Executive Director – Underwriting, Analysis and Strategy

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🔥 0 minutes ago

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $131.5k - $303.2k / year

⏰ Full Time

🔴 Lead

📋 Underwriter

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Lead the development and execution of underwriting strategies that support organizational growth, profitability, membership, and financial performance objectives • Serve as a senior strategic partner to a major healthcare client, building trusted relationships and collaborating closely with client underwriting and pricing counterparts • Guide the assessment, evaluation, and management of risk while ensuring underwriting decisions align with established financial and operational goals • Develop and implement underwriting methodologies, governance frameworks, policies, and processes that drive consistency, compliance, and operational excellence • Partner with pricing strategy, finance, and business leaders to develop competitive solutions, pricing constructs, and customized approaches that address evolving market needs • Provide leadership in the design and evaluation of new healthcare products, services, and offerings • Monitor underwriting performance, profitability, loss ratio trends, and key operational metrics, identifying opportunities for improvement and recommending corrective actions • Analyze competitive activity, market dynamics, and regulatory developments to inform underwriting and pricing strategies • Help establish and evolve client engagement processes, operating models, and governance structures to strengthen strategic partnerships, improve business outcomes, and deliver contract compliance • Lead, coach, and develop a team of underwriting professionals, fostering a culture of accountability, collaboration, innovation, and continuous improvement • Drive cross-functional collaboration across finance, underwriting, pricing, product, and client-facing teams to achieve business objectives

🎯 Requirements

• Significant progressive leadership experience in healthcare underwriting, risk management, pricing, or related financial disciplines; PBM experience strongly preferred • Deep expertise in underwriting methodologies, risk assessment, profitability management, pricing strategy, and loss ratio performance • Proven experience managing client relationships and serving as a strategic advisor to senior internal and external stakeholders • Demonstrated ability to balance customer needs with financial and underwriting discipline to achieve both growth and profitability objectives • Experience developing and implementing underwriting policies, governance frameworks, and process improvements • Strong commercial acumen with the ability to assess market opportunities, competitive positioning, and emerging industry trends • Track record of leading high-performing teams, including direct management responsibilities and talent development • Exceptional communication, influencing, and relationship-building skills, with the ability to think strategically while operating effectively in a highly collaborative environment • Ability to innovate and solve complex business problems, and make sound decisions and recommendations in a fast-paced environment • Experience supporting large national healthcare clients, payer organizations, PBMs, managed care organizations, or similar healthcare businesses is strongly preferred

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families