindset with a data-driven approach, leveraging tools such as Salesforce (SFDC) and InspirePlanner (or other project management tools) to improve processes and performance.
• Self-starter with initiative, adaptability, and commitment to continuous improvement.

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

The Growth team at Pareto plays a central role in shaping the company’s growth strategy, enabling commercial success, and supporting executive team decision-making. We partner closely with senior leadership and cross-functional teams to explore new growth opportunities, evaluate strategic partnerships, and translate complex analysis into clear, actionable direction.

The Director, Growth Strategy will play a pivotal role in advancing Pareto’s growth strategy and supporting top-priority strategic initiatives with high executive visibility. This role is ideal for a highly analytical, structured thinker with strong executive presence who thrives in ambiguity and enjoys both identifying key business and market insights and partnering with the internal team to operationalize and drive impact.

Key Responsibilities:

Leveraging prior experience in management consulting, banking, corporate development, and/or corporate strategy, you will help define strategy, support execution, and drive measurable business outcomes.

You will work closely with executive leadership, commercial teams, and cross-functional partners to evaluate opportunities, align teams, and operationalize decisions. Key responsibilities include:

• Support executive leadership and Board of Directors discussions, including preparation of high-quality analyses and board slides
• Lead and support enterprise-level strategic initiatives, including regional growth initiatives, partnerships, and new opportunities
• Independently scope strategic problems, develop structured workplans, and drive projects from analysis through recommendation and execution
• Partner closely with commercial, product, and operations teams to ensure alignment and execution of strategic priorities
• Size opportunities and business impact using rigorous quantitative analysis and financial modeling.
• Develop clear, compelling executive narratives and presentations, simplifying complex topics for senior stakeholders
• Monitor outcomes, build reporting, and manage performance metrics to ensure strategies translate into results. Partner closely with Rev Ops team to operationalize insights and align to Sales processes and tracking.
• Mentor and develop more junior team members as a colleague, fostering structured thinking and high-quality delivery. Opportunity to grow into people manager role with direct reports.

Required Qualifications / Skills:

• 8-10 years of experience in a dynamic, fast-moving environment, with background in management consulting, investment banking, corporate development, and/or corporate strategy
• Strong preference for candidates who have consulting or banking experience followed by in-house experience
• Exceptional structured problem-solving and quantitative skills, including ability to derive insights from complex data
• Demonstrated expertise in storyboarding, executive storytelling, and presentation development, including facilitating live executive discussions
• Strong executive presence with the ability to listen, synthesize, influence, and communicate clearly
• Comfort operating in ambiguity; ability to simplify complex, cross-functional challenges into clear strategic direction
• Proven ability to manage multiple concurrent priorities and work effectively in a matrixed organization
• Experience leading significant workstreams or owning projects end-to-end, especially in coordination with go-to-market / commercial team
• Bachelor’s degree required; MBA or other advanced degree preferred
• Experience in healthcare, specifically healthcare insurance, benefits, or payer-related segments preferred
• Advanced proficiency in PowerPoint and Excel; strong attention to detail and polish

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary: 

Join our fight for the greater good. At ParetoHealth, we’re on a mission to make healthcare spend less volatile and more affordable for small and mid-sized businesses. With over 4,000 employer members covering nearly 1.2 million Americans, we are the nation’s largest and fastest-growing employer-owned health benefits solution. 

ParetoHealth is seeking an Art Director to serve as a senior individual contributor responsible for elevating creative quality, leading complex deliverables, and building scalable design systems. This role combines hands-on execution, project leadership, and mentorship, helping the Design function operate with clarity, consistency, and impact. 

Reporting to the Head of Design, this role does not include people management but does require the ability to lead projects, set creative direction, and mentor a Senior Graphic Designer while remaining deeply involved in execution. 

This role is based in Center City Philadelphia, with the option to work remotely 2–3 days per week. 

