Role Description
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. This fully remote role based anywhere in the U.S. is ideal for experienced professionals with a passion for vendor management, operational excellence, and collaborative problem-solving.
In this role you will be responsible for:
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Manage vendor and supplier relationships to drive optimal performance and positive outcomes for Zurich and our clients.
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Analyze operational data, identify trends, and collaborate with cross-functional teams to identify improvement opportunities.
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Lead or participate in regular meetings, trainings, and operational reviews with vendors and internal partners.
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Maintain professional expertise by staying current with industry trends and contributing to clinical education.
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Support quality assurance, compliance, and process improvement efforts within claims and managed care operations.
Qualifications
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Associate degree and 3 or more years of experience in the Nursing area.
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Licensed registered nurse in state of residence.
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3 or more years of clinical experience.
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Experience with Microsoft Office.
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Experience leading operational initiatives and/or work streams.
Requirements
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Licensed Registered Nurse (RN) in the state of residence.
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Bachelors Degree in nursing and 3 or more years of experience in the nursing area.
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3+ years of clinical experience.
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Knowledge of Workers Compensation and the insurance industry.
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Catastrophic Case Management experience.
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Behavioral Health nursing and/or Mental health nursing certification.
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Proficiency in Microsoft Office Suite.
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Proven experience in leading operational initiatives or workstreams.
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Experience in a transactional, operational or customer service environment.
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Quality auditing experience.
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Knowledge of the regulatory environment.
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Demonstrated ability to collaborate effectively across workgroups and/or organizations.
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Experience collaborating across work groups and/or companies.
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Ability to travel 5-10%.
Benefits
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Competitive pay based on role, location, skills, and experience.
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Eligibility for bonuses and merit increases.
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Comprehensive benefits for employees and their families.