VP, Ecosystems Strategy and Partnerships

Ecosystem Strategy

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.

Direct Leadership & Organizational Accountability

Directly manage:

• Head of Point Solution Partnerships
• Head of PBM Strategy & Partnerships
• Head of TPA Relationship Management

Set strategic direction and execution priorities.

Establish measurable KPIs.

Drive performance discipline.

Ensure cross-vertical alignment.

Elevate leadership capability.

Avoid organizational needs and advocate for team expansion or structural adjustments as the ecosystem grows.

Build the right team to support the platform.

Full Executive Accountability for Partner Portfolio

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

Build Best-in-Class Partner Management

Professionalize partner management as a core Pareto capability.

• 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.

TPA Strategy & ParetoOne

Own performance and alignment across the TPA portfolio.

• 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.

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.

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