Income & Contracts Analyst

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

The closing date is 16 May 2025

Job summary

Work as part of the Income, Contracts and Costing team within the Finance Department, ensuring that the income of the Trust is correctly identified and reported each month. This will involve working closely with other Trust staff to develop systems to support the internal and external reporting of income and contract performance across the diverse Commissioning base, comprising Integrated Care Boards (ICB's) for England, Specialist Commissioners and Local Health Boards in Wales.

**Banding subject to Agenda for Change Evaluation**

Applications from job seekers who require current Skilled Worker Sponsorship to work in the UK are welcome and will be considered alongside all other applications. Job seekers should be aware that not all roles will be eligible for Skilled Worker Sponsorship. For further information visit UK Visas and Immigration - GOV.UK (www.gov.uk)

Main duties of the job

  • To support the Head of Income, Costing and Contracts in producing the trusts monthly clinical income position.
  • To ensure the general ledger is updated with monthly income performance at month end
  • To oversee the production of monthly contract monitoring reports and distribution to commissioners.
  • Responding to commissioner queries within the required timescales
  • Day to day supervision of the Contracts Officer
  • To respond rapidly to queries from internal stakeholders in respect of activity and income data to inform healthcare plans and assess financial risk
  • To work with the Units to support improvement in the identifying, recording, coding, and invoicing of activity and outpatient procedures as necessary
  • Keep abreast of updates to the NHS payment system and other related guidance
  • Produce the clinical income reports needed to feed into the Costing teams Service Line Reporting (SLR) and PLICS.
  • Deputise for the Head of Income, Costing and Contracts when required

About us

The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH)is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.

Joining RJAH is more than just a job - we want our people to have the best opportunities to thrive in their role.We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you'll have access to outstanding professional development opportunities and state-of-the-art facilities - including our recently-opened £6 million Headley Court Veterans' Orthopaedic Centre (the first unit of its kind in the UK).RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.

Date posted

02 May 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year pa

Contract

Permanent

Working pattern

Full-time

Reference number

224-PA20250402603

Job locations

RJAH Orthopaedic Hospital

Robert Jones & Agnes Hunt District Orthopaedic Hospital

Oswestry

SY10 7AG


Job description

Job responsibilities

1. To support the Head of Income, Costing and Contracts:

o to develop, implement and maintain a paperless system for the recording, monitoring and billing of contract activity in line with a prescribed timetable and NHS financial policies and accounting procedures.o to ensure that appropriate prior approval is obtained from Welsh Commissioners and high cost non contracted activity.o by liaising with Senior Finance members in respect of the maintenance of an income risk provision.o in completion of external reporting requirements to NHS England and other external bodies including but not limited to monthly financial reporting, annual planning and ad hoc data collections.

2. To oversee the preparation of the monthly commissioner income reports to allow monthly analysis of performance and monitoring against contract values. Taking a lead on answering any queries and answering ad-hoc commissioner queries.

3. To develop, implement and maintain systems for Non-Contracted Activity (NCA), which maximise income and minimise risk to the Trust.

4. To ensure general ledger is updated with income performance for the month in line with monthly closedown timetable.

5. Day to day supervision of the Contracts Officer

6. Respond rapidly to queries from executive directors and the Unit leads in respect of activity and income data to inform healthcare plans and assess financial risk.

7. Identify trends in coding that give rise to apparent activity variances, have implications for the contracting and contract monitoring process and advise on appropriate remedial action.

8. To keep abreast with updates to the NHS payment system (or similar) guidance to ensure that the Trust is both compliant with its chargeable activities and benefitting from the opportunity and scope that this offers.

9. Support the detailed assessment in respect of the Department of Healths annual sense check and road test of the new NHS payment system tariffs, feeding back key movements and benchmarking findings with other members of the Specialist Orthopaedic Alliance as necessary.

10. To liaise with the Head of Income, Costing and Contracts to ensure that appropriate local tariffs are set and reviewed as required for activity without a mandated national tariff.

11. To work with the Units to support improvement in the identifying, recording, coding, and invoicing of activity and outpatient procedures as necessary.

12. Investigate contract challenges relating to data quality for Commissioner and respond within the agreed deadlines, liaising with the Information Team and escalating any issues to Line Manager in a timely manner.

13. Oversee the monthly assessment of the Partially Completed Spells to be included in the Trust income position during the month end process

14. To provide clinical income outputs to be used in Service Line Reporting (SLR) & PLICS on a quarterly basis.

15. On a quarterly basis analyse clinical income performance and trends within SLR reports, ensuring the accuracy and validity of financial information, taking the necessary corrective actions to ensure feeder systems are robust, analysing complex financial and non-financial information.

