Insurance Coder Remote Jobs in Allentown, PA (NOW HIRING)

The Dental Standards Leader will be responsible for transforming our dental standards team by developing, designing and reimagining processes that support our distribution, claims, implementation and underwriting teams. This leader will drive strategy to improve workflows and enhance operational efficiency and service delivery.
You Will

• Lead a team of dental standards analysts.
• Be viewed as a subject matter expert and thought leader on plan level recommendations to distribution partners and underwriting based on industry knowledge, market trends and the optimization of internal Guardian systems to ensure best in class dental plan experience for our plan holders.
• Lead and manage cross-functional projects and initiatives related to dental product development, plan design, regulatory implementation, underwriting support and operational improvement
• Develop and oversee project plans, timelines, and deliverables while ensuring alignment across stakeholders (Sales, Underwriting, Claims, Network, Legal, and Product)
• Identify risks, drive issue resolution, and support prioritization of strategic initiatives
• Create and maintain training materials, job aids, and standard operating procedures to ensure consistency and scalability of knowledge transfer and dental standards team development
• Facilitate knowledge-sharing sessions and contribute to a culture of continuous learning and professional development
• Partner with implementation and distribution teams on accurate case level setup to ensure new & in force plans are set up and/or amended as appropriate.
• Oversee performance guarantees, contract comparison & plan options requests in support of new business sales and client persistency.
• Lead and/or support projects that innovate and improve team efficiency, workflows and service quality.
• Represent Guardian recommendations in Finalist Presentations and/or Stewardship meetings.

You Have

• Bachelor's degree, masters degree or equivalent work experience required.
• A minimum of 5+ years in at least one core area: Provider Network Management, Group Distribution, Underwriting, Claims, Operations, Dental Standards or Dental Product.
• Strong internal systems knowledge, analytical and problem-solving skills
• Track record of collaborating cross functionally to solve complex business problems and navigate rapidly evolving macro trends.
• Superior knowledge of dental terminology, Current Dental Terminology (CDT) codes, clinical rationale, and policies of dental procedures.
• Knowledge of dental administration, policies, and guidelines.

Travel
10-20% travel to various field offices, key partners and finalist presentations
Locations

• Preferred locations include Atlanta, GA; Plano, TX, Newport Beach, CA; San Francisco, CA; Chicago, IL; Bethlehem, PA; New York, NY; Holmdel, NJ; and Boston, MA.
• Will consider candidates with required qualifications in other locations and or Remote.

Salary Range:
$86,210.00 - $141,635.00
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 candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
Our Promise
At Guardian, you'll 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 Guardian's 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 www.guardianlife.com/careers/corporate/benefits. Benefits 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 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 MyHR@glic.com. 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 Life is not currently or in the foreseeable future sponsoring employment-based visas (e.g., such as an H-1B). In order to be a successful applicant, you must be legally authorized to work in the United States, without the need for employer sponsorship/support now or at any time in the future.
Notice Regarding Guardian's Use of Artificial Intelligence in Recruitment
As part of Guardian's job application process, Guardian may use artificial intelligence tools ("AI Tools") to automate the sorting and filtering of information provided by applicants as part of its preliminary screening. This preliminary screening may be used to help identify applicant materials and resumes relative to their indication that the applicant meets the requirements for the specific job for which they are applying, as specified in the listing posted on Guardian's jobs website (Careers at Guardian at https://www.guardianlife.com/careers). At Guardian, we do not use AI Tools to substantially assist or replace human judgment or discretionary decision making in our hiring process. All hiring decisions will be made by Guardian colleagues.
Please be aware that if you apply for a specific position with Guardian, you will have the choice of opting out of Guardian's use of AI Tools during the job application process. If you would like to request an alternative process that does not utilize AI Tools or would like to request a reasonable accommodation, within ten business days of your position application, you must email your request to MyHR@glic.com, making sure to provide your name and job requisition identification number. Guardian will retain your applicant materials and resume and all information therefrom in accordance with Guardian's document retention policy, a copy of which you may request via MyHR@glic.com.
Additionally, at applicable times, Guardian will make public the most recent bias audit results for such AI tools, which may be found here.
Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.