Vice President, Underwriting

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.

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 roll up your sleeves to review and synthesize a variety of materials related to employer groups’ health plan performance as part of the underwriting reviewLearn 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 (for example: 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 Business, Finance, Economics, Statistics, Mathematics, Insurance or other related majors.

·       8+ years of progressive underwriting leadership experience, with a focus on transformation, scalability, and process optimization.

·       Deep expertise in group health underwriting, particularly 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.

·       Demonstrated commitment to core Gravie competencies of being authentic, curious, creative, empathetic and results oriented

Extra credit:

·       Masters degree or other related educational experience

·       Experience in the 0-150 sized employer space

·       Hands-on experience with underwriting technology, automation, and analytics-driven decision-making.

Gravie: 

In order to transform health insurance and build a health plan everyone can love, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career growth, meaningful mission-driven work, and an above average total rewards package.

The salary range for this position is $183,750 - $306,250 annually. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered when determining compensation. In addition to base salary, this position is also eligible to participate in Gravie’s annual bonus program. Stock options may also be awarded as part of the compensation package.

Our unique benefits program is the gravy, i.e., the special sauce that sets our compensation package apart. In addition to standard health and wellness benefits, Gravie’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks paid parental leave, paid holidays, a 401k program, cell phone reimbursement, transportation perks, education reimbursement, and 1 week of paid paw-ternity leave. 

A Little More About Us:

·       We know healthcare. Our company was founded and is still led by industry veterans who have started and grown several market-leading companies in the space.

·       We have raised money from top tier investors who share the same long-term vision as we do of building an industry defining company that will endure over the long run. We are well capitalized.

·       Our customers like us. Our revenue churn is in the low single digits, in an industry where greater than 20% churn is common.

·       Our culture is unique. We tend to be non-hierarchical, merit-driven, opinionated but kind people who thrive working in a high-performance, fast-paced environment. People at Gravie care deeply about making a positive impact in the lives of the people we serve. We may not be the right place for everybody, but if you get energized by doing work every day that focuses on putting consumers at the front of the line, we could be a great place for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way.