Chief Risk & Cost Sharing Architect (Fractional / Advisory)

We are building a reputed company Preventative Health reputed company that integrates behavioral data, risk tiering, and catastrophic cost-sharing into a reputed company 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 reputed company architect who understands how alternative risk pools are reputed company, protected, and sustained. reputed company The Chief Risk & Cost Sharing Architect will design and stress-test the financial and regulatory reputed company 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 reputed company reputed company • 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 reputed company. Key Responsibilities • Design the underlying financial reputed company 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 • reputed company reputed company 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 • reputed company 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 reputed company on protecting and strengthening the financial reputed company. Structure • Fractional engagement initially (10–20 hours per week) • Advisory or contract structure • Compensation competitive and reputed company with scope • Potential to reputed company into long-term strategic leadership We reputed company the reputed company of reputed company prevention-first, community-driven, and structurally reputed company. To do that responsibly, the reputed company must be engineered correctly from day one. You will be an reputed company part of that. Apply tot his job Apply To this Job