AVP, Underwriting and Strategic Pricing

Blue Cross NC; North Carolina; On-site; USD 180,000 - 250,000; Full time

Job summary

Blue Cross NC is seeking an AVP, Underwriting & Strategic Pricing to lead our Commercial Employer underwriting and pricing strategy. You will partner with Sales, Actuarial, Finance, Product, and Operations to drive profitable growth, inform enterprise strategy, and steer a high-performing underwriting organization.

In this executive role, you will shape rate development, governance, and pricing methodologies while guiding forecasting and financial planning with cross-functional teams to achieve

Qualifications

• Experience guiding underwriting and pricing strategy at leadership level.
• Ability to influence senior leaders and translate data into decisions.
• Strong communication and relationship-building with executives.

Responsibilities

• Lead underwriting and strategic pricing for the Commercial Employer market.
• Partner with executives to balance growth, competitiveness, and profitability.
• Provide market insights that shape business decisions and enterprise outcomes.
• Oversee risk assessment, rate development, governance, and pricing methodologies.
• Drive forecasting, financial planning, and performance management with Finance and Actuarial.
• Lead modernization via process improvement, automation, and analytics.
• Develop and empower a high-performing team with accountability and collaboration.

Skills

Strategic leadership

Underwriting

Pricing strategy

Executive presence

Forecasting

Education

Bachelor's degree

Job description

Why Blue Cross NC? This role offers a unique opportunity to shape strategy at one of the nation's leading Blue plans. You'll help define how we compete, grow, and serve our customers while leading a critical function that directly impacts business performance and long-term success.

About the Role

Due to an internal promotion, Blue Cross NC is seeking a strategic and influential leader to serve as our next AVP, Underwriting & Strategic Pricing. This is a highly visible leadership role at the intersection of growth, risk management, affordability, and financial performance.

As a key member of the leadership team, you will shape underwriting and pricing strategy for our Commercial Employer business, helping Blue Cross NC remain competitive in the market while delivering sustainable value for customers, members, and the communities we serve. This leader will partner across Sales, Actuarial, Finance, Product, Network Management, and Operations to drive profitable growth, inform enterprise strategy, and lead a high-performing underwriting organization.

Responsibilities

• Lead underwriting and strategic pricing efforts for the Commercial Employer market.
• Partner with executive leaders to develop strategies that balance growth, competitiveness, customer retention, and financial performance.
• Provide thought leadership and market insights that 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 in partnership with Finance and Actuarial teams.
• Lead modernization efforts through process improvement, automation, analytics, and operational excellence initiatives.
• Develop and empower a high-performing team while fostering a culture of accountability, collaboration, and continuous improvement.

Qualifications

• Bachelor's degree and 10 years of health insurance underwriting experience.
• OR 12+ years of related underwriting, pricing, or healthcare business experience in lieu of a degree.

Required Skills

• 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.

Preferred Skills

• 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.

If you're a strategic underwriting leader who thrives at the intersection of analytics, business strategy, and people leadership, we'd love to hear from you.