AVP, New Business Underwriting

ParetoHealth•Philadelphia, PA

10d•Hybrid

About The Position

We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits. The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions. But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come. Please note that ParetoHealth does not provide employment visa sponsorship for this position. Candidates must be authorized to work in the United States without sponsorship both now or in the future. Position Summary: We are seeking a strategic, results-driven New Business Underwriting Leader to oversee and evolve our underwriting strategy for new business opportunities. This leader will play a critical role in driving the growth of Pareto’s member base by partnering with sales and product teams to evaluate risk, guide pricing decisions, and build a scalable underwriting process. This is an opportunity to lead a team that sits at the intersection of data, strategy, and relationship management—ensuring that every new client onboarded to Pareto is set up for long-term success.

Requirements

5+ years of experience in medical stop loss underwriting
Experience managing a team required
Bachelor’s degree or 10 years stop-loss underwriting management experience
Deep understanding of medical underwriting, risk modeling, and group health products
Strong understanding of medical trend analysis, loss ratio performance, and self-insurance dynamics
Clear and persuasive communication skills, with experience influencing both internal and external stakeholders
Excellent analytical, Excel, and data interpretation skills

Responsibilities

Lead New Business Underwriting for a sales region including direct management of underwriters and team leads
Coach underwriters and team leads to drive an empowered underwriting culture
Manage team through the use of data and insights and develop an effective growth strategy in partnership with the SVP of Sales Region
Responsible for ensuring the integrity of underwriting activities and processes
Support quick thinking and problem solving regarding both internal and external parties
Negotiate and find common ground between employers, consultants, sales, and underwriting
Aid in making deals happen with multiple parties (consultants, internal sales team, external stop-loss carrier partners, etc.)
Own underwriting decisions and risk assessments for prospective members, ensuring alignment with company strategy and profitability goals