Adverse Action Adjudicator

Opportunity with a well-known company in the Healthcare industry. This is a contract position that may extend or result in perm hire. 

 

This role:

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.

 

• 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. 

 

Bachelor’s Degree preferred. Excellent pay rate and benefits offered.