Key Responsibilities: 

Lead high-impact creative execution 

• Own and lead delivery of complex, high-visibility creative work, including:
• Long-form content such as white papers, reports, and playbooks
• Executive presentations for senior leadership and external audiences
• Brand, campaign, and case-study storytelling assets
• Translate abstract or complex concepts into clear, compelling visual narratives (including infographics and industry reports) that communicate a strong point of view. 
• Serve as creative lead on priority initiatives in partnership with Marketing, Events, and Content teams. 

 Web design & UI/UX-driven experiences 

• Lead visual design for marketing websites and landing pages supporting campaign, growth, and educational initiatives.
• Apply strong UI/UX principles, including visual hierarchy, usability, accessibility, and responsive design.
• Design within and extend existing design systems across web and digital touchpoints.
• Partner with developers and cross-functional stakeholders to translate requirements into high-quality, feasible designs. 

Video, motion & visual storytelling 

• Lead hands-on execution of video and motion initiatives, including storyboarding, concept development, and hands-on editing and motion design.
• Establish quality standards and best practices for video and motion content across the team. 

Design systems & scalability 

• Build, maintain, and evolve scalable design systems, templates, and component libraries across events, sales enablement, and digital campaigns.
• Establish clear design standards, review practices, and workflows that reduce rework and increase speed.
• Identify and apply process improvements, automation, and AI-assisted workflows to improve efficiency and consistency. 

Required Skills & Qualifications: 

• 8+ years of multidisciplinary design experience (B2B or complex subject matter preferred).
• Strong portfolio demonstrating long-form content, executive presentations, web and digital design, video/motion work, and data visualization or analytical storytelling.
• Strong experience designing for web and digital platforms, with a solid understanding of UI/UX best practices, responsive design, and accessibility.
• Working experience with video editing and motion graphics (advanced skills a plus).
• Proven ability to lead projects end to end as a senior individual contributor.
• Strong communication skills and comfort partnering with senior stakeholders.
• Experience building and evolving design systems.
• Advanced proficiency in Figma, Adobe Creative Suite, Canva, and PowerPoint. 

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

As Pareto continues to scale, we're expanding our product portfolio, which will include the development of new alternative funding solutions. We are seeking a Senior Manager, Product Strategy & Operations to build and run the operating system that powers disciplined execution, strong partner performance, and scalable growth for the new solutions.

This individual will serve as the internal integrator for a new Pareto product — translating strategy into cross-functional execution across underwriting, partner management, onboarding, client management, renewals, and governance.  This is not a back-office operations role.

What You’ll Own:

Build the Product Operating System

- Design and implement scalable workflows across underwriting, onboarding, renewals, customer and partner operations.
- Establish governance cadence (SteerCo, OKRs, dashboards, decision logs).
- Improve operational visibility and reduce friction as the business scales.
- Ensure infrastructure supports 2–3x growth without operational instability.

Lead Operational Partner Management

- Serve as day-to-day operational counterpart to TPAs and stop-loss carriers.
- Run structured performance reviews and escalation processes.
- Maintain accountability to service expectations and contractual mechanics.
- Ensure operational readiness for new partner launches.

Translate Expansion into Execution

- Own rollout plans for new TPAs, stop-loss carriers, markets, and program enhancements.
- Align underwriting, commercial, product, operations, and finance stakeholders.
- Identify risks early and drive resolution.
- Deliver clean, on-time implementation of approved initiatives.

What Success Looks Like (12–18 Months)

• The new product solutions operate through defined systems, not tribal knowledge.
• Cross-functional teams execute with clarity and accountability.
• Partner relationships are structured, disciplined, and proactive.
• Expansion initiatives launch cleanly and predictably.
• Growth does not introduce operational instability.

What You Bring:

• Experience building operating infrastructure in complex, matrixed organizations.
• 7-10 years in health plan operations, level-funded, stop-loss, MGU, or adjacent risk-based environments.
• Strong executive presence and ability to influence without authority.
• Credible fluency in level-funded mechanics and stop-loss dynamics.
• Experience managing TPA and/or carrier operational relationships.
• High attention to detail with a bias for disciplined execution.
• Comfort operating in fast-paced, ambiguous environments.

