AVP, ESL & Managed Care Programs

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a AVP, ESL & Managed Care Programs based in United States.

This leadership role offers the opportunity to shape the growth and profitability of specialized insurance and reinsurance programs. The position is responsible for driving underwriting strategy, portfolio performance, product development, and client partnerships within a complex insurance environment. You will serve as a subject matter expert in employer stop loss, medical excess, and ancillary insurance solutions while influencing strategic business decisions. The role combines technical underwriting expertise, relationship management, financial analysis, and cross-functional collaboration. You will work closely with internal teams, external partners, and industry stakeholders to develop innovative solutions and achieve business objectives. This opportunity is ideal for an experienced insurance professional seeking a high-impact leadership position within a dynamic and evolving market.

Accountabilities:: The AVP, ESL & Managed Care Programs will lead underwriting strategy, portfolio management, and program development activities while supporting profitable growth and strong client relationships. This role requires deep technical expertise, strategic thinking, and the ability to collaborate across underwriting, actuarial, operations, and business development teams.

Develop and execute strategies that support profitability, retention, and premium growth objectives.

Manage employer stop loss, medical excess, and ancillary insurance/reinsurance programs from underwriting, product, and portfolio perspectives.

Evaluate portfolio performance using profitability metrics and implement improvements aligned with business goals.

Perform complex underwriting reviews and make independent decisions within established authority guidelines.

Apply underwriting principles, risk management practices, and regulatory requirements to ensure compliant business operations.

Maintain and improve underwriting tools, processes, guidelines, and reporting frameworks.

Establish and monitor data flows from clients to evaluate performance against targets and business plans.

Develop annual business objectives for assigned partners and identify opportunities for growth within existing relationships.

Evaluate new business and renewal submissions while providing technical guidance and strategic recommendations.

Build strong knowledge of products, market trends, competitive practices, and emerging industry opportunities.

Support product development initiatives by considering distribution, underwriting, and compliance requirements.

Coordinate reinsurance strategies, including negotiations of renewal terms and contractual agreements.

Lead cross-functional projects, strategic planning initiatives, and training efforts.

Build strong relationships with clients, internal stakeholders, and industry partners.

Potentially lead and mentor a small team as responsibilities expand.

Requirements:

The ideal candidate is an experienced insurance and underwriting leader with a strong background in employer stop loss, managed care programs, and reinsurance solutions. This professional should combine technical underwriting expertise with strategic leadership, communication skills, and strong business judgment.

Bachelor’s degree from an accredited institution or equivalent professional experience required; advanced degree preferred.

10+ years of relevant insurance experience required.

8+ years of employer stop loss underwriting experience preferred.

2+ years of experience with reinsurance structures, underwriting, and contract negotiations preferred.

Advanced knowledge of employer stop loss underwriting at both case and portfolio levels.

Strong understanding of underwriting philosophy, techniques, regulatory requirements, and industry practices.

Experience with insurance and reinsurance products across multiple operational areas.

Strong understanding of underwriting reporting, financial concepts, accounting principles, IFRS, and statutory reporting.

Strong analytical, mathematical, and risk management capabilities.

Excellent negotiation, influencing, and relationship-building skills.

Strong written, verbal, and presentation abilities.

Ability to manage multiple priorities while maintaining quality and attention to detail.

Strong organizational and project management skills in a fast-paced environment.

Proficiency with Microsoft Office applications, including Outlook, Word, Excel, and PowerPoint.

Experience with underwriting systems such as Connexure or Kevin Ugan System is a plus.

Willingness and ability to travel as required.

Benefits:

Competitive annual compensation range of $110,600 - $208,000, based on experience, skills, responsibilities, and market factors.

Potential eligibility for performance-based variable compensation and equity opportunities.

Flexible work arrangements, including remote work options.

Comprehensive benefits package including health, dental, and vision coverage.

Generous 401(k) employer matching program.

Employee stock purchase plan with employer matching.

Paid time off and wellness programs supporting physical and mental well-being.

Professional development opportunities, including tuition reimbursement, certifications, and industry training.

Opportunity to work in a collaborative, innovative, and growth-oriented environment.

Employee giving programs, volunteer opportunities, and community-focused initiatives.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best!  Why Apply Through Jobgether?    Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.     #LI-CL1