Vice President, Underwriting

Point32Health • Canton, MA

25d • Hybrid

About The Position

The Head of Underwriting is responsible for developing pricing strategies, rate development, and directing the underwriting operations across the enterprise with the goal of maximizing market penetration and optimizing profitability. Directly impacts large group revenue and indirectly impacts small group revenue. Responsible for the development of the price for new products, evaluation of their marketability, reinsurance, and risk-sharing arrangements with third-party insurers. In addition, drives the development of underwriting metrics and uses these metrics to propose and modify strategies and tactics to balance profitability and membership growth. This position must have the ability to assess risk and be an advocate for sound risk principles throughout the enterprise.

Requirements

• Bachelor’s degree
• Minimum of 10 years of progressively responsible experience in underwriting or actuarial at a health plan or insurance company
• Must be able to work under normal office conditions and work from home as required.
• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
• May be required to work additional hours beyond standard work schedule.

Nice To Haves

• Master’s degree
• Skill Requirements
• Preferred: Skill Requirements

Responsibilities

• Develop a strategic vision for health engagement initiatives, aligning them with organizational goals and priorities.
• Lead the design and implementation of innovative health and wellness programs that encompass physical, mental, and emotional well-being.
• Foster a culture of health and wellness within the organization by engaging employees through workshops, seminars, challenges, and communication campaigns.
• Extend health engagement efforts to the broader community, collaborating with local organizations, schools, and healthcare providers to improve public health.
• Utilize data analytics to assess the impact of health engagement programs, making data-driven decisions to enhance program effectiveness.
• Manage the budget allocated for health engagement programs, ensuring efficient allocation of resources and cost-effective solutions.
• Collaborate with external vendors, wellness providers, and healthcare partners to enhance the scope and quality of health engagement offerings.
• Lead and mentor a team of health engagement professionals, providing guidance and support to achieve program goals.
• Ensure that all health engagement initiatives comply with relevant laws, regulations, and industry standards.
• Prepare regular reports on the performance and outcomes of health engagement programs, presenting findings to senior management.
• Other projects and duties as assigned.
• Develop and monitor appropriate underwriting policies and procedures
• Develop pricing strategies designed to maximize market penetration and optimize profitability
• Develop annual pricing, premium and membership targets consistent with the goals of the Business President, the Market Leads, the CFO & the Chief Actuary
• Direct staff in the underwriting of large group new business and renewals
• Proactively develop monitoring tools to assess the outcome of business strategies, measure investments and understand our position in the market
• Develop appropriate underwriting methodologies to address changes in the market and that meet regulatory requirements
• Support Sales in account meetings, broker negotiations and new business meetings
• For small group, underwrite and process new business and renewal accounts for regulatory compliance, accuracy and completeness
• Develop and maintain underwriting tools, databases/applications and underwriting formulas, including the large group new business & renewal rating tools and the small group broker portal
• Manage the stop loss program, which includes managing renewals & quotes, forecasting financial results, monthly and quarterly management reporting and overseeing MGU and preferred carriers stop loss relationships
• Orchestrates a competitive and compelling mission with an aligned set of values, goals, and a winning strategic path. This vision ensures a forward-looking aspirational framework that guides current and future decisions and choices for an entire enterprise or business unit.
• Establishes, manages, and monitors the operational tactical annual plan to effectively accomplish the mission, vision, values, and strategy.
• Formulates, communicates, and lives the culture and tone of the organization through highlighting mission and strategy aligned citizenship behaviors, standards, and norms.
• Attracts and selects staff and structures units, roles, and responsibilities; deploys aligned staff whose capabilities enable the organization to achieve its goals. Approaches decisions on talent utilization with both a tactical and strategic orientation.
• Obtains and distributes all the hard and soft resources aligned to priorities, goals, and strategy; deploys the resources that best enable the organization to do their work today and to prepare for tomorrow.
• Monitors and measures progress against plan; provides real time supportive and corrective feedback and assistance.
• Prepares and delivers presentations to and managers productive relationships with critical stakeholders; recognizes and responds to the diverse needs of key inside and outside stakeholders.
• Monitors and referees the normal and inevitable individual, team, and business unit conflicts; offers assistance and direction that moves to productive resolution. Utilizes productive conflict as a source of creativity, enhanced trust, and effective interpersonal problem solving.
• Actively supports a vigorous talent management and succession process that provides a continuous flow of senior talent well into the future.
• Experience in financial roles of increasing scope and responsibility; credibility earned from having served at least 20 years in executive finance positions in publicly traded or not-for-profit health organizations. Significant experience interacting with the board of directors and its audit committee and managing the organization’s relationship with banks and outside auditors.

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

What This Job Offers

• Job Type: Full-time
• Career Level: Executive