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Adverse Action Adjudicator - Onsite

Nashville, TN
Classification: Contract
Contract Length: 6 months
Job ID: 16186114
Location: Nashville, TN

CereCore® provides EHR implementations, IT and application support, IT managed services, technical staffing, strategic IT consulting, and advisory services to hospitals and health systems nationwide. Our heritage is in the hallways of some of America’s top-performing hospitals. We have served as leaders in finance, operations, technology, and as clinicians turned power users and innovators. At CereCore, we know firsthand the power that aligned technology can provide in delivering care. As a wholly-owned subsidiary of HCA Healthcare, we are committed to bringing the expertise we have gained as operators to deliver IT services that emphatically address the needs of health systems across the United States. Our team of over 600 clinical and technical professionals has implemented EHR systems in more than 400 facilities and provides managed services support to tens of thousands of health system employees. We work tirelessly to provide healthcare organizations specialized IT services that support the delivery of patient care. The Link to Life-Saving Care.

CereCore is seeking an Adverse Action Adjudicator to join our Nashville, TN team This individual will work at one of the nation's leading providers of healthcare services, HCA Healthcare


The Adverse Action Adjudicator is responsible for considering 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 degree required
  • At least 1 year experience in relevant work experience
  • Computer and software literate
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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