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Director of Operations, Underwriting


We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits.
The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions.But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come.

Please note that ParetoHealth does not provide employment visa sponsorship for this position. Candidates must be authorized to work in the United States without sponsorship both now or in the future.


Position Summary:


The Director of Operations will scale the operational infrastructure of Pareto Health’s underwriting function and support continued growth by streamlining processes, enhancing cross-functional alignment, and implementing scalable systems and tools resulting in improved efficiency & accuracy. This individual will lead strategic initiatives, support underwriting execution, and ensure seamless coordination between underwriting, sales, customer management, other internal teams and external partners.

We are looking for someone who sees the big picture, links operational needs to business goals, and delivers clear roadmaps for execution.

Key Responsibilities:


  • Strategic Leadership
  • Drive operational strategy for underwriting. Identify and execute on key initiatives to support growth, efficiency, and risk management.
  • Serve as a strategic thought partner to underwriting leadership and executive team. Support ongoing initiatives, facilitate steering committee meetings, as well as prepare for monthly business reviews and executive planning sessions.
  • Process Optimization
  • Evaluate and optimize end-to-end underwriting workflows, including data intake, evaluation, quoting, and approvals.
  • Identify and implement automation opportunities in collaboration with product and technology teams.
  • Establish and refine KPIs and dashboards to measure productivity, accuracy, turnaround time, and capacity planning across New Business and Renewals.
  • Foster a culture of accountability, collaboration, and continuous improvement.
  • Cross-functional Collaboration
  • Act as the liaison between underwriting and sales, customer management, and finance.
  • Partner with product, tech, and analytics to ensure underwriting systems meet current and future needs.
  • Manage relationships with external partners. Establish and monitor joint KPIs. Facilitate quarterly business reviews across two teams.

Required Qualifications / Skills:


  • 8+ years of experience in operations, or a related role in healthcare, health tech, insurance, or employee benefits.
  • 3+ years in a leadership or management position.
  • Strong understanding of Excel, data interpretation and risk evaluation.
  • Proven experience leading operational transformation initiatives.
  • Excellent project management, communication, and cross-functional collaboration skills, with experience influencing both internal and external stakeholders
  • Experience in stop-loss or self-funded insurance models preferred.
  • MBA or advanced degree in a relevant field preferred.

We are guided by our values:


Fire in the belly


The drive to learn, to improve, and to deliver outstanding value every day.

See the field


The ability to see the big picture and prepare to meet tomorrow’s needs.

Get it done right


The passion to produce at higher rates and to the highest standards.

For the greater good


A united community creating better health benefit solutions for all.

Please note that any communication from our recruiters and hiring managers at ParetoHealth about a job opportunity will only be made by a ParetoHealth employee with an @paretohealth.com address. ParetoHealth does not conduct text message or chat-based interviews. Any other email addresses, agencies, or forums may be phishing scams designed to obtain your personal information.


We will not ask you to provide personal or financial information, including, but not limited to, your social security number, online account passwords, credit card numbers, passport information, and other related banking information until we begin onboarding activities, which will be coordinated by a member of the ParetoHealth People Ops Team with an @paretohealth.com email address.


Disclosures:


ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.


California Applicants:  SeePareto’s CCPA Notice of Collection for California Employees and Applicantsfor information about how Pareto Captive Services, LLC, Pareto Health, LLC, and Pareto Underwriting Partners, LLC, together with their respective subsidiaries (collectively, “Pareto”) collects and uses personal information submitted by employment applicants.


Life at Pareto Health

Pareto Health forms and manages employee benefit group captives that allow employers to reduce costs and increase control over its employee benefit program. We serve as the management team of the group captive, representing the interests of the group. We offer employers with between 50 and 500 employees access to existing group captives and we create new group captives for groups of employers. We assist the group captive choose a policy issuing carrier, negotiate the reinsurance agreement, and underwrite new and renewal members. We work with the employers to develop and execute a multi-year business plan and provide management reports and tools to measure progress of the plan. Since we are not a broker, consultant, or a captive (domicile) management company, we are not conflicted by also representing individual employers as their broker or by also underwriting on behalf of the insurance carrier. Weᅢᄁ¬ツᆲ¬トᄁre focused only on the performance of the group captive.
Thrive Here & What We Value1. Casual and Fun Work Environment2. Collective Greatness Mindset: We believe that when we all work together towards a common goal, amazing things can happen.3. Transforming Employee Health Benefits4. Blazing Trail with Financing Innovations that Reduce Risks in SelfInsurance and Deliver Significant Savings5. Measuring success by more than dollars alone6. Robust benefits package including Medical (100% employer paid), Dental, Vision, STD/LTD, and employer 401(k) contribution7. Inclusive and Welcoming Environment8. Fire in the Belly and Inner Desire to Excel9. For the Greater Good and Accountability, Teamwork, and Responsibility
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