Assistant Vice President, Underwriting

ParetoHealth • Philadelphia, PA

184d

About The Position

We’re seeking an experienced and strategic Renewal Underwriting Leader to oversee the renewal underwriting process for Pareto’s expanding portfolio of member companies. This role is vital to maintaining our strong retention rate and ensuring each client remains well positioned for sustainable, long-term performance. The Renewal Business Underwriting Leader will develop our renewal strategy in collaboration with account management and finance to drive portfolio performance. This is a high-impact leadership role that combines deep technical expertise with cross-functional coordination and strategic thinking.

Requirements

• 5+ years of experience in medical stop loss underwriting
• Previous leadership of a renewal or new business medical stop loss underwriting team preferred
• Strong understanding of medical trend analysis, loss ratio performance, and self-insurance dynamics
• Proven leadership experience managing teams in a high-volume, high-growth environment
• Excellent analytical, Excel, and data interpretation skills
• Clear and persuasive communication skills, with experience influencing both internal and external stakeholders
• Bachelor's degree in business, actuarial science, finance, or a related field preferred; advanced degree or actuarial credentials a plus

Responsibilities

• Lead the development and execution of Pareto’s renewal underwriting strategy
• Manage a high-performing team of renewal underwriters, providing mentorship, training, and performance management
• Partner closely with Customer Management and Finance to evaluate member performance and develop tailored renewal recommendations
• Ensure consistency, accuracy, and timeliness in renewal calculations, modeling, and deliverables
• Serve as an internal thought leader on loss trends, risk scoring, and renewal planning
• Support the refinement and automation of renewal tools, reports, and workflows in collaboration with Product and Technology teams
• Represent the underwriting function in renewal discussions with senior leadership and key external stakeholders (brokers, consultants, reinsurers)
• Monitor book-level performance trends and recommend strategies to improve profitability and retention

What This Job Offers

• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees