Vice President of Underwriting
About The Position
The Vice President of Underwriting provides strategic leadership and operational oversight for all underwriting functions within our growing company. This role is responsible for driving underwriting profitability, risk management strategy, pricing integrity, regulatory compliance, and team performance across fully insured and self-funded health plans. The VP of Underwriting partners cross-functionally with Sales, Actuarial, Finance, Compliance, Claims, and Executive Leadership to ensure disciplined risk selection, competitive pricing strategies, sustainable growth, and an exceptional client experience.
Requirements
- Deep knowledge of self-funded and fully insured health plan underwriting.
- Strong understanding of stop-loss, level-funded, and ancillary products.
- Demonstrated experience managing underwriting P&L responsibility.
- Knowledge of federal and state healthcare regulations.
- Proven ability to build and lead high-performing teams.
Responsibilities
- Develop and execute enterprise underwriting strategy aligned with company growth and profitability goals.
- Establish underwriting guidelines, risk tolerance frameworks, and pricing methodologies.
- Partner with Executive Leadership to drive sustainable revenue growth while maintaining disciplined risk selection.
- Provide strategic insights into market trends, regulatory changes, and competitive positioning.
- Ensure underwriting profitability and loss ratio performance across all lines of business.
- Oversee pricing integrity for fully insured and self-funded medical plans, stop-loss, ancillary, and specialty products.
- Monitor underwriting KPIs including hit ratios, margin performance, risk scoring accuracy, and renewal outcomes.
- Collaborate with Actuarial and Finance on rate setting, forecasting, and risk pool analysis.
- Lead, mentor, and scale high-performing underwriting teams (new business, renewals, large group, small group).
- Optimize underwriting workflows, automation tools, and data analytics capabilities.
- Drive process improvement initiatives to enhance efficiency, accuracy, and turnaround times.
- Ensure consistent underwriting practices across regions and teams.
- Ensure underwriting operations comply with federal and state regulations including ACA, ERISA, HIPAA, and applicable DOI requirements.
- Maintain audit-ready documentation and governance practices.
- Partner with Legal and Compliance to assess regulatory impacts on underwriting strategy.
- Serve as a strategic partner to Sales and Account Management to balance growth and risk discipline.
- Collaborate with Claims leadership to analyze utilization trends and emerging risk patterns.
- Support broker and consultant relationships when needed for large or complex cases.
Benefits
- 5% annual bonus based on company profitability
- Affordable health, vision, and dental insurance for you and your family
- Company contributes up to $2,300 to Health Savings Account annually
- Wellness program that contributes additional money towards your HSA
- Automatic 3% contribution into retirement plan
- Career development and growth opportunities
- Flexible Time Off & 10 paid holidays per year
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What This Job Offers
Job Type
Full-time
Career Level
Executive
Education Level
No Education Listed