Why This Role Matters:

The new alternate funding solutions will require disciplined infrastructure and cross-functional coordination. This role ensures that growth decisions translate into scalable, reliable execution and long-term operational strength.

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Overview:

Pareto Health is seeking a dedicated and detail-oriented Underwriter to join our team. This role is crucial in assessing and managing the risks associated with self-funded and fully insured health plans, using stoploss insurance. The ideal candidate will bring a foundational understanding of analyzing health risks and developing stoploss strategies that align with our commitment to providing innovative and cost-effective healthcare solutions to our clients.

Key Responsibilities:

• Support the underwriting process using a best-in-class captive offering to create profitable stoploss offerings for prospective captive members.
• Conduct preliminary risk assessments of prospective Pareto captive members, who are currently both fully insured and self-funded health plans, to assist in determining appropriate stoploss coverage levels and premiums.
• Assist in analyzing healthcare data, including claims and utilization patterns, to forecast potential risks and cost implications.
• Collaborate with the Sales team to provide consultants with the necessary financial information required to join the captive.
• Adapt to working in an environment of incomplete information.
• Stay informed about competitive market dynamics and respond appropriately.
• Work under the guidance of senior underwriters to enhance underwriting skills and knowledge.
• Participate in ongoing training to develop a deeper understanding of medical treatments and projected costs in partnership with the clinical risk team.
• Ensure adherence to industry standards and legal requirements in all underwriting decisions and practices.

Required Skills & Qualifications:

• Bachelor’s degree in finance, economics, actuarial science, or a related field; relevant professional certifications are a plus.
• Minimum of 2-3 years of experience in underwriting, preferably with some exposure to stoploss insurance and health risks. Experience with captives is a plus but not required.
• Basic proficiency in underwriting software, data analysis tools, and Microsoft Office Suite.
• Ability to analyze data, identify trends, and support underwriting decisions.
• Good communication and negotiation skills, with the ability to articulate technical concepts to a non-technical audience.
• Team player, capable of working effectively in a dynamic and collaborative environment.
• Basic understanding of stoploss products, self-funding, healthcare industry trends, and the regulatory landscape.

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

The Underwriting Team Lead is responsible for managing, coaching, and developing a small team of underwriters while maintaining hands-on involvement in complex casework. This role serves as a bridge between individual contributors and underwriting leadership, ensuring consistent execution, balanced workloads, strong underwriting judgment, and effective collaboration with Sales, Customer Management, Carrier Management, and Underwriting Operations.

The Team Lead drives performance through real-time case oversight, escalation management, quality assurance, and professional development of team members, while also contributing directly to high-impact and non-standard underwriting scenarios.

Key Responsibilities:

• Team Leadership & Case Management
• Lead day-to-day underwriting execution for a designated team, ensuring timely completion of cases and balanced workload distribution.
• Monitor case progress, turnaround times, and assignment flow using Salesforce and underwriting reporting tools.
• Reassign or reprioritize work as needed to meet business deadlines, accommodate PTO, or address urgent requests.
• Maintain close communication with Sales, Customer Management, and Underwriting leadership regarding timing expectations, priorities, and escalations.
  
  
• Quality Assurance & Underwriting Oversight
• Review complex, high-risk, or non-standard cases to ensure sound underwriting judgment and adherence to guidelines.
• Provide guidance on medical risk assessment, including large claimant review, laser recommendations, and negotiation strategy.
• Support resolution of underwriting errors, including root cause analysis, solutioning, carrier communication, and internal escalation when required.
• Partner with Underwriting Operations on audit and quality assurance initiatives, providing feedback and coaching based on results.
  
  
• Escalation & Complex Deal Support
• Act as an escalation point for challenging underwriting situations, carrier misalignments, or missed terms.
• Assist in block-level underwriting strategies, including coordination of resources, sales alignment, and carrier submission timing.
• Develop and support creative, business-oriented solutions for non-standard or high-risk scenarios, escalating to senior leadership when appropriate.
  
