Executive Level 1

**Job Reference Number **22-BIDHDIV-15285

**Classification **Executive Level 1

**Job Title **Assistant Director

**Division **Benefits Integrity and Digital Health Division

**Branch **Compliance Enforcement and Professional Review Branch

**Section **Civil and Administrative Enforcement Section

**Location **Woden, ACT; Hobart, TAS; Brisbane, QLD

**Status **Ongoing

**Employment type **Full-time

**Salary Range **$108,680 - $123,951

**Security Clearance **Baseline (Protected, Highly Protected, Restricted, Confidential)***

**Contact Officer Name**:Karen Prstec
**Phone**:02 6289 2457

**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 is responsible for:

- Maintaining the affordability of medical services in Australia by protecting the

integrity of Medicare payments.
- Supporting healthcare providers with:

- delivery of education and information on appropriate use of Medicare
- digitally enabled programs to support clinical care and health payments.
- Designing consumer/patient centred digitally enabled programs across the

health sector and with key government partners.
- Leading Health’s relationship with Services Australia to improve the delivery

of Health and Aged Care policy, program, and compliance objectives of

Government.
- Supporting and developing our people to achieve the objectives of the

division in a safe and inclusive working environment.

**Branch Responsibilities**

The Compliance Enforcement and Professional Review Branch makes a significant

contribution to the financial sustainability of Medicare programs and protects the integrity

of over $36 billion in payments annually to health providers and approved suppliers under

the Medicare Benefits Schedule, Pharmaceutical Benefits Scheme, Child Dental Benefits

Scheme, and other associated health programs.

This is achieved through compliance treatments and activities including the Practitioner

Review Program (PRP), Pharmaceutical Services Federal Committee of Inquiry (PSFCoI) and

undertaking civil and criminal investigations and enforcement action into alleged breaches

of the Health Insurance Act 1973, National Health Act 1953, and Dental Benefits Act 2008.

The Branch also provides expert medical, pharmaceutical, optometric, and dental advice

across the Division.

**Section Responsibilities**

The Civil and Administrative Enforcement Section is responsible for:

- Assessment of strategic enablers of compliance, drivers of non-compliance, and

suitability of current legislation, systems, processes, and governance to address

health sector business entity practices posing a risk to Medicare programs.
- Developing civil and administrative enforcement capability to treat non-compliance

in the health sector business entity practices posing compliance risks to Medicare

programs.
- Compliance with the prohibited practices provisions relating to pathology and

diagnostic imaging under Part IIBA of the Health Insurance Act 1973 (HIA).***

**Key Responsibilities**
- Develop, review, and deliver compliance program work.
- Provide support for the Director and Section, including business planning,

stakeholder engagement, research, procurement and financial prosses, and

administration.
- Prepare and peer review high quality reports and briefs for senior executives.
- Develop and maintain relationships with internal and external stakeholders.***
- Manage and deliver compliance projects while supporting others to deliver

outcomes through the provision of guidance, quality assurance and technical

expertise.
- Work collaboratively with the Division’s enforcement teams.***

**Key Capabilities**
- Strong interpersonal skills with a proven ability to work well with others, engage

with stakeholders and supervise staff.
- Highly developed written and communication skills.
- Ability to think critically and exercise sound judgement to make decisions and solve

complex problems.
- Ability to adapt to changing priorities to deliver quality outcomes for senior

executive and the Minister.
- Have personal drive and show commitment to improvements.
- Knowledge of, or ability to acquire, legislation and policy framework for Medicare

programs, including the _Health Insurance Act 1973_.

**Minimum Requirements**

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