Sr Supplier Medical Process Specialist

Sr Supplier Medical Process Specialist

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 in one of our Managed Care business units across the United States. This fully remote role is ideal for experienced professionals with a passion for vendor management, operational excellence, and collaborative problem‑solving.

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.

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 area AND
• 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:

• Licensed Registered Nurse (RN) in the state of residence
• Bachelors Degree in nursing and 3 more years of experience in the nursing area
• 3+ years of clinical experience
• Knowledge of Workers Compensation and the insurance industry
• Catastrophic Case Management experience
• Behavioral Health nursing and/or Mental health nursing certification
• 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 the regulatory environment
• Demonstrated ability to collaborate effectively across workgroups and/or organizations
• 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. 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 Rewards here:

Zurich 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.

Location(s): AM – Illinois Virtual Office, AM – Remote Work (US)

Schedule: Full Time

Employment Sponsorship Offered: No

EOE Disability / Veterans