  
• Coaching, Development & Performance Management
• Conduct regular one-on-one meetings with direct reports to provide coaching, feedback, and career development support.
• Identify individual strengths and development areas; create and monitor action plans for skill and performance improvement.
• Facilitate team meetings focused on case learnings, negotiation strategies, underwriting trends, and process updates.
• Assign and support project work that enhances technical skills and prepares underwriters for career progression.
  
  
• Cross-Functional Partnership & Relationship Management
• Build strong working relationships with Sales, Customer Management, Carrier Management, Underwriting Operations, and regional leadership.
• Serve as a trusted underwriting partner for Sales and Customer Management, enabling effective decision-making without unnecessary escalation.
• Participate in internal projects and external engagements that enhance underwriting credibility and market insight.
  
  
• Individual Contribution & Professional Growth
• Maintain a reduced personal case load, focusing on complex or high-impact accounts.
• Stay informed on market trends, geographic dynamics, and consultant-specific considerations impacting underwriting strategy.
• Participate in leadership development programs, mentorship, and regular coaching with underwriting leadership.

Required Qualifications / Skills: 

• Strong expertise in stop loss underwriting and self-funded health plan risk assessment
• Demonstrated ability to coach, mentor, and develop underwriting talent
• Excellent judgment in medical risk evaluation, negotiation, and complex deal strategy
• Strong communication skills with the ability to translate underwriting decisions to Sales and external partners
• Highly organized, adaptable, and effective in a fast-paced, deadline-driven environment
• Proven ability to balance leadership responsibilities with hands-on execution

Minimum Requirements: 

• Bachelor’s degree or equivalent professional experience
• 5+ years of stop loss or health plan underwriting experience
• Prior experience in a team lead, mentor, or informal leadership role strongly preferred
• Proficiency with underwriting systems, Salesforce reporting, and Microsoft Office tools

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

The Underwriting Team Lead is responsible for managing, coaching, and developing a small team of underwriters while maintaining hands-on involvement in complex casework. This role serves as a bridge between individual contributors and underwriting leadership, ensuring consistent execution, balanced workloads, strong underwriting judgment, and effective collaboration with Sales, Customer Management, Carrier Management, and Underwriting Operations.

The Team Lead drives performance through real-time case oversight, escalation management, quality assurance, and professional development of team members, while also contributing directly to high-impact and non-standard underwriting scenarios.

Key Responsibilities:

• Team Leadership & Case Management
• Lead day-to-day underwriting execution for a designated team, ensuring timely completion of cases and balanced workload distribution.
• Monitor case progress, turnaround times, and assignment flow using Salesforce and underwriting reporting tools.
• Reassign or reprioritize work as needed to meet business deadlines, accommodate PTO, or address urgent requests.
• Maintain close communication with Sales, Customer Management, and Underwriting leadership regarding timing expectations, priorities, and escalations.
  
  
• Quality Assurance & Underwriting Oversight
• Review complex, high-risk, or non-standard cases to ensure sound underwriting judgment and adherence to guidelines.
• Provide guidance on medical risk assessment, including large claimant review, laser recommendations, and negotiation strategy.
• Support resolution of underwriting errors, including root cause analysis, solutioning, carrier communication, and internal escalation when required.
• Partner with Underwriting Operations on audit and quality assurance initiatives, providing feedback and coaching based on results.
  
  
• Escalation & Complex Deal Support
• Act as an escalation point for challenging underwriting situations, carrier misalignments, or missed terms.
• Assist in block-level underwriting strategies, including coordination of resources, sales alignment, and carrier submission timing.
• Develop and support creative, business-oriented solutions for non-standard or high-risk scenarios, escalating to senior leadership when appropriate.
  
  
• Coaching, Development & Performance Management
• Conduct regular one-on-one meetings with direct reports to provide coaching, feedback, and career development support.
• Identify individual strengths and development areas; create and monitor action plans for skill and performance improvement.
• Facilitate team meetings focused on case learnings, negotiation strategies, underwriting trends, and process updates.
• Assign and support project work that enhances technical skills and prepares underwriters for career progression.
  
