Sr. Supplier Medical Process Specialist

Job Description

Sr. Supplier Medical Process Specialist

137450

At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to choosing your next career move. Designed with our employees’ needs in mind, the ZNA Claims hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating in-person connections and collaborative activities when meaningful and valuable. While the model provides a high level of flexibility and autonomy, occasional circumstances requiring in-office attendance should be expected. The candidate selected for this opportunity should be able to report into [one of] the following North American Claims office[s]: US remote.

Zurich North America is seeking a skilled and motivated Nurse to join our Managed Care Team as a Sr. Supplier Medical Process Specialist focusing on vendor governance to join our team in one of our Managed Care business units across the United States. If you’re considering your next career move, Zurich offers you the opportunity to work for a globally recognized company known for its excellent benefits, flexible work arrangements, commitment to work/life balance, and outstanding culture.

As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in areas of responsibility. Responsible for overall production, quality and timeliness of supplier. Will handle both complex transactional and procedural issue escalations. Conduct regular quality audits and/or reviews to ensure accuracy and completeness of work performed by supplier. Responsible for participating in continuous process and system enhancements to improve operational efficiencies, quality and/or timeliness.

At Zurich North America Claims, we understand the importance of flexibility and work-life balance in your career decisions. This fully remote role is ideal for experienced professionals with a passion for vendor management, operational excellence, and collaborative problem-solving. Our hybrid work model is designed to meet our employees’ needs, offering the flexibility to perform individual work remotely while encouraging in-person collaboration and connection when it adds value. While our model allows for significant autonomy, please note that occasional in-office attendance may be required.

In this role you will be responsible for:

• Manage vendor and supplier relationships to drive optimal performance and positive outcomes for Zurich and our clients.
• Analyze operational data, identify trends, and collaborate with cross-functional teams to identify improvement opportunities.
• Lead or participate in regular meetings, trainings, and operational reviews with vendors and internal partners.
• Maintain professional expertise by staying current with industry trends and contributing to clinical education
• Support quality assurance, compliance, and process improvement efforts within claims and managed care operations.

Basic Qualifications

• Associate degree and 3 or more years of experience in the Nursing areaAND
• Licensed registered nurse in state of residence
• 3 or more years of clinical experience
• Experience with Microsoft Office
• Experience leading operational initiatives and/or work streams

Preferred Qualifications

• Bachelors Degree in nursing and 3 more years of experience in the nursing area
• Knowledge of Workers Compensation and the insurance industry
• Catastrophic Case Management experience
• Proficiency in Microsoft Office Suite
• Proven experience in leading operational initiatives or workstreams
• Experience in a transactional, operational or customer service environment
• Quality auditing experience
• Knowledge of insurance industry and regulatory environment
• Experience collaborating across work groups and/or companies
• Ability to travel 5-10%

Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.

The pay range shown is a national average and may vary by location. The proposed salary range for this position is $65,900.00 – $107,900.00, with short-term incentive bonus eligibility set at 10%.

We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewardshere ( .]

At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500®.

Join us for a brighter future-for yourself and our customers.

Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets.

Zurich complies with 18 U.S. Code § 1033.

Remote Working: Yes

Schedule: Full Time

Employment Sponsorship Offered: No