Aps Level 4

3 weeks ago

Woden, Australia National Health Funding Body Full time

**Job Reference Number **23-BIDHDIV-16334

**Classification **APS Level 4

**Job Title **Project Officer (Several Positions)

**Division **Benefits Integrity and Digital Health Division

**Branch **Compliance Enforcement and Professional Review Branch

**Section **Professional Review Section

**Location **Woden ACT, Parramatta NSW, Adelaide SA, Melbourne VIC,
Brisbane QLD

**Status **Ongoing

**Employment type **Full-time & Part-time

**Salary Range **$73,706 - $77,879

**Security Clearance **Baseline

**Contact Officer Name**:Josh Creech
**Phone**:02 6289 7239

**Eligibility**
- To be eligible for employment with the Department of Health and Aged Care

applicants must be an Australian citizen at the time an offer of employment is made
- An applicant’s suitability for employment with Health will also be assessed through a

variety of pre-employment check processes, such as:

- Satisfactory completion of an Australian Federal Police criminal history check,

and where relevant a Working with Children and Vulnerable People Check.
- Completion of a medical declaration and pre-employment medical (where

required).
- Providing evidence of qualifications.

**Division Responsibilities**

Benefits Integrity and Digital Health Division (BIDHD) is responsible for maintaining the

affordability of medical services in Australia by protecting the integrity of Medicare

payments. BIDHD achieves this through:

- Identification, and treatment of incorrect claiming, fraud and possible inappropriate

practice by health care providers and suppliers
- Supporting health care providers by delivering education and information on the

appropriate use of Medicare and with digitally enabled programs to support clinical

care and health payments
- Managing pharmacy approvals and pathology rents regulations.

**Branch Responsibilities**

The Compliance Enforcement and Professional Review Branch delivers a risk-based

compliance program with staff actively engaged in intelligence driven implementation of

compliance activities that are commensurate with identified risk. Professional Review

Section - under the Practitioner Review Program (PRP), review and interact with health

practitioners (GP’s, Specialists, and Allied health providers) regarding their Medicare

servicing and Pharmaceutical Benefits Scheme (PBS) prescribing. Where appropriate,

practitioners or corporate entities that may have engaged in possible inappropriate practice

are referred to the Director of Professional Services Review for further review.

Civil Administration and Enforcement Section - conducts compliance activities associated

with Approved Pathology Collection Centres, Pharmacy compliance and Corporate

Compliance Investigations Section - conducts analysis of suspected fraud cases and

conducts investigations into cases of fraud and fraud-related non-compliance for referral of

cases to the CDPP.

**Section Responsibilities**

The Professional Review section undertakes identification, analysis and treatment of health

practitioners who may be practicing inappropriately through Practitioner Review Program

(PRP) compliance interventions. These interventions are undertaken by health professional

advisers (medical, optometric and dental). The section also provides specialised professional

advice on health compliance matters***

**Key Responsibilities**

The positions provide high level administrative support to senior staff and the Professional

Advisers of the section. Duties include:

- Providing administrative support and coordination of administrative tasks
- Drafting and managing written communication with practitioners, quality assurance

of documents and outgoing correspondence
- Drawing data from established information systems on MBS and PBS health

practitioner claiming _and_ undertake simple analysis
- Preparing reporting on work activities and outcomes***
- Appropriately recording case actions and activities in specialised database, and

saving correspondence in a document management system (TRIM)***

**Key Capabilities**
- Ability to think strategically and draw on information from multiple sources
- Takes responsibility for managing work to achieve results
- Ability to build and sustain productive working relationships
- Provide accurate advice on issues, take personal responsibility for accurate

completion of work, and seek guidance when required
- Clear written and oral communication skills and ability to interpret information and

present it in a clear and concise manner.
- Ability to work with limited direction in a geographically dispersed team

**Minimum Requirements**

RecruitAbility is a scheme which aims to attract and develop applicants with disability and

also facilitate cultural changes in selection panels and agency recruitment. All vacancies for

the Department of Health and Aged Care are advertised under the RecruitAbility Scheme.

Job applicants with disability who:

- opt into the scheme
- declare they have disability,

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