Aps Level 5

**Job Reference Number **22-BIDHDIV-15529

**Classification **APS Level 5

**Job Title **Project Officer

**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

**Salary Range **$79,002 - $85,437

**Security Clearance **Baseline

**Contact Officer Name**:Warwick Oliver
**Phone**:03 9665 8251

**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**

The Benefits Integrity & 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 Professional Review Section sits within the Compliance Enforcement and Professional

Review Branch which delivers a risk-based compliance program with staff actively engaged

in intelligence driven implementation of compliance activities that are commensurate with

identified risk.

**Section Responsibilities**

The Professional Review Section (PRS) seeks to protect the integrity of Medicare, the

Pharmaceutical Benefits Scheme (PBS) and Child Dental Benefits Schedule (CBDS) programs

through the administration and implementation of the Practitioner Review Program (PRP).

This includes exercising delegation under the _Health Insurance Act 1973_ to request the

Director Professional Services Review (PSR) to review cases of possible inappropriate

practice. Through the implementation of the PRP and with the provision of professional

advice and support to the compliance activities across the Division, the PRS aims to improve

practitioner compliance and reduce the number of identified practitioners with unexplained

variances in their rendering or initiation of services under Medicare and/or prescribing

under the PBS and CDBS.***

**Key Responsibilities**
- Contribute to the continued development and maintenance of the reporting tasks

and functions for the Section
- Delivery of accurate reports on the performance and outcomes of the Practitioner

Review Program (PRP) and Professional Services Review (PSR) compliance activities
- Contribute to business planning and reporting against the Section’s forecasts***
- Delivery of accurate reports for the sections Case Management Committee on

case/queue and project monitoring
- Provide administrative support for complex correspondence and information

requests (i.e. briefing papers, Executive Minutes, Ministerial correspondence and

Ministerial briefs, Senate Estimates Briefs, AHPRA requests and Freedom of

Information requests, ad-hoc request from Senior Management).***

**Key Capabilities**

as they relate to health compliance including the Practitioner Review Program and

the Professional Services Review
- Research and analytical skills, including the ability to undertake independent

research
- Demonstrate a strong focus on consistency and accuracy
- Demonstrate sound interpersonal and stakeholder management skills
- Ability to work with limited direction in a geographically dispersed team whilst
- An understanding of health compliance processes and procedures, particularly the

functions of the Practitioner Review Program, or the ability to gain an understanding
- A good working knowledge of office and information management systems;
Microsoft Word, Excel, TRIM, CWMS, SharePoint
- Well-developed written and verbal communication skills
- Effective organisational skills to manage competing priorities and meet deadlines
- Contribute toward a positive divisional culture including demonstrating the

principles of the respect charter.

**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 Age