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 state‑specific 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. Responsibilities Lead and develop multiple operational teams responsible for dental provider credentialing, recredentialing, and state‑specific provider directory verification activities. Ensure team compliance with all applicable state, regulatory, and accreditation requirements. Maintain oversight of team workloads and case progression to ensure provider applications and verifications move through the process within reasonable turnaround times and established service‑level 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 state‑specific requirements. Coordinate regulatory‑driven 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. Qualifications Credentialing experience, with a strong understanding of regulatory and operational requirements specific to provider networks. 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. Experience with Medicare Advantage credentialing requirements is preferred. A strong process and system orientation, with the ability to balance compliance, quality, productivity, and customer experience. Demonstrated ability to oversee complex, multi‑team 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 continuous‑improvement 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 $82,770.00 - $135,975.00 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, affectionate 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 activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's 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 View email address on click.appcast.io. Visa Sponsorship Guardian is not currently or in the foreseeable future sponsoring employment visas. To be a successful applicant you must be legally authorized to work in the United States, without the need for employer sponsorship. #J-18808-Ljbffr Guardian Life