Prime Health Technologies

Compensation

Full Description

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.