This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an AVP, Underwriting Special Risk A&H based in the United States. This is a senior leadership opportunity within a specialized Accident & Health underwriting organization focused on complex, niche insurance risks.You will shape the profitability, growth, and strategic direction of a diverse Special Risk portfolio.The role combines sophisticated risk selection, underwriting authority, portfolio management, and business development.You will work closely with MGAs, TPAs, brokers, producers, reinsurers, and internal stakeholders to structure innovative solutions.With significant autonomy, you will influence underwriting strategy while identifying emerging market opportunities and risks.The position also offers the opportunity to lead and mentor underwriting talent while improving operational effectiveness.This is an ideal environment for an experienced underwriting leader who thrives on complex decisions, collaboration, and measurable business impact.