Vice President of Underwriting

Jobgether SRL; United States; On-site; USD 180,000 - 260,000; Full time

Benefits offered by this job

5% annual bonus

Health, vision, and dental insurance

Company HSA contributions up to $2,300

Wellness program

Competitive retirement plan

Career development opportunities

Flexible Time Off

10 paid holidays

Job summary

Jobgether SRL is partnering with a health insurance organization to hire a Vice President of Underwriting in the United States. This senior leadership role shapes underwriting strategy, risk management, and profitability across fully insured and self-funded plans, stop-loss, ancillary, and specialty products.

You will lead teams, drive pricing discipline, and ensure regulatory compliance while collaborating with Sales, Actuarial, Finance, Claims, and Leadership to balance growth with disciplined

Qualifications

• Deep experience with both self-funded and fully insured health plan underwriting.
• Strong knowledge of stop-loss, level-funded, ancillary, and specialty insurance products.
• Proven underwriting P&L responsibility and financial performance management.
• Strong knowledge of federal and state healthcare regulations and insurance compliance.

Responsibilities

• Develop and execute an enterprise underwriting strategy aligned with growth, profitability, and risk management objectives.
• Establish underwriting guidelines, risk tolerance frameworks, pricing methodologies, and governance standards.
• Oversee profitability and loss ratio performance across relevant lines of business.
• Maintain pricing integrity for medical plans, stop-loss, ancillary, and specialty products.
• Monitor underwriting metrics including hit ratios, margin performance, risk scoring accuracy, and renewal outcomes.
• Partner with Actuarial and Finance on rate setting, forecasting, and financial performance.
• Lead and scale underwriting teams across new business, renewals, large and small group functions.
• Improve workflows, automation, analytics, and operational processes to boost accuracy and efficiency.
• Drive continuous improvement to strengthen turnaround times and consistency across regions.

Job description

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Vice President of Underwriting based in United States.

This is a senior leadership opportunity to shape underwriting strategy, risk management, and profitability across a growing health insurance organization.

You will oversee underwriting functions spanning fully insured and self-funded health plans, stop-loss, ancillary, and specialty products.

The role combines strategic direction with operational oversight, pricing discipline, regulatory compliance, and team development.

You will work closely with Sales, Actuarial, Finance, Claims, Compliance, and Executive Leadership to balance sustainable growth with disciplined risk selection.

Your expertise will help strengthen pricing methodologies, risk frameworks, underwriting performance, and market positioning.

You will also lead initiatives to improve workflows, automation, analytics, consistency, and turnaround times across underwriting operations.

This position is suited to an experienced underwriting leader who can build high-performing teams while maintaining strong financial and regulatory discipline.

Accountabilities

• Develop and execute an enterprise underwriting strategy aligned with growth, profitability, and risk management objectives.
• Establish underwriting guidelines, risk tolerance frameworks, pricing methodologies, and governance standards.
• Oversee underwriting profitability and loss ratio performance across relevant lines of business.
• Maintain pricing integrity for fully insured and self-funded medical plans, stop-loss, ancillary, and specialty products.
• Monitor key underwriting metrics including hit ratios, margin performance, risk scoring accuracy, and renewal outcomes.
• Partner with Actuarial and Finance teams on rate setting, forecasting, risk pool analysis, and financial performance.
• Lead, mentor, and scale high-performing underwriting teams across new business, renewals, large group, and small group functions.
• Optimize underwriting workflows, automation tools, data analytics, and operational processes to improve accuracy and efficiency.
• Drive continuous improvement initiatives that strengthen turnaround times and consistency across regions and teams.
• Ensure underwriting activities comply with applicable federal and state requirements, including ACA, ERISA, HIPAA, and Department of Insurance requirements.
• Maintain audit-ready documentation, governance practices, and appropriate underwriting controls.
• Partner with Legal and Compliance teams to evaluate regulatory changes and their impact on underwriting strategy.
• Collaborate with Sales and Account Management to balance commercial growth with disciplined risk selection.
• Work with Claims leadership to identify utilization trends and emerging risk patterns.
• Support broker and consultant relationships for large, complex, or strategically important cases.

Requirements

• Deep experience with both self-funded and fully insured health plan underwriting.
• Strong understanding of stop-loss, level-funded, ancillary, and specialty insurance products.
• Demonstrated experience with underwriting P&L responsibility and financial performance management.
• Strong knowledge of applicable federal and state healthcare regulations and insurance compliance requirements.
• Proven ability to develop, lead, and scale high-performing underwriting teams.
• Strong understanding of pricing, risk selection, loss ratios, renewals, and underwriting performance metrics.
• Experience collaborating effectively with Actuarial, Finance, Sales, Claims, Legal, Compliance, and executive stakeholders.
• Strong analytical and strategic thinking skills, with the ability to translate risk and market data into actionable decisions.
• Excellent communication and relationship-management skills, including the ability to engage senior leaders, brokers, and consultants.
• Strong operational mindset with experience improving processes, workflows, technology adoption, and data-driven underwriting capabilities.
• Ability to balance growth objectives with risk discipline, regulatory requirements, and long-term profitability.
• Strong leadership, mentoring, decision-making, and organizational skills.

Benefits

• 5% annual bonus based on company profitability.
• Affordable health, vision, and dental insurance for employees and their families.
• Company contribution of up to $2,300 annually toward a Health Savings Account.
• Wellness program providing additional contributions toward an HSA.
• Automatic 3% contribution to a retirement plan.
• Career development and professional growth opportunities.
• Flexible Time Off.
• 10 paid holidays per year.
• Senior leadership role with broad influence across underwriting, risk, pricing, and business strategy.