Strategic Underwriting & Pricing Leader

Blue Cross and Blue Shield of North Carolina; Durham (NC); On-site; USD 231,000 - 370,000; Full time

Benefits offered by this job

Annual Incentive Bonus

401(k) with employer match

Paid Time Off (PTO)

Competitive health benefits

Job summary

Blue Cross NC is seeking a strategic AVP, Underwriting & Strategic Pricing to lead the Commercial Employer underwriting and pricing strategy. This executive will drive profitable growth, oversee governance, and partner across Sales, Actuarial, Finance, Product, Network Management, and Operations.

The role requires a strong track record in leadership, analytics, and cross-functional influence, with a focus on affordability, risk management, and financial performance.

Qualifications

• Bachelor's degree plus 10 years of health insurance underwriting experience.
• 12+ years of 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 with experience in growth, profitability, and forecasting.
• Demonstrated ability to influence senior leaders and translate complex data into business decisions.
• Exceptional communication, relationship-building, and executive presence.

Responsibilities

• Lead underwriting and strategic pricing efforts for the Commercial Employer market.
• Partner with executive leaders to develop strategies balancing growth, competitiveness, 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.
• Develop and empower a high-performing team with a culture of accountability and collaboration.

Skills

Leadership experience

Strategic pricing

Underwriting governance

Financial acumen

Stakeholder collaboration

Data interpretation

Executive communication

Market insights

Education

Bachelor's degree

Job description

Blue Cross NC is seeking a strategic AVP, Underwriting & Strategic Pricing to lead the Commercial Employer underwriting and pricing strategy. This executive will drive profitable growth, oversee governance, and partner across Sales, Actuarial, Finance, Product, Network Management, and Operations.

The role requires a strong track record in leadership, analytics, and cross-functional influence, with a focus on affordability, risk management, and financial performance.