Vice President, Underwriting

MotivHealth

. Develop and execute enterprise underwriting strategy aligned with company growth and profitability goals .

Posted 9/22/2026full-timeRemote • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in developing and executing underwriting strategies that align with growth and profitability goals, while ensuring compliance with healthcare regulations and maintaining underwriting profitability across various products.

Highest-signal resume keywords

Underwriting Strategy DevelopmentHealthcare Regulation ComplianceTeam Leadership and MentoringP&L ManagementData Analytics Optimization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Underwriting Guidelines EstablishmentRisk Tolerance FrameworksPricing MethodologiesKPI MonitoringRate SettingRisk Pool AnalysisProcess Improvement InitiativesAudit-Ready DocumentationMarket Trend AnalysisCompetitive Positioning

Soft Skills

CollaborationStrategic InsightMentoring

Tools & Technologies

Automation ToolsData Analytics Capabilities

Industry Keywords

Self-Funded Health PlansFully Insured Health PlansStop-Loss ProductsLevel-Funded ProductsAncillary ProductsACA ComplianceERISA ComplianceHIPAA ComplianceDOI Requirements

About the role

Key responsibilities & impact

Develop and execute enterprise underwriting strategy aligned with company growth and profitability goals
Establish underwriting guidelines, risk tolerance frameworks, and pricing methodologies
Partner with Executive Leadership to drive sustainable revenue growth while maintaining disciplined risk selection
Provide strategic insights into market trends, regulatory changes, and competitive positioning
Ensure underwriting profitability and loss ratio performance across all lines of business
Oversee pricing integrity for fully insured and self-funded medical plans, stop-loss, ancillary, and specialty products
Monitor underwriting KPIs including hit ratios, margin performance, risk scoring accuracy, and renewal outcomes
Collaborate with Actuarial and Finance on rate setting, forecasting, and risk pool analysis
Lead, mentor, and scale underwriting teams across new business, renewals, large group, and small group
Optimize underwriting workflows, automation tools, and data analytics capabilities
Drive process improvement initiatives to enhance efficiency, accuracy, and turnaround times
Ensure consistent underwriting practices across regions and teams
Ensure compliance with federal and state regulations including ACA, ERISA, HIPAA, and applicable DOI requirements
Maintain audit-ready documentation and governance practices
Partner with Legal and Compliance to assess regulatory impacts on underwriting strategy
Serve as a strategic partner to Sales and Account Management to balance growth and risk discipline
Collaborate with Claims leadership to analyze utilization trends and emerging risk patterns
Support broker and consultant relationships when needed for large or complex cases

Requirements

What you’ll need

Deep knowledge of self-funded and fully insured health plan underwriting
Strong understanding of stop-loss, level-funded, and ancillary products
Demonstrated experience managing underwriting P&L responsibility
Knowledge of federal and state healthcare regulations
Proven ability to build and lead high-performing teams

Benefits

Comp & perks

5% annual bonus based on company profitability
Affordable health, vision, and dental insurance for you and your family
Company contributes up to $2,300 to Health Savings Account annually
Wellness program that contributes additional money towards your HSA
Automatic 3% contribution into retirement plan
Career development and growth opportunities
Flexible Time Off & 10 paid holidays per year