Director of Underwriting

Director Of Underwriting For Providence Health Plans

Calling all esteemed leaders! Are you a strategic mastermind with a passion for healthcare? Do you thrive on navigating complex challenges and shaping the future of healthcare delivery? If so, then we have the perfect opportunity for you! You can be based in Oregon, Washington, or California. The role : As the Director of Underwriting for Providence Health Plans, you will be a pivotal force in developing strategies and policies to support profitable membership growth, retention, business expansion, and diversification in accordance with long-range plans. You will provide clear vision, direction, and consistency in risk analysis, planning, organizing, developing, implementing, evaluating, and auditing underwriting activities and models across all regions. You will identify risks related to the introduction of new products or modification of underwriting requirements and represent the Plan alongside Sales to promote pricing transparency to Producer partners and employer groups, substantiating and providing credibility around pricing decisions.

What you'll do :

• Strategic architect : Collaborate with Plan leaders to create and implement strategies and policies that support product development efforts, profitable growth, special risk arrangements, business expansion, and diversification according to the long-range plan for fully insured commercial business.
• Performance guide : Lead development, monitoring, and achievement of department service level standards, fostering high-performance relationships with Sales, Pharmacy, Product, and Actuarial departments.
• Underwriting leader : Direct all rating and underwriting activities for all new and renewing fully insured large group and Association Health Plan commercial group lines of business, ensuring financial performance and development of associated pricing models.
• Transparency advocate : Represent the Plan alongside Sales Leadership, promoting pricing transparency to Producer partners and employer groups, substantiating and providing credibility around pricing decisions.
• Compliance champion : Ensure adherence to underwriting audits, processes, guidelines, and procedures consistent with State and Federal Law and regulatory requirements.
• Collaborative innovator : Work with Actuarial and Finance Directors to routinely update and test rates and factors in the underwriting models, ensuring alignment with industry best practices and strategic objectives.
• Talent developer : Mentor and coach the Underwriting Manager and staff, attracting top industry underwriting talent and fostering development and engagement within established authority levels.
• Budget strategist : Oversee the development and achievement of the Underwriting Department's annual budget.

What you'll bring :

Why join us? Make a real difference : Be part of an organization that transforms healthcare and improves countless lives.