Supervisor, Credentialing and Regulatory Operations

The Supervisor Credentialing & Regulatory Operations role is accountable for leading operational execution and regulatory compliance across dental provider credentialing recredentialing and statespecific provider verification activities. This leader oversees multiple teams responsible for ensuring accurate timely and compliant provider onboarding and directory maintenance with a strong focus on customer experience operational excellence and scalable execution.

You will lead and develop teams of credentialing and verification professionals while partnering with compliance operations and technology stakeholders to ensure Guardian meets statespecific regulatory requirements and servicelevel expectations. Through disciplined workload oversight process coordination and thoughtful deployment of digital and automation capabilities you will help drive sustainable highquality outcomes that support Guardians dental growth strategy including Medicare Advantage networks.

You Will:

• Lead and develop multiple operational teams responsible for dental provider credentialing recredentialing and statespecific provider directory verification activities.
• Ensure team compliance with all applicable state regulatory and accreditation requirements including Medicare Advantagespecific standards.
• Maintain oversight of team workloads and case progression to ensure provider applications and verifications move through the process within reasonable turnaround times and established servicelevel agreements.
• Drive consistent execution of credentialing and recredentialing cycles ensuring quality accuracy and regulatory adherence across all files.
• Oversee provider verification activities including outreach to dental offices to confirm demographic practice and directory information in support of statespecific requirements.
• Coordinate regulatorydriven outreach across credentialing recredentialing and provider verification processes to reduce provider burden eliminate duplication and leverage shared information (e.g. provider location changes).
• Partner with technology and operations leaders to identify opportunities for automation and digital enablement including ongoing evaluation of agentic AI and other tools to improve efficiency quality and scalability.
• Serve as a key operational leader supporting continuous improvement process optimization and change management initiatives.
• Lead with a customer mindset ensuring professional coordinated and consistent provider communications across teams.

You Have:

• Credentialing experience with a strong understanding of regulatory and operational requirements specific to provider networks. Experience with Medicare Advantage credentialing requirements is preferred.
• Proven people leadership experience managing operational teams in regulated healthcare insurance or provider network environments.
• Deep knowledge and subject matter expertise of dental provider credentialing
• A strong process and system orientation with the ability to balance compliance quality productivity and customer experience.
• Demonstrated ability to oversee complex multiteam workflows while driving accountability and performance outcomes.
• Experience partnering with technology and transformation teams to identify and implement automation or digital solutions.
• Strong critical thinking and judgment with the ability to assess risk identify dependencies and make informed decisions.
• Clear confident communication skills and the ability to influence across operational compliance and leadership stakeholders.
• A continuousimprovement mindset and a track record of leading teams through change.

Location and Work Arrangement:

• The work arrangement for this position will be hybrid (three days per week in a local Guardian Office; two days per week working from home).
• Preferred locations include Bethlehem PA; Boston MA; Holmdel NJ and New York NY.
• Occasional travel required

Salary Range:

The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education experience knowledge and abilities of the successful addition to salary this role may also be eligible for annual sales or other incentive compensation.

Our Promise

At Guardian youll have the support and flexibility to achieve your professional and personal goals. Through skill-building leadership development and philanthropic opportunities we provide opportunities to build communities and grow your career surrounded by diverse colleagues with high ethical standards.

Inspire Well-Being

As part of Guardians Purpose to inspire well-being we are committed to offering contemporary supportive flexible and inclusive benefits and resources to our colleagues. Explore our company benefits at apply to full-time eligible employees. Interns are not eligible for most Company benefits.

Equal Employment Opportunity

Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age race color creed religion sex affectional or sexual orientation national origin ancestry marital status disability military or veteran status or any other classification protected by applicable law.

Accommodations

Guardian is committed to providing access equal opportunity and reasonable accommodation for individuals with disabilities in employment its services programs and also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individuals known limitations related to pregnancy childbirth or related medical conditions unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process to perform essential job functions and/or to receive other benefits and privileges of employment please contact Please note: this resource is for accommodation requests only. For all other inquires related to your application and careers at Guardian refer to the Guardian Careers site.

Visa Sponsorship

Guardian is not currently or in the foreseeable future sponsoring employment order to be a successful applicant. you must be legally authorized to work in the United States without the need for employer sponsorship.

Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.