Chief Health Risk & Medical Cost Sharing Strategist

We are building a next-generation Preventative Health Collective that integrates behavioral data, risk tiering, and catastrophic cost-sharing into a unified ecosystem.

This is NOT traditional insurance.

This is not a innovative healthshare.

We are designing a prevention-first membership model with shared catastrophic pooling mechanics, dynamic risk stratification, and long-term solvency design. We are seeking a highly experienced architect who understands how alternative risk pools are structured, protected, and sustained.

​

Role Overview

The Chief Risk & Cost Sharing Architect will design and stress-test the financial and regulatory foundation of our cost-sharing model.

This is a strategic architecture role (not an operations or sales position).

You will help design:

• Pool structure and contribution methodology
• Risk stratification and tiered membership logic
• Reserve design and capital buffer strategy
• Stop-loss and reinsurance layering
• TPA selection and claims governance frameworks
• Regulatory positioning across multiple states
• Entity structuring to protect solvency and compliance
• Long-term sustainability modeling

You will work directly with the founder and executive team to harden the system before scale.

​

Key Responsibilities

• Design the underlying financial engine of the cost-sharing pool
• Model solvency scenarios under varying claim loads
• Identify regulatory landmines and classification risks
• Advise on ERISA implications where applicable
• Structure relationships with TPAs and stop-loss carriers
• Establish reserve and liquidity policies
• Provide clear recommendations on compliance guardrails
• Stress-test incentive and tiering models to avoid insurance classification

​

Ideal Background

We are looking for someone who has:

• Designed or architected medical cost-sharing programs
• Structured multi-entity trusts or alternative risk pools
• Experience in self-funded employer plans
• Deep knowledge of stop-loss and reinsurance markets
• Worked with TPAs and non-traditional reimbursement models
• Navigated state regulatory scrutiny
• Strong financial modeling capability

Bonus if you understand:

• Behavioral incentive systems
• Tiered pricing models
• Membership-based ecosystems
• Network marketing compliance considerations

This is an architecture role focused on protecting and strengthening the financial engine.

​

Structure

• Fractional engagement initially (10–20 hours per week)
• Advisory or contract structure
• Compensation competitive and aligned with scope
• Potential to evolve into long-term strategic leadership

We believe the future of healthcare is prevention-first, community-driven, and structurally sound.

To do that responsibly, the foundation must be engineered correctly from day one. You will be an integral part of that.

​

How to Apply

Note: This is a syndicated job post. Fractional Jobs found it on the web, but we are not working with the client directly, so we don't have control over or knowledge of the application process. To apply, click on the "View Application" button and follow the application's instructions. Let us know how it goes!