Director, Underwriting

Premera Blue Cross

. Strategize with clients ranging from Fortune 10 to Fortune 500 companies that want to differentiate themselves in the marketplace via their benefits offerings and ensure that underwriting can support their benefits strategies sustainably.

Posted 5/7/2026full-timeMountlake Terrace • Washington • 🇺🇸 United StatesLead💰 $157,900 - $315,900 per yearWebsite

About the role

Key responsibilities & impact

Strategize with clients ranging from Fortune 10 to Fortune 500 companies that want to differentiate themselves in the marketplace via their benefits offerings and ensure that underwriting can support their benefits strategies sustainably.
Strategically partner with actuaries and our pharmacy division that develops in-house formularies, pricing, and product design that strategically align with our mission to make healthcare work better and be more cost-effective.
Provide underwriting oversight for the unique Alaska market where Premera has a close partnership with providers, hospitals, brokers, employer groups, unions, public entities, and native corporations.
Oversee stop-loss renewals, working closely with self-insured groups in this complex market.

Requirements

What you’ll need

Bachelor’s degree in Business Administration, Mathematics, or related field of study or 4 years of work experience.
Eight years of group medical underwriting, or health insurance consulting experience, including 5 years of experience managing teams. (Required)
Additional preferred skills/ experiences include: Master’s degree in a related field.
CEBS Designation.
Demonstrated track record in providing underwriting leadership in complex medium to large size businesses.
Substantial and diverse knowledge of the health insurance industry and the group underwriting function within an insurance carrier setting.
Excellent negotiation and influencing skills.
Demonstrated ability to negotiate "win-win" solutions as it relates to business decisions.
Preferred location is Western Washington, we are open to telecommuters in the PST and MST zones.

Benefits

Comp & perks

Medical, vision, and dental coverage with low employee premiums.
Voluntary benefit offerings, including pet insurance for paw parents.
Life and disability insurance.
Retirement programs, including a 401K employer match and, believe it or not, a pension plan that is vested after 3 years of service.
Wellness incentives with a wide range of mental well-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to name a few.
Generous paid time off to reenergize.
Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees.
Employee recognition program to celebrate anniversaries, team accomplishments, and more.
For our hybrid employees, our on-campus model provides flexibility to create your own routine with access to on-site resources, networking opportunities, and team engagement.
Commuter perks make your trip to work less impactful on the environment and your wallet.
Free convenient on-site parking.
Subsidized on-campus cafes make lunchtime connections with colleagues fun and affordable.
Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more.
Our complementary fitness & well-being center offers both in-person and virtual workouts and nutritional counseling.
Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on campus.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

group medical underwritinghealth insurance consultingunderwriting leadershippricingproduct designnegotiationteam managementformulary developmentstop-loss renewalsbusiness strategy

Soft Skills

negotiation skillsinfluencing skillsstrategic partnershipleadershipcommunicationproblem-solvingcollaborationclient relationship managementdecision-makingadaptability

Certifications

Bachelor's degreeMaster's degreeCEBS Designation