Job Description
We’re in this for the greater good at ParetoHealth. Our mission is collective greatness, nothing less will do. Our team is a single force united in the drive to transform employee health benefits.
The company was founded in 2011 to help small and medium-sized businesses fight the rising cost of employee health benefits. We blazed the trail with financing innovations that reduce the risks in self-insurance and deliver significant savings—and we continue to lead with a growing ecosystem of partners and world-class cost control solutions.
But success is measured by more than dollars alone and we measure ours by the good that comes from knowing that every client and all their employees can count on effective, affordable healthcare for years to come.
Please note that ParetoHealth does not provide employment visa sponsorship for this position. Candidates must be authorized to work in the United States without sponsorship both now or in the future.
Position Summary:
We are seeking a strategic, results-driven New Business Underwriting Leader to oversee and evolve our underwriting strategy for new business opportunities. This leader will play a critical role in driving the growth of Pareto’s member base by partnering with sales and product teams to evaluate risk, guide pricing decisions, and build a scalable underwriting process.
This is an opportunity to lead a team that sits at the intersection of data, strategy, and relationship management—ensuring that every new client onboarded to Pareto is set up for long-term success.
Key Responsibilities:
- Lead New Business Underwriting for a sales region including direct management of underwriters and team leads
- Coach underwriters and team leads to drive an empowered underwriting culture
- Manage team through the use of data and insights and develop an effective growth strategy in partnership with the SVP of Sales Region
- Responsible for ensuring the integrity of underwriting activities and processes
- Support quick thinking and problem solving regarding both internal and external parties
- Negotiate and find common ground between employers, consultants, sales, and underwriting
- Aid in making deals happen with multiple parties (consultants, internal sales team, external stop-loss carrier partners, etc.)
- Own underwriting decisions and risk assessments for prospective members, ensuring alignment with company strategy and profitability goals
Required Skills & Qualifications:
- 5+ years of experience in medical stop loss underwriting
- Experience managing a team required
- Bachelor’s degree or 10 years stop-loss underwriting management experience
- Deep understanding of medical underwriting, risk modeling, and group health products
- Strong understanding of medical trend analysis, loss ratio performance, and self-insurance dynamics
- Clear and persuasive communication skills, with experience influencing both internal and external stakeholders
- Excellent analytical, Excel, and data interpretation skills
Perks & Benefits:
- Fully paid medical, dental, and vision benefits.
- Flexible PTO
- 401k company contribution
- Tuition reimbursement
- Professional development allowance
- Transportation allowance and daily parking reimbursement
- Engaging hybrid work environment
We are guided by our values:
Fire in the belly
The drive to learn, to improve, and to deliver outstanding value every day.
See the field
The ability to see the big picture and prepare to meet tomorrow’s needs.
Get it done right
The passion to produce at higher rates and to the highest standards.
For the greater good
A united community creating better health benefit solutions for all.