16. Act as the lead for external submissions of benchmarking data.

17. Deputise for the Head of Income, Costing and Contracts

18. Close working with the Clinical coding team, to assist with the Coding validation.

19. Assist the Head of Income, Costing and Contracts with external financial returns and long-term financial planning.

Job description

Job responsibilities

1. To support the Head of Income, Costing and Contracts:

o to develop, implement and maintain a paperless system for the recording, monitoring and billing of contract activity in line with a prescribed timetable and NHS financial policies and accounting procedures.o to ensure that appropriate prior approval is obtained from Welsh Commissioners and high cost non contracted activity.o by liaising with Senior Finance members in respect of the maintenance of an income risk provision.o in completion of external reporting requirements to NHS England and other external bodies including but not limited to monthly financial reporting, annual planning and ad hoc data collections.

2. To oversee the preparation of the monthly commissioner income reports to allow monthly analysis of performance and monitoring against contract values. Taking a lead on answering any queries and answering ad-hoc commissioner queries.

3. To develop, implement and maintain systems for Non-Contracted Activity (NCA), which maximise income and minimise risk to the Trust.

4. To ensure general ledger is updated with income performance for the month in line with monthly closedown timetable.

5. Day to day supervision of the Contracts Officer

6. Respond rapidly to queries from executive directors and the Unit leads in respect of activity and income data to inform healthcare plans and assess financial risk.

7. Identify trends in coding that give rise to apparent activity variances, have implications for the contracting and contract monitoring process and advise on appropriate remedial action.

8. To keep abreast with updates to the NHS payment system (or similar) guidance to ensure that the Trust is both compliant with its chargeable activities and benefitting from the opportunity and scope that this offers.

9. Support the detailed assessment in respect of the Department of Healths annual sense check and road test of the new NHS payment system tariffs, feeding back key movements and benchmarking findings with other members of the Specialist Orthopaedic Alliance as necessary.

10. To liaise with the Head of Income, Costing and Contracts to ensure that appropriate local tariffs are set and reviewed as required for activity without a mandated national tariff.

11. To work with the Units to support improvement in the identifying, recording, coding, and invoicing of activity and outpatient procedures as necessary.

12. Investigate contract challenges relating to data quality for Commissioner and respond within the agreed deadlines, liaising with the Information Team and escalating any issues to Line Manager in a timely manner.

13. Oversee the monthly assessment of the Partially Completed Spells to be included in the Trust income position during the month end process

14. To provide clinical income outputs to be used in Service Line Reporting (SLR) & PLICS on a quarterly basis.

15. On a quarterly basis analyse clinical income performance and trends within SLR reports, ensuring the accuracy and validity of financial information, taking the necessary corrective actions to ensure feeder systems are robust, analysing complex financial and non-financial information.

16. Act as the lead for external submissions of benchmarking data.

17. Deputise for the Head of Income, Costing and Contracts

18. Close working with the Clinical coding team, to assist with the Coding validation.

19. Assist the Head of Income, Costing and Contracts with external financial returns and long-term financial planning.

Person Specification

Qualifications

Essential

  • CCAB Qualified or Part Qualified with commitment to finish studies (or Qualified by Experience)

Desirable

  • Educated to degree level in a related subject

Experience

Essential

  • 3 Years experience in a finance role

Desirable

  • 3 Years Experience in an NHS finance role
  • Experience in an NHS Costing Team
  • Experience in an NHS Income or Contracting Role

Skills and Knowledge

Essential

  • Specialist knowledge of finance acquired through experience and/or qualifications

Desirable

  • Influencing and negotiating skills
  • Experience working with SQL
  • Experience working with Microsoft Power Apps Including PowerBI or PowerQuery
  • Specialist knowledge of NHS finance (such as Costing, Income or Contracting) acquired through experience in an NHS or other healthcare setting
Person Specification

Qualifications

Essential

  • CCAB Qualified or Part Qualified with commitment to finish studies (or Qualified by Experience)

Desirable

  • Educated to degree level in a related subject

Experience

Essential

  • 3 Years experience in a finance role

Desirable

  • 3 Years Experience in an NHS finance role
  • Experience in an NHS Costing Team
  • Experience in an NHS Income or Contracting Role

Skills and Knowledge

Essential

  • Specialist knowledge of finance acquired through experience and/or qualifications

Desirable

  • Influencing and negotiating skills
  • Experience working with SQL
  • Experience working with Microsoft Power Apps Including PowerBI or PowerQuery
  • Specialist knowledge of NHS finance (such as Costing, Income or Contracting) acquired through experience in an NHS or other healthcare setting

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

RJAH Orthopaedic Hospital

Robert Jones & Agnes Hunt District Orthopaedic Hospital

Oswestry

SY10 7AG


Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

Address

RJAH Orthopaedic Hospital

Robert Jones & Agnes Hunt District Orthopaedic Hospital

Oswestry

SY10 7AG


Employer's website

https://www.rjah.nhs.uk/ (Opens in a new tab)

For questions about the job, contact:

Head of Income, Costing and Contracts

Stefan Thomas-Bache

stefan.thomas-bache@nhs.net

Date posted

02 May 2025

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year pa

Contract

Permanent

Working pattern

Full-time

Reference number

224-PA20250402603

Job locations

RJAH Orthopaedic Hospital

Robert Jones & Agnes Hunt District Orthopaedic Hospital

Oswestry

SY10 7AG


Supporting documents

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