AVP, Underwriting & Strategic Pricing

Blue Cross and Blue Shield of North Carolina•Durham, CA

10d•$231,295 - $370,073

About The Position

Blue Cross NC is seeking a strategic and influential leader to lead underwriting and strategic pricing for its Commercial Employer business. The role is accountable for underwriting group prospects and renewals for fully insured and self-funded health and ancillary products, applying consistent underwriting principles and strategic pricing to support profitable membership growth. It shapes strategy across growth, risk management, affordability, and financial performance, and provides strategic leadership for Stop Loss and National business. The AVP partners across Sales, Actuarial, Finance, Product, Network Management, and Operations, and oversees underwriting systems and technology. The position also establishes performance standards for accuracy, timeliness, productivity, and customer satisfaction, and leads a high-performing underwriting organization.

Requirements

Bachelor's degree and 10 years of health insurance underwriting experience, or 12 or more years of related underwriting, pricing, or healthcare business experience in lieu of a degree.
Progressive leadership experience within underwriting, strategic pricing, actuarial partnership, or commercial insurance operations.
Strong business and financial acumen, including experience supporting growth, profitability, and forecasting initiatives.
Demonstrated ability to influence senior leaders and translate complex data into business decisions.
Exceptional communication, relationship-building, and executive presence.

Nice To Haves

MBA or other advanced degree.
Experience supporting Large Group and Commercial Employer markets.
Experience leading complex pricing, underwriting, or business transformation initiatives.
Six Sigma, Lean, or process improvement certification or experience.
Strong understanding of healthcare financing, risk management, and employer-sponsored health plans.

Responsibilities

Lead underwriting and strategic pricing efforts for the Commercial Employer market.
Partner with executive leaders to develop strategies balancing growth, competitiveness, customer retention, and financial performance.
Provide thought leadership and market insights to influence business decisions and enterprise outcomes.
Oversee risk assessment, rate development, underwriting governance, and pricing methodologies.
Analyze market trends, business performance, and profitability drivers to inform strategic recommendations.
Drive forecasting, financial planning, and performance management with Finance and Actuarial teams.
Lead modernization through process improvement, automation, analytics, and operational excellence initiatives.
Develop and empower a high-performing team while fostering accountability, collaboration, and continuous improvement.
Set performance standards for accuracy, timeliness, productivity, and customer satisfaction.
Oversee underwriting systems and technology.
Provide strategic leadership for Stop Loss and National business.