Director, Insurance Strategy & Innovation
Position Summary
ParetoHealth is seeking a Director of Insurance Strategy & Innovation to lead the evolution of our captive-based stop-loss solutions and drive innovation across our risk-sharing model.
Key Responsibilities
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 of experience owning Insurance Product strategy and innovation (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