This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a AVP, ESL & Managed Care Programs based in United States. This leadership role offers the opportunity to shape the growth and profitability of specialized insurance and reinsurance programs.The position is responsible for driving underwriting strategy, portfolio performance, product development, and client partnerships within a complex insurance environment.You will serve as a subject matter expert in employer stop loss, medical excess, and ancillary insurance solutions while influencing strategic business decisions.The role combines technical underwriting expertise, relationship management, financial analysis, and cross-functional collaboration.You will work closely with internal teams, external partners, and industry stakeholders to develop innovative solutions and achieve business objectives.This opportunity is ideal for an experienced insurance professional seeking a high-impact leadership position within a dynamic and evolving market.