Senior Loss and Fraud Officer

NHS Business Services Authority

This job is now closed

Job summary

Do you have a passion for working with people and have natural leadership skills? Are you skilled in influencing, motivating and engaging well with others?

As a Senior Loss and Fraud Officer, you will be responsible for a team of Fraud Assistants and Fraud Audio Typists & Admin Officers. You will provide strong and clear leadership for your team, managing all areas of performance and ensuring that team objectives are achieved. You will advocate for continuous professional development and support your team to achieve their own goals and objectives.

You should have a passion for proactively improving quality and performance. You will ensure a continuous improvement culture exists within the team and, as a result, establish new working practices leading to performance improvements, enhanced customer service and reduced costs.

The role is closely aligned with the delivery of aims set out in the Fraud, Error and Loss Strategy (2024-2027) as well as the wider corporate strategy (2024-2029).

What we offer:

27 days leave (increasing with length of service) plus 8 bank holidays
Flexi time
Hybrid working model (working remotely at home and 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 the job

As a Senior Loss and Fraud Officer you will be responsible for:

Engaging with key staff across the NHSBSA to ensure fraud and bribery risks are recorded and monitored
Assist in producing and reviewing Fraud Risk Assessments
Management of staff working at varying levels, including performance management in line with both team and individual objectives
Mentoring and coaching direct reports

The successful candidate will hold a full driving licence and have practical experience of:

Communicating with potentially vulnerable people
Analysing information and deciding next steps
Resource management, managing workflow and multiple tasks with competing priorities
Identifying training and development needs
Managing performance, taking corrective/preventative action and delivery of performance improvements

The post is full time and involves occasional travel including overnight stays therefore you must be flexible and hold a full valid driving licence.

Employment in this post is subject to a satisfactory disclosure from the Disclosure & Barring Service.

About us

Here at the NHS Business Services Authority (NHSBSA), what we do matters.

We manage the NHS Pension scheme, process prescription payments and much more. Our services are used by NHS organisations, contractors and the public: we take pride in being part of something so meaningful, that touches millions of lives.

Just as we design our services around the needs of our customers, we place our people at the heart of our organisation. That's why when you join us, you'll be empowered and given the right support to help your career grow.

As one of the UK's Best Big Companies to work for, we're all connected to our values: Collaborative, Adventurous, Reliable and Energetic. We care about our people, our purpose, and your progress.

We strive to offer a fantastic colleague experience, where every voice is heard, and every colleague is supported and respected. Wellbeing, diversity and inclusion is at the centre of this, so when you join us, you can connect with our Lived Experience Networks who help us to bring our authentic selves to work.

We welcome applications from people of all backgrounds and circumstances. We are committed and proud to be a flexible employer and will endeavour to offer a working pattern that suits you wherever possible, whether that be hybrid working, flexible hours, job sharing and more.

Ready to join us on our journey to be a catalyst for better health? Apply today and see where the NHSBSA can take you.

We are people connected to care.

Date posted

10 December 2024

Pay scheme

Agenda for change

Band

Band 6

Salary

£37,338 to £44,962 a year

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

914-BSA4896

Job locations

Stella House

Goldcrest Way

Newcastle upon Tyne

NE15 8NY

Job description

Job responsibilities

In this role, you are accountable for:

1. To assist in loss and fraud activities such as completion of Fraud Risk Assessments (FRAs), Service Reviews and Service Area Risk Registers (SARR) this will include capturing fraud, bribery, corruption, and loss risks; ensuring these are recorded correctly then controls identified, implemented, and monitored.

2. Full line management responsibility of junior members of the NHSBSA LFP Team.

3. To collate figures and information from the across the NHSBSA to submit to the Cabinet Office by the defined deadlines for activities such as Consolidated Data Request (CDR) and Functional Standards Return.

4. Assist the Fraud Specialists in embedding fraud prevention in new services and making changes to existing services by exploring emerging technology to validate and prevent fraud and loss.

5. Complete due diligence such as completing the key lines of enquiry (KLOE) process which includes attending meetings, recording fraud prevention, detection and investigation work and identify possible reporting which may detect fraud.

6. Create and deliver fraud, bribery, corruption, and loss awareness presentations.

7. To investigate, within operational and legislative guidelines to the highest standards, all allegations of fraud and bribery in the NHS.

Ensure that appropriate civil and / or criminal remedies are applied by the following means:

Analyse possible avenues and methods of investigation to obtain evidence through various relevant means.

Convert technical information into plain English, suitable for presentation at Court.

Establish contact with interview and take statements from relevant witnesses, displaying the knowledge and application of effective interviewing techniques to deal with hostile, uncooperative or reluctant witnesses

Prepare and present briefings to staff and police in relation to interviews with suspects and possible arrests.

Where evidence has been obtained following such procedures ensuring that the integrity of the evidence is maintained in accordance with NHS Counter Fraud Authority (NHSCFSA) policy.

Plan and conduct recorded interviews with suspects either at police stations or NHS premises in accordance with the Police and Criminal Evidence Act (1984).

Construct prosecution files and submit to Crown Prosecution Service (CPS) for their consideration.

Maintain investigation files and evidence with due regard to the Criminal Procedures Investigation Act (CPIA) 1996, including management and disclosure of unused material in accordance with the act.

Manage and prioritise own caseload, adhering to non-negotiable deadlines imposed by courts and police.

8. Attend criminal and civil courts, in the capacity of witness and / or case officer to give evidence competently, including in cross examination. Provide guidance, advice and instructions to Counsel and other legal professionals before and during criminal and civil proceedings.

9. Provide continuous support, advice, and guidance, and manage the expectations of, witnesses and victims, from the time of initial contact until after the conclusion of an investigation including any court process.

10. Undertake duties with due regard to patient care and safety, particularly in terms of clinical circumstance, sensitivity, and confidentiality, in accordance with Data Protection legislation and the NHS Confidentiality Code of Practice.

11. Carry out the responsibilities of the post with full and due regard to NHSBSA policies and procedures and negotiated agreements including those on Equal Opportunities and Health and Safety.

12. Maintain an up to date working knowledge of all relevant and appropriate legislation, standards, and procedures, including NHS structure, policy, detection, and investigative methods.

13. Maintain a good knowledge of available Information Technology and how it can best be used in the detection and investigation of fraud and to present data in a clear and appropriate format, often reflecting specific requirements.

14. Review processes and procedures across the NHSBSA to identify system weaknesses where fraud, bribery, corruption, and loss could occur. Ensure these risks are recorded correctly and make recommendations to reduce and / or eradicate the risk.

15. Undertaken fraud and error measurement exercises in response to risks identified and ensure outputs such as measurements and benefits are reported on.

16. Prepare and present reports, submissions and other documents as required. Provide clear, complete, and accurate information for internal and external senior management and professionals.

17. Ability to manage and analyse large amounts of data, draw sound conclusions and present findings in an easily understood format to direct the LFP Team proactive initiatives.

18. Promote and contribute to the development of policies, practices, and procedures within the LFP Team.

19. Work outside normal office hours when required, which will occasionally necessitate extended hours and possibly weekends.

20. Frequent travel and overnight absence from home.

21. Appropriate use, maintenance, and security of NHSBSA premises, assets, evidence, exhibits, and equipment ensuring the integrity and continuity of evidence at all times.

22. Responsible for personal development. Undertake relevant training as identified with your line manager.

23. To work in circumstances where there is potential to encounter hostile situations.