Supplier Medical Process Specialist

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