Adverse Action Adjudicator job in Nashville, TN
Nashville, TN CorTech LLC
| Job Ref: | 375692 |
| Employer: |
CorTech LLC |
| Job Type: | Contract |
| Salary and Benefits: | 35.00/Per Hour |
| Remote: | No |
Location |
|
| City: | Nashville, TN |
| Post Code: | 37203 |
| Map: |
|
Description |
|
|
JobsRUs.com is seeking to hire an Adverse Action Adjudicator for our client Nashville, TN! Benefits Available! Weekly Pay! Pay Rate - $35/hr 1st Shift: Monday-Friday, 8am-5pm Job Description Considers derogatory information presented in a background investigation report and renders a decision on the basis of that information. Must be neutral, without conflict of interest, to determine fairly if a discrepancy between disclosed credentials and verified information is sufficient to disqualify a candidate for employment. Major Responsibilities · Review background investigation results to confirm a discrepancy with credentials exists that is not addressed by the adjudication matrix. · Evaluate the disclosed discrepancy in a balanced way before making a decision. · Interview background investigation vendor and/or the subject of the investigation if necessary to gain clarity. · Make a decision based on knowledge of law, regulation, policy, precedent, and judgment of risk to employer to proceed with approval or deny approval. · Periodically review for revision the adjudication matrix used by Recruiting. · Create and maintain a record of adjudication decisions including justification for course of action. · Create and maintain decision analytics for reporting. · Keep all adjudication material confidential. · Monitor business challenges and/or regulatory issues that might influence adjudication. · Schedule and regularly meet with operations management and Human Resources Business Partners. · Operates without supervision in a complex environment. · Conduct investigations and recommend resolution in collaboration with Legal, Ethics and Compliance, Human Resources Business Partners and others as appropriate. · Recommend process, product or service improvements. · Solve unique and complex problems with a broad impact on the business. · Computer and software literate Required Education and Experience Bachelor's degree in a related field. 1+ years of experience in a relevant field. Knowledge, Skills, Abilities, and Behaviors · Service and Quality Excellence: Ability to demonstrate an uncompromising commitment to delivering exceptional care to create an unmatched value proposition for our patients. · Honor our Mission and Values: Ability to build trust and act with authenticity to cultivate a culture of integrity, inclusion, and mutual respect. · Effective Decision Making: Ability to make timely, informed decisions that are in the best interest of our patients, employees, providers, and community. · Attain and Leverage Strategic Relationships: Ability to develop and strengthen collaborative relationships with both internal and external stakeholders to advance the care of our patients and the growth of the company. · Lead and Develop Others: Ability to lead others to accomplish organizational goals and objectives; provide meaningful coaching and mentoring to increase the capabilities of individuals and teams and drive employee engagement. · Communicate with Impact: Ability to deliver information in a clear, concise, and compelling manner to effectively engage others and achieve desired results. · Achieve Success through Change: Ability to identify opportunities for improvement and innovation, remove barriers and resistance, and enable desired behaviors. · Drive Execution and Financial Results: Ability to commit to the success and financial wellbeing by challenging others to excel and hold themselves and others accountable · Strategic Positioner: Ability to position a business to win in its market. · Credible Activist: Ability to build relationships of trust by having a proactive point of view. · Paradox Navigator: Ability to manage tensions inherent in businesses (e.g., be both long and short term, be both top down and bottom up.) · Culture and Change Champion: Ability to make change happen and manage organizational culture. · Human Capital Curator: Ability to manage the flow of talent by developing Employees and leaders, driving individual performance, and building technical talent. · Total Reward Steward: Ability to manage employee wellbeing through financial and nonfinancial rewards. · Technology and Media Integrator: Ability to use technology and social media to drive/create high performing organizations. · Analytics Designer and Interpreter: Ability to use analytics to improve decision making. · Compliance Manger: Able to manage the processes related to compliance by following regulatory guidelines. | |
ref: (375692)
92 days ago
Back to search results