The Why Behind Wellvana:

The healthcare system isn’t designed for health. We’re designed to change that. We’re Wellvana, and we help doctors deliver life-changing healthcare.

Through our elevated value-based care programs, we’re revitalizing an antiquated system that’s far too long relied on misaligned incentives that reward quantity of care not the quality of it.

Our enlightened approach—covering everything from care coordination to clinical documentation education to marketing— ties the healthy outcomes of patients directly to shared savings for primary care providers, health systems and payors.

Providers in our curated network keep their independence, reduce their administrative headaches, and spend more time with patients. Patients, in turn, get an elevated experience with coordinated care between appointments that is nothing short of life-changing.

Named a 2024 "Best in Business" and 2023 "Best Place to Work" by Nashville Business Journal, we’re one of the fastest-growing healthcare companies in America because what we do works. This is the way medicine is meant to be.

Clarity on the Role:

The Senior Manager, Underwriting will lead Wellvana’s underwriting strategy and execution to optimize performance within CMS/CMMI ACO models. This role oversees the development of tools, methodologies, and assumptions that drive accurate risk assessment and financial projections, while ensuring alignment across Finance, Actuarial, and key business teams. The position will manage complex workflows, validate modeling accuracy, and innovate processes using advanced techniques such as AI/ML to deliver faster, more precise insights. Acting as a key liaison and educator, this leader will foster collaboration and continuous improvement to support Wellvana’s growth and strategic objectives.

What's Expected:

• Lead the underwriting function strategy across current and prospective clients in CMS ACO models to optimize performance for Wellvana and our partners
• Coordinate and lead regular cross-function forums between actuarial and underwriting team members and key stakeholders within Wellvana including, but not limited to, Growth, Partner Success, and Strategy teams with the goal of understanding data and modeling needs to meet Wellvana objectives
• Coordinate and lead development of enterprise tools needed based on stakeholder requirements, including alignment with Finance and Analytics systems and critical processes.
• Collaborate with Actuarial leadership to establish assumption governance for all models and tools
• Manage and test assumptions for tools and models across current and prospective clients
• Manage workflow and participate in supporting innovative ad-hoc underwriting requests
• Lead and complete validation study design and complete studies on underwriting modeling and tool projections
• Innovate underwriting methodologies, processes, and insights using AI/ML techniques to produce improvements in projections
• Develop material and lead education sessions on underwriting process and projections for key stakeholders
• Identify key barriers and recommend investments to improve overall underwriting process

What’s Required:

· Integrity: The right way is the only way.

· Dependability: You do what you say you’re going to do.

· Advocacy: You fight for the best possible outcome for providers and their patients.

· Clarity: You make it all understandable.

Education:

• Bachelor's degree in Finance, Business Administration, Risk Management or a related field is common, with an MBA or advanced degree preferred

Certifications:

• Credentialed as either Associate or Fellow of Society of Actuaries a plus.

Years of Related Experience:

• 6-8 years of underwriting experience with a minimum of 3 years with direct CMS/CMMI ACO underwriting and modeling experience

Skills/Competencies/Behaviors:

• Strong analytical and decision-making skills, leveraging data and judgment to assess risk effectively.
• Strong model building skills to incorporate enhancements in models to support end to end process.
• Demonstrated ability to understand regulatory guidance for current and emerging models and implement into work product.
• Excellent communication and interpersonal skills, with the ability to influence partners across various departments and at the executive level.
• Demonstrated ability to make decisions independently that improves productivity, while keeping the business impact in mind.
• Demonstrated ability to execute on deliverables with urgency while managing additional responsibilities.
• Excellent interpersonal skills with the ability to build rapport and relationships with individuals at all levels across the organization, as well as outside parties.