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ParetoHealth
Philadelphia, PA | Full Time
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Confidential
Philadelphia, PA | Other
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Vice President of TPA Relationships
ParetoHealth Philadelphia, PA
$223k-324k (estimate)
Full Time 1 Month Ago
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ParetoHealth is Hiring a Remote Vice President of TPA Relationships

Job Title

Vice President of TPA Partnerships

Department

Cost Containment

Position Summary

Pareto has grown in part by giving maximum flexibility on TPAs, networks, plan design, and cost containment choices to our customers. Over the years, our strategy has evolved – largely in response to the market’s preference for a simplified, turnkey buying process – but also due to the advantages our size and scale afford us relative to purchasing power. As the Vice President of TPA Partnerships, you will own the continued development and delivery of our TPA strategy, ensuring opportunities are aligned with Pareto’s overall macro growth strategy. As the internal subject matter expert on regional and national provider networks, TPA operations, and associated market trends, you will operate as a trusted business partner to cross-functional stakeholders to aid in the achievement of annual growth and retention targets. As a strong communicator and relationship builder, you will play a pivotal role in optimizing our current partnerships and expanding our preferred TPA panel, driving revenue growth and enhancing the value proposition of our Integrated Cost Management (ICM) platform. This position will report to the EVP of Cost Containment and will also support our Sales and Underwriting organizations to leverage acquired knowledge and insight in the field. This person will thrive in a fast-paced, high-performance environment, with an ability to triage and provide solutions in an expedient manner.

Responsibilities

  • Develop and own vision, strategy, and roadmap for preferred TPA expansion, evaluating potential partners based on their strategic fit, market relevance and revenue potential
  • Navigate and develop relationships with key stakeholders and executives at partner TPAs to drive commitment and engagement
  • Collaborate with partners to identify opportunities for joint marketing and sales enablement initiatives, thought leadership events, and sponsorships
  • Leverage market insights to refine and enhance our TPA partnership strategy and intelligence, positioning us as a leader in the space
  • 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
  • Establish “rules of engagement” for partner organizations through an accountability framework that measures operational excellence, growth and retention
  • Partner with cross-functional departments, including underwriting, marketing, sales, legal, account management, finance, product, and engineering to identify insights to inform decision-making and add value to our customers and business
  • Facilitate negotiation and execution of partnership terms and agreements and any integration requirements 
  • Regularly communicate with Pareto leadership on TPA partner sales status and operational integrity, identifying areas for improvement 
  • Utilize your expertise and influence to assist and resolve escalations from internal and external stakeholders
  • Support the Account Management and Implementation teams to ensure a smooth landing for new and renewing brokers and members for both preferred and non-preferred TPA partners
  • Facilitate local and national collaboration between Pareto sales teams and TPA sales’ leads, fostering lead generation and joint prospecting initiatives
  • Partner with critical functions including FP&A to build company and departmental dashboards for cross-functional teams to provide visibility to business and customer health metrics; help teams define KPIs, targets, and track progress 

Qualifications

  • 10 years of TPA environment experience, preferably in a Health Benefits environment with a wide range of experience and exposure to multiple clients
  • Excellent professional customer service skills with a high level of customer focus, motivation, teamwork orientation, and demonstrated follow-through
  • Ability to work in a fast-paced environment with excellent prioritization, communication, problem solving and time-management skills
  • Comfortable operating with change and uncertainty in a fast-paced environment with a high degree of autonomy, ambiguity, and accountability
  • The ability to work equally well independently and as part of cross-functional teams 
  • Demonstrated experience influencing change at all levels of the organization; should be considered a "go-to resource" as you quickly integrate into our operations; after a brief period of orientation will "hit the ground running"
  • 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
  • Will require significant time (up to 50%) in the corporate headquarters over first 2 months and then reducing over time as you fully engage
  • Domestic travel (to clients /broker partners/TPAs) is required for this position

Job Summary

JOB TYPE

Full Time

SALARY

$223k-324k (estimate)

POST DATE

03/09/2024

EXPIRATION DATE

03/29/2024

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