Executive Director – Underwriting, Analysis and Strategy

This is a fully remote position, open to applicants in New Jersey.

📋 Description

• Spearhead the formulation and implementation of underwriting strategies that foster growth, profitability, membership, and financial performance goals.

• Act as a senior strategic ally to a prominent healthcare client, working in tandem with client underwriting and pricing teams.

• Oversee risk assessment, evaluation, and management while ensuring underwriting decisions are in line with financial and operational objectives.

• Create and execute underwriting methodologies, governance frameworks, policies, and processes.

• Collaborate with pricing strategy, finance, and business leaders to develop competitive solutions, pricing models, and tailored approaches.

• Lead the creation and assessment of new healthcare products, services, and offerings.

• Track underwriting performance, profitability, loss ratio trends, and operational metrics; pinpoint enhancements and suggest corrective measures.

• Examine competitive activities, market dynamics, and regulatory trends.

• Establish and refine client engagement processes, operating models, and governance structures.

• Mentor, coach, and grow a team of underwriting professionals.

• Foster cross-functional collaboration among finance, underwriting, pricing, product, and client-facing teams.

⛳️ Requirements

• Extensive progressive leadership experience in healthcare underwriting, risk management, pricing, or similar financial areas.

• Experience in Pharmacy Benefit Management (PBM) is highly preferred.

• In-depth knowledge of underwriting methodologies, risk assessment, profitability management, pricing strategy, and loss ratio performance.

• Proven success in managing client relationships and advising senior internal and external stakeholders.

• Capability to balance customer requirements with financial and underwriting integrity.

• Experience in developing and executing underwriting policies, governance frameworks, and process enhancements.

• Strong commercial insight and ability to evaluate market opportunities, competitive positioning, and emerging industry trends.

• History of leading high-performing teams, including direct management responsibilities and talent development.

• Outstanding communication, influencing, and relationship-building abilities.

• Capacity to think strategically and function effectively in a collaborative setting.

• Ability to innovate, tackle complex business challenges, and make informed decisions in a dynamic environment.

• Experience supporting large national healthcare clients, payer organizations, PBMs, managed care organizations, or similar healthcare enterprises is strongly preferred.

• Bachelor's degree in Finance, Economics, Business, Actuarial Science, or a related field is required.

• An advanced degree (MBA, MHA, or similar) is preferred.

• Relevant professional certifications, underwriting credentials, or specialized training are advantageous.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Award target in the company’s equity award program.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.