  
• Cross-Functional Partnership & Relationship Management
• Build strong working relationships with Sales, Customer Management, Carrier Management, Underwriting Operations, and regional leadership.
• Serve as a trusted underwriting partner for Sales and Customer Management, enabling effective decision-making without unnecessary escalation.
• Participate in internal projects and external engagements that enhance underwriting credibility and market insight.
  
  
• Individual Contribution & Professional Growth
• Maintain a reduced personal case load, focusing on complex or high-impact accounts.
• Stay informed on market trends, geographic dynamics, and consultant-specific considerations impacting underwriting strategy.
• Participate in leadership development programs, mentorship, and regular coaching with underwriting leadership.

Required Qualifications / Skills: 

• Strong expertise in stop loss underwriting and self-funded health plan risk assessment
• Demonstrated ability to coach, mentor, and develop underwriting talent
• Excellent judgment in medical risk evaluation, negotiation, and complex deal strategy
• Strong communication skills with the ability to translate underwriting decisions to Sales and external partners
• Highly organized, adaptable, and effective in a fast-paced, deadline-driven environment
• Proven ability to balance leadership responsibilities with hands-on execution

Minimum Requirements: 

• Bachelor’s degree or equivalent professional experience
• 5+ years of stop loss or health plan underwriting experience
• Prior experience in a team lead, mentor, or informal leadership role strongly preferred
• Proficiency with underwriting systems, Salesforce reporting, and Microsoft Office tools

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

The Solution Consultant role is a highly visible, field-facing strategic role for a subject matter expert who wants impact without people management.  The incumbent will use appropriate education to protect retention, accelerate solution adoption, and strengthen Pareto’s position as a strategic partner — not just a vendor. This role complements Customer Management by bringing advanced solution, technical, and clinical depth to our highest-priority customers.

The Solution Consultant is responsible for driving thoughtful adoption and value of Pareto’s priority Savings Engine solutions through education-first engagement, deep expertise, and strong cross-functional collaboration. This role supports consultants and employers by driving solution adoption, educating on solution value, identifying implementation risk early, and serving as a primary escalation point for complex questions.

The Solution Consultant partners closely with Account Managers, Product, Clinical, and vendor partners to ensure solutions are positioned appropriately, implemented effectively, and continuously improved based on field feedback.

Key Responsibilities:

Drive Solution Adoption (Balanced with Education)

• Lead or support strategic consultant and employer meetings to explain solution value, fit, and integration in a disciplined, education-first manner.
• Build confidence through education with the goal of converting appropriate opportunities into adoption.
  • Focus on priority solutions including: Rightway, Lyra, PRxC, Springbuk, Renalotic, Found, First Stop Health & other high priority solutions
• Partner with Account Managers to reduce solution complexity and elevate credibility in the field.

Provide Deep Technical and Clinical Expertise

• Deliver strategic education to help employers and consultants get the most from adopted solutions.
• Serve as the escalation point for technical and clinical questions related to Pareto solutions.
• Leverage knowledge to enhance credibility and support informed decision-making.
• Engage internal clinical, product, and vendor resources as needed to support successful outcomes.

Enable the Field

• Deliver internal and external training to increase Account Manager confidence in technical and clinical discussions.
• Raise the baseline level of solution knowledge across the field, reducing long-term dependency on escalations.
• Identify risk early through oversight and reporting; partner with Product and vendors to resolve issues proactively.

Own the Feedback and Vendor Loop

• Partner with Product to define vendor support needs, including escalation paths, dedicated support models, or engagement tools.
• Act as a bridge between the field, Product, Clinical, and vendor partners to improve solution performance at scale.

Success Metrics

• Adoption & Outcomes - Increased adoption of Savings Engine solutions across the book of business.
• Engagement Effectiveness – Strong hit rate on engagements that lead to solution adoption. Balance of education & adoption leading to Pareto being seen as a strategic partner.
• Operational Effectiveness - Reduced time-to-resolution for solution escalations including fewer stalled implementations tied to solution complexity or lack of education.
• Enablement Impact - Increased Account Manager confidence in technical and clinical discussions (measured via internal feedback or survey)

Required Qualifications / Skills: 

Technical & Clinical Aptitude

• Clinical or pharmacy experience is preferred.
• Experience supporting complex health, pharmacy, or cost-containment solutions.
• Ability to quickly learn, synthesize, and explain new solutions and integrations.

