Director, Insurance Strategy & Innovation
About the role
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. 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 other teams