Fraud Specialist

2 days ago


Newcastle upon Tyne, United Kingdom NHS Business Services Authority Full time

The NHSBSA plays an important role in tackling fraud and error across the wider NHS such as working with NHS England on Provider Assurance and Loss Recovery Service within Primary Care. The NHSBSA have the potential to do more to reduce opportunities for fraud and error and improve the way that fraud and error risks are addressed.

We are currently recruiting a Fraud Specialist to work within the NHSBSA Loss and Fraud Prevention Team (LFP) Team on a permanent basis.

**What we offer**:

- 27 days leave (increasing with length of service) plus 8 bank holidays
- Flexi time
- Hybrid working model (working remotely at home but also in the office)
- Career development
- Active wellbeing and inclusion networks
- Excellent pension
- NHS Car lease scheme
- Access to a wide range of benefits and high street discounts

**Main duties of a Fraud Specialist include**:

- Assist in delivery the NHSBSA Loss and Fraud Strategy by undertaking proactive and reactive work and contributing to the NHSBSA Control Framework.
- Undertaking Cabinet Office Fraud Risk Assessments to ensure risks are identified, controls implemented and monitored.
- Completing end to end service reviews to ensure fraud, bribery and loss risks are captured, prevention and detection controls are embedded across our services
- Collaborating with colleagues in NHSBSA and across the NHS to deliver national proactive exercises and loss measurement exercises.
- Represent the NHSBSA LFP Team at partnership meetings with the NHS Counter Fraud Authority, NHS England & Improvement, DHSC Anti-Fraud Unit and NHS Fraud Manager meetings to share best practice and discuss emerging fraud types.
- Undertaking investigations into allegations of fraud, bribery and / or corruption by obtaining and presenting evidence to prove or disprove allegations ensuring appropriate sanctions are considered.
- Responsible for supervising staff and providing line management support to enable them to carry out their roles effectively.

The post holder will either hold an Accredited Counter Fraud Specialist (ACFS) certificate or must successfully complete the ACFS training course within 6 months of commencing post.

At the NHS Business Services Authority (NHSBSA) we deliver a range of essential national services to NHS organisations and contractors, patients, and the public.

You may already be using some of our services. Do you have a prescription pre-payment certificate? Perhaps you found this vacancy through NHS Jobs? We’re behind these, and much more.

Being one of the UK’s Best Big Companies to work for, our values are to be Collaborative, Adventurous, Reliable and Energetic. We CARE about what we do and support each other in achieving our objectives.

Our people are the heart of our organisation. We strive to ensure they feel trusted, valued and empowered. We’re passionate about nurturing and developing people. When you join us, we want you to grow, and we offer many opportunities for you to do that.

We are the NHS delivering for the NHS.

**In this role, you are accountable for**:
1. To deliver a rolling programme of fraud awareness sessions to staff across the NHSBSA.
2. Establish and maintain effective liaison with Heads of Service and key staff within the NHSBSA to identify opportunities where fraud and error could occur. Working with the service area to mitigate or eradicate the opportunities for fraud and error.
3. Analyse financial, payment and other systems and regulations within the NHSBSA to identify system weaknesses that have allowed fraud to be perpetrated. Use expertise gained to comment on and propose strategies to impact on fraud in own area of work and across the wider NHS. Such strategies may include the redesign and implementation of policy, procedures and legislation.
**4. Participate in National Proactive Exercises**: devising appropriate methodology, planning and executing exercises in accordance with
guidance from NHS Counter Fraud Authority.
5. Line management responsibility of junior members of the NHSBSA Fraud Team.
6. To investigate, within operational and legislative guidelines to the highest standards, all allegations of fraud in the NHSBSA. Ensure that
appropriate disciplinary, civil or criminal remedies are applied by the following means:

- Analyse possible avenues and methods of investigation to obtain evidence through various relevant means.
- Use in-depth knowledge and experience of the processes and systems across the NHS to determine where relevant evidence can be

found
- Analyse and understand the financial, accounting, payment and organisational factors in that part of the NHS relevant to the type and

location of the fraud committed. Convert technical information into plain English, suitable for presentation at Court.
- Establish contact with, interview and take statements from relevant witnesses including expert witnesses, displaying the knowledge and
- Prepare and present briefings to staff and police in relation to arrests, searche


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