Job summary
NHSBSA Provider Assurance works on behalf of NHS England and assures the accuracy of contractual data, provides regular monitoring and reporting of performance, and enables the identification and challenge of systematic and behavioural risk. These activities facilitate action to prevent deter or recover inappropriate payments from NHS funds and identify quality improvements that can be delivered through education or policy change.
The Caseworker role will continue to develop and evolve in line with Primary Care Services growth strategy. To be effective in this role you will possess skills including the following:
- Display strong communication and interpersonal skills and the ability to interact with customers and stakeholders in a calm, confident and professional manner.
- Make robust decisions based on sound analysis and understanding of data sets.
- Be able to deal with sensitive and confidential data.
- Have a strong team work ethic as well as the ability to work using your own initiative.
What do we offer?
o Hybrid working - offering flexibility to work predominantly from home with the opportunity to be office basedo 27 days leave (increasing with length of service) plus 8 bank holidayso Opportunities for developmento Active wellbeing and inclusion networkso Excellent pensiono Various salary sacrifice schemeso Employee Assistance programme, free 24/7 support for you and loved oneso Access to a wide range of benefits and high street and online discounts
Main duties of the job
Working as part of the Provider Assurance Team within our Primary Care Services business area, Caseworkers are an integral part of our team, ensuring that England community Primary Care Contractors are paid appropriately on behalf of the NHS. Our Provider Assurance services collaborate with clinicians, health-care teams, commissioners and contract managers to assure quality outcomes and value for money across the NHS.
Caseworkers will use their analytical and judgement skills to review information and assess data before providing input into the preparation of high quality reports which outline recommendations for further action. A key element of the role involves working with internal and external stakeholders and caseworkers need high levels of communication and presentation skills to approach this effectively.
By building effective relationships with Primary Care Contractors and the wider NHS, caseworkers will contribute to the delivery of improved services to patient and increased value for tax payers' money. The Provider Assurance programme is a fast paced, evolving and high profile part of our business and therefore is subject to performance measures and targets. The nature of the casework calls for high levels of security and confidentiality.
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're proud to be part of something meaningful, that touches millions of lives.We design our services around customer needs and place people at the heart of our organisation. That's why when you join us, you'll be empowered and supported to help your career grow.As one of the UK's Best Big Companies to work for, we're 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 colleague is heard, supported and respected. Wellbeing, diversity and inclusion is at the centre of this, and you can join our Lived Experience Networks who help us bring our authentic selves to work.We're committed to being a flexible employer and we try to offer a working pattern that suits you where possible, through hybrid working, flexible hours and more.Alongside a competitive salary with pay progression, we offer a people-centric benefits package, connecting you to the rewards and benefits you value most!Ready to join us in delivering business service excellence to the NHS, helping people live longer, healthier lives? Apply today and see where the NHSBSA can take you.We are people connected to care.
Job description
Job responsibilities
In this role, you are accountable for1. Ensuring all casework is carried out in accordance with Governance frameworks, policies and procedures ensuring that accurate and timely records of activities are maintained.2. Self-managing and planning your own workloads to ensure optimally effective outputs. 3. Collating and interpreting data obtained from records, other business areas and stakeholders.4. Identify contractors or activities for each review exercise as part of a defined sampling process.5. Manage review exercises and coordination of authorized overpayment recoveries.6. Understanding and interpreting regulations and guidance and analyzing data to enable well informed evidence-based decisions to be made, referring exceptional risks and issues to Provider Assurance Lead7. Producing reports on casework and associated activity including recommendations for further action in preparation for review meetings.8. Liaising with relevant internal and external stakeholders to discuss cases.9. Communicates effectively in writing and on the telephone with internal/external stakeholders, resolving queries and answering enquiries to provide an excellent level of customer service. Where necessary, conducts research/obtains information to resolve queries.10. Accurately collect and collate, analyse and report information in a timely manner. 11. Contacting Primary Care Contractors and the wider NHS to discuss report content, potentially dealing with confrontational situations with