Vice President, Underwriting

Who We Are

Point
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Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are.

We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point
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Health.

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.

• Strategic Planning:
  Develop a strategic vision for health engagement initiatives, aligning them with organizational goals and priorities.
• Program Development:
  Lead the design and implementation of innovative health and wellness programs that encompass physical, mental, and emotional well-being.
• Employee Engagement:
  Foster a culture of health and wellness within the organization by engaging employees through workshops, seminars, challenges, and communication campaigns.
• Community Outreach:
  Extend health engagement efforts to the broader community, collaborating with local organizations, schools, and healthcare providers to improve public health.
• Data Analysis:
  Utilize data analytics to assess the impact of health engagement programs, making data-driven decisions to enhance program effectiveness.
• Budget Management:
  Manage the budget allocated for health engagement programs, ensuring efficient allocation of resources and cost-effective solutions.
• Vendor Relationships:
  Collaborate with external vendors, wellness providers, and healthcare partners to enhance the scope and quality of health engagement offerings.
• Leadership:
  Lead and mentor a team of health engagement professionals, providing guidance and support to achieve program goals.
• Compliance:
  Ensure that all health engagement initiatives comply with relevant laws, regulations, and industry standards.
• Reporting:
  Prepare regular reports on the performance and outcomes of health engagement programs, presenting findings to senior management.
• Other projects and duties as assigned.

• Certification and Licensure
• Education Required (minimum):
  Bachelor’s degree
• Preferred:
  Master’s degree
• Experience Required (minimum):
  Minimum of 10 years of progressively responsible experience in underwriting or actuarial at a health plan or insurance company
• Preferred:
  Skill Requirements
• 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…