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Senior Operations Leader for Underwriting and Risk Management
2 months ago
ParetoHealth is seeking a highly skilled and experienced Head of Operations and Underwriting Excellence to join our team. As a key member of our underwriting leadership team, you will play a critical role in driving critical initiatives to advance our underwriting processes, improve operations, and identify actionable insights from our data.
Key Responsibilities- Define and Track Departmental OKRs, Performance, and KPIs: Partner with Finance and Tech to build dashboards and reporting to monitor team performance and measure KPIs.
- Evaluate Underwriting Operation Performance Metrics: Identify trends, opportunities, and areas for improvement. Partner with the analytics and FP&A team to obtain the necessary data for developing reports to support these analyses.
- Develop and Maintain Effective Staffing Models: Partner with FP&A to monitor expense and loss ratios.
- Analyze Loss Ratios, Claim Frequencies, and Other Key Indicators: Assess risk and pricing adequacy. Partner with key contacts at reinsurance carriers to ensure effective risk management.
- Continuously Evaluate Underwriting Performance Metrics: Identify trends, opportunities, and areas for improvement.
- Partner with the Data Analytics Team: Create predictive models and tools that enhance underwriting accuracy and efficiency.
- Utilize Data and Analytics: Understand underwriting performance, identify actionable insights, and predict future trends. This includes journey mapping, segmentation, surveying, and client health scoring to devise the optimal support and engagement model.
- Identify, Document, and Streamline Underwriting Processes and Workflows.
- Evaluate, Select, Implement, and Manage Tech Stack and Tools: Support team operations in partnership with the Product / Tech team.
- Support Post-Sales Enablement and Training: Ensure the team has the skills and tools they need to succeed, including the development and delivery of onboarding, training programs, and resources.
- Drive Cross-Functional Strategic Initiatives and Projects: Lead as a program manager or serve as a team representative.
- Serve as a Player-Coach and Build Out a Team of Direct Reports: Focused on underwriting operations.
- 10+ years of operations experience, with at least 5 years of healthcare industry experience, preferably in insurance and/or employer health benefits.
- Experience building processes and staffing models designed to measure efficiency and staffing needs.
- Ability to build credibility by being a detailed-oriented, data-fluent customer operations leader.
- Ability to communicate with day-to-day operational teams along with executive leadership through both written and oral communication.
- Experience optimizing a larger operational team with a focus on process improvement leveraging data and insights.
- Proven track record taking an idea from concept through execution.
- Excellent communication and presentation skills and ability to confidently communicate with customers, partners, and executive leadership.
- Ability to build strong relationships and successfully motivate and inspire cross-functional teams.
- Thrive in a dynamic, fast-paced environment that's growing and evolving rapidly.
- Bachelor's degree, MBA or advanced degree preferred.
- Experience building dashboards in Tableau.
