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Adverse Action Adjudicator job in Nashville, TN

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Nashville, TN CorTech LLC

Job Ref:  369080
Employer:  CorTech LLC
Job Type:  Contract
Salary and Benefits:  40.00/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 in Nashville, TN!

Benefits Available!
Weekly Pay!

Pay Rate - $40/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
Performs other duties as assigned

Required Education and Experience
Bachelors degree in a related field
1+ years of experience in a relevant field.
Or equivalent combination of education and experience

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 our 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 for achieving results.
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: (369080)
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