Job Details

Vice President of Stop‑Loss Underwriting

Work a remote work schedule.

Responsibilities

As a leader of the Stop‑Loss Underwriting team, you manage the stop‑loss book of business risk selection and risk classification activities to meet top‑line growth and bottom‑line profitability objectives. You serve as the Cambia‑wide final decision maker for stop‑loss concessions on rates and terms prior to escalation, plan, develop and direct the activities of the Underwriting Stop‑Loss departments to meet corporate objectives for risk management, renewal activity and new business production. You secure necessary capabilities for the stop‑loss business—e.g., premium and billing systems, reporting systems, UM/CM capabilities—and actively engage with state insurance departments to initiate and resolve filing issues. You drive processes to evaluate and approve external third‑party administrators and represent Cambia and CBRM in AM Best presentations.

Qualifications

Bachelor's degree in business, math, statistics or related discipline. Twelve or more years of underwriting experience in the health‑insurance profession with specific responsibilities in stop‑loss or an equivalent combination of education and experience.

Key Skills and Attributes

• Develop strategies to meet corporate goals for contribution to reserves by line of business through rating, reimbursement and risk‑management strategies.
• Establish quote authority limits for all stop‑loss underwriters.
• Review and sign‑off on all cases above the underwriter's quote authority limits and all exception cases.
• Develop and maintain Underwriting Guidelines, conduct annual stop‑loss underwriting audits of all underwriters, and oversee stop‑loss contracts.
• Direct development and implementation of policies and procedures in compliance with corporate strategies and legislative mandates.
• Direct the development and application of equitable and competitive rates to groups to assure favorable underwriting.
• Direct the development and implementation of underwriting policies that preclude adverse selection and provide coverage to specified communities.
• Maintain an optimum balance between an adequate rate structure and competitive stop‑loss coverage.
• Provide support and analysis to the Senior Vice President and Chief Actuarial Officer.
• Monitor and recommend changes to manual rate and factor development to ensure optimal outcomes for sales, renewals and underwriting gain.
• Lead a team of managers, stop‑loss underwriters, stop‑loss claims analysts, medical risk consultants and support personnel.
• Leverage AI tools and resources to drive efficiency and innovation within Stop‑Loss Underwriting.

What You Will Do

• Read the self‑funded employer stop‑loss marketplace with regard to rate sensitivity and product offerings.
• Apply in‑depth knowledge of the healthcare industry and the self‑funded employer stop‑loss market, including underwriting principles, alternative funding models, administration, market and regulatory requirements.
• Think analytically, apply analytical techniques and provide in‑depth analysis and recommendations using critical thinking and sound judgment.
• Apply and interpret quantitative data for decision‑making.
• Work with complex computer software systems.
• Communicate complex mathematical concepts to lay personnel.
• Communicate effectively, verbally and in writing, with all levels of the workforce.
• Establish and maintain effective working relationships with executives, managers, supervisors, sales professionals and brokers.
• Work with all levels of staff and management both as a self‑starter and in a team environment.
• Promote new visions and ideas and gain “buy in” from senior leadership, management and peers.
• Plan, organize and lead the work of others with minimal supervision, while developing departmental goals and objectives consistent with corporate vision and strategies.
• Coach and develop Stop‑Loss Underwriting managers.
• Leverage AI tools and resources to drive efficiency and innovation within your area of expertise.

Supervisory Responsibilities

• 8–12 employees, 2 managers.

Work Environment

• No unusual working conditions.

Compensation

The expected hiring range for a VP Stop‑Loss Underwriting is $238,900.00 – $323,200.00, depending on skills, experience, education and training; relevant licensure / certifications; performance history, and work location. The bonus target for this position is 31.25%. The current full salary range for this role is $224,000.00 – $366,000.00.

Benefits

• Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
• Annual employer contribution to a health savings account.
• Generous paid time off varying by role and tenure in addition to 10 company‑paid holidays.
• Market‑leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
• Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
• Award‑winning wellness programs that reward you for participation.
• Employee Assistance Fund for those in need.
• Commute and parking benefits.

Equal Opportunity Employer Statement

We are an Equal Opportunity employer dedicated to a drug and tobacco‑free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required. If you need accommodation for any part of the application process because of a medical condition or disability, please email CambiaCareers@cambiahealth.com. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy.