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Gravie

Vice President, Underwriting

Gravie, Hartford, Connecticut, us, 06112

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Hi, we’re Gravie. Our mission is to improve the way people purchase and access healthcare through innovative, consumer-centric health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self - we like you that way.

Apply (by clicking the relevant button) after checking through all the related job information below. A Little More About The role: Gravie is seeking a Vice President of Underwriting to lead the evolution and scalability of underwriting for Gravie’s Comfort health plan and other proprietary insurance products. This pivotal leadership role will drive strategic transformation, operational excellence, and performance optimization across Gravie’s underwriting function. You will shape underwriting strategies, implement process improvements, and leverage technology to enhance efficiency and measurable outcomes. Your leadership will play a critical role in accelerating Gravie’s growth, strengthening its competitive position, and delivering innovative underwriting solutions that optimize risk and profitability. Our current focus is on pricing middle market and small group business nationally, leveraging our innovative capabilities. The underwriting focus is on optimizing risk across Gravie’s portfolio whether it is a level funded approach for appropriately sized small-to-midsized group employers or self-insured (ASO) with integrated stop loss arrangements for large groups. This position reports directly to the Senior Vice President of Underwriting to oversee part of our Underwriting organization, ensuring alignment with Gravie’s business objectives and customer success. You will: Play a key leadership role in evolving and using Gravie’s proprietary underwriting engine to offer competitive pricing for a first-of-its-kind health plan to employers and their employees across the country. Lead Underwriting transformation and strategy by driving the evolution of Gravie’s underwriting organization to enhance scalability, efficiency, and competitive pricing. Implement innovative underwriting methodologies and strategies that support sustainable business growth and market expansion. Drive process improvement and measurable impact by implementing data-driven process improvements that enhance underwriting accuracy, speed, and decision-making. Develop key performance indicators (KPIs) to track underwriting effectiveness and deliver measurable business impact. Own and manage the customer pricing for certain segments of new and renewal employer group cases on Gravie’s proprietary products. Enhance operational rigor and governance by overseeing underwriting audits, risk reviews, and limits of authority development to ensure consistency, compliance, and operational discipline. Review underwriting case preparation work from your team defined by guidelines and established authority limits. This includes suggesting additional analyses as necessary to accurately assess risk and recommend pricing for cases. In some instances, you will be required to review and synthesize materials related to employer groups’ health plan performance as part of the underwriting review. Learn the ins and outs of Gravie’s proprietary underwriting engine; add your experience and judgment when underwriting cases; and contribute to the improvement and evolution of Gravie’s underwriting practices. Work closely with Sales Operations, Actuarial, Finance, Clinical, Pharmacy, and Analytics to achieve financial and business goals. Optimize risk and underwriting efficiency by engaging with Gravie’s third-party vendors (e.g., Gradient and AMS) and technology partners to enhance risk assessment methodologies and improve underwriting automation. Support customer acquisition and retention by working closely with Sales and Account Management to develop competitive pricing strategies that drive new business growth and maximize customer retention. Champion innovation and continuous improvement within the underwriting function, ensuring that Gravie remains at the forefront of the industry. You bring: Bachelor’s degree in Business, Finance, Economics, Statistics, Mathematics, Insurance, or related majors. 8+ years of progressive underwriting leadership experience, focusing on transformation, scalability, and process optimization. Deep expertise in group health underwriting, especially level-funded arrangements and small-to-midsize employer groups (0-500 lives). Proven track record of implementing underwriting process improvements that drive efficiency, accuracy, and measurable results. Experience in leading and scaling underwriting operations at a high-growth or startup organization. Strategic mindset with the ability to align underwriting strategies with broader business goals. A risk optimization and portfolio management mindset. Demonstrated ability to drive cross-functional collaboration and influence stakeholders. Commitment to Gravie’s core competencies: being authentic, curious, creative, empathetic, and results-oriented. Extra credit: Masters degree or related educational experience. Experience in the 0-150 employer size range. Hands-on experience with underwriting technology, automation, and analytics-driven decision-making. Gravie: We offer a competitive salary range of $183,750 - $306,250 annually, with factors like education, skills, experience, and certifications considered for compensation. The position is eligible for an annual bonus, and stock options may be awarded. Our benefits include health and wellness coverage, alternative medicine, flexible PTO, parental leave, holidays, 401k, cell reimbursement, transportation perks, education reimbursement, and paid paw-ternity leave. A Little More About Us: Founded by industry veterans, we understand healthcare and aim to build a lasting, industry-defining company. Funded by top-tier investors aligned with our long-term vision. Low revenue churn, indicating customer satisfaction. Unique culture: non-hierarchical, merit-driven, opinionated but kind, high-performance, fast-paced, and consumer-focused. We value authenticity and diversity.

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