Assistant Vice President, Underwriting

We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits.

The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions.

But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come.

Position Summary: 

We’re seeking an experienced and strategic AVP, Underwriting to oversee the renewal underwriting process for Pareto’s expanding portfolio of member companies. This role is vital to maintaining our strong retention rate and ensuring each client remains well positioned for sustainable, long-term performance.

The Renewal Business Underwriting Leader will develop our renewal strategy in collaboration with account management and finance to drive portfolio performance.  This is a high-impact leadership role that combines deep technical expertise with cross-functional coordination and strategic thinking.

Key Responsibilities:

• Lead the development and execution of Pareto’s renewal underwriting strategy
• Manage a high-performing team of renewal underwriters, providing mentorship, training, and performance management
• Partner closely with Customer Management and Finance to evaluate member performance and develop tailored renewal recommendations
• Ensure consistency, accuracy, and timeliness in renewal calculations, modeling, and deliverables
• Serve as an internal thought leader on loss trends, risk scoring, and renewal planning
• Support the refinement and automation of renewal tools, reports, and workflows in collaboration with Product and Technology teams
• Represent the underwriting function in renewal discussions with senior leadership and key external stakeholders (brokers, consultants, reinsurers)
• Monitor book-level performance trends and recommend strategies to improve profitability and retention

Required Skills & Qualifications:

• 5+ years of experience in medical stop loss underwriting
• Previous leadership of a renewal or new business medical stop loss underwriting team preferred
• Strong understanding of medical trend analysis, loss ratio performance, and self-insurance dynamics
• Proven leadership experience managing teams in a high-volume, high-growth environment
• Excellent analytical, Excel, and data interpretation skills
• Clear and persuasive communication skills, with experience influencing both internal and external stakeholders
• Bachelor's degree in business, actuarial science, finance, or a related field preferred; advanced degree or actuarial credentials a plus

We are guided by our values:

Fire in the belly

The drive to learn, to improve, and to deliver outstanding value every day.

See the field

The ability to see the big picture and prepare to meet tomorrow’s needs.

Get it done right

The passion to produce at higher rates and to the highest standards.

For the greater good

A united community creating better health benefit solutions for all.

_Disclosures:

_{ParetoHealth is an Equal Opportunity Employer and does not discriminate on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations. These activities include, but are not limited to, hiring and firing of staff, selection of volunteers and vendors, and provision of services. We are committed to providing an inclusive and welcoming environment for all members of our staff, clients, volunteers, subcontractors, vendors, and clients.}

_{California Applicants:  See Pareto’s CCPA Notice of Collection for California Employees and Applicants for information about how Pareto Captive Services, LLC, Pareto Health, LLC, and Pareto Underwriting Partners, LLC, together with their respective subsidiaries (collectively, “Pareto”) collects and uses personal information submitted by employment applicants.}