Consultative Communication

• Strong presentation and facilitation skills with the ability to simplify complex concepts.
• Credible and confident with consultants, employers, and internal partners.

Learning Agility

• Comfortable operating in a fast-evolving product and market environment.
• Curious, adaptable, and proactive in developing expertise.

Cross-Functional Collaboration

• Proven ability to partner effectively with Product, Clinical, Vendors, and Customer Management teams.
• Strong organizational and follow-through skills.

Customer-Centric Mindset

• Outcome-oriented approach grounded in trust and long-term value creation.
• Consultative, non-transactional sales mindset.

Minimum Requirements: 

• Bachelor's degree
• Experience in healthcare, benefits consulting, pharmacy or related field.
• Willingness to travel as needed to support field engagements, upward of 50% travel.
• 7+ years of relevant experience

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment

Position Summary:

Join our fight for the greater good. At ParetoHealth, we’re on a mission to make healthcare spend less volatile and more affordable for small and mid-sized businesses. With over 4,000 employer members covering nearly 1.2 million Americans, we are the nation’s largest and fastest-growing employer-owned health benefits solution. 

ParetoHealth is seeking a Senior Graphic Designer to support the execution of high-quality creative across marketing, sales enablement, events, and digital channels. This senior individual contributor role is focused on reliable delivery, strong design craft, and speed, partnering closely with Art Director to bring complex ideas to life through clear, effective design. 

Reporting to the Head of Design, this role requires the ability to independently own deliverables, manage multiple priorities, and collaborate effectively across teams. This role supports complex initiatives led by the Art Director while owning day-to-day execution across core marketing and sales deliverables. 

This role is based in Center City Philadelphia, with the option to work remotely 2–3 days per week.

Key Responsibilities:

Primary execution ownership 

• Design and deliver high-quality marketing and sales assets, including:
• Sales decks and executive-ready presentations
• One-pagers and POV-driven collateral
• Email campaign creative and landing page assets
• Infographics and short-form social or campaign content derived from long-form materials
• Manage multiple projects simultaneously while meeting deadlines and quality standards. 

 Web & digital support 

• Design web and landing page assets within established design systems.
• Apply foundational UI/UX principles such as visual hierarchy, usability, and responsive thinking.
• Collaborate with the Creative Lead and web partners on digital execution. 

 Video & motion 

• Produce light video editing and motion graphics (e.g., social clips, animated presentations, short-form campaign assets).
• Support larger video or motion initiatives led by the Creative Lead. 

 Long-form content & data visualization  

• Support the design of long-form materials by applying clear layout and hierarchy and maintaining consistency across pages.
• Assist in translating data into charts, infographics, and visual summaries. 

 Design systems & collaboration 

• Work within established design systems and templates to ensure consistency and efficiency.
• Help maintain and organize shared assets and templates.
• Participate in creative reviews and incorporate feedback constructively.
• Collaborate cross-functionally with Marketing, Events, Sales, and Content partners to ensure clear intake and alignment. 

 Required Skills & Experience:

• 5+ years of professional graphic design experience.
• Strong portfolio demonstrating marketing, presentation, and digital design work.
• Experience designing email, social, and campaign-based assets.
• Experience producing basic video or motion content (advanced skills a plus).
• Working knowledge of web design best practices and foundational UI/UX principles.
• Strong attention to detail, organization, and follow-through.
• Ability to manage multiple projects in a fast-paced environment.
• Proficiency in Adobe Creative Suite, Figma, Canva, and PowerPoint. 

Perks & Benefits:

• Fully paid medical, dental, and vision benefits.
• Flexible PTO
• 401k company contribution
• Tuition reimbursement
• Professional development allowance
• Transportation allowance and daily parking reimbursement 
• Engaging hybrid work environment