Paratici will begin his new role at the start of next month and is expected to play a key role in the appointment of a new manager following Jose Mourinho’s dismissal in April.
The 48-year-old has spent the last eleven years filling in a variety of roles at Juventus but his contract which is due to expire at the end of June was not renewed.
Paratici told the club website: “I am thrilled by this fantastic opportunity and I thank the Club and the Chairman for the trust in me.
“Tottenham is one of the top clubs in the UK and in Europe with an ambitious long-term plan. I will dedicate all myself to this new venture and look forward to working with the management team to write a new and hopefully successful chapter in the Club history.”
Spurs chairman Daniel Levy added: “I've known Fabio for a number of years and he brings with him a wealth of experience in scouting, youth and football operations.
“He has an outstanding track record in assembling competitive squads. As we all know, Juventus have been a highly successful club and he has been a major part of that.
“He will be a great addition to the management structure. I am delighted that he will be heading up the football side of the Club as we look ahead to next season.”
Tottenham are expected to fall on Paulo Fonseca to become their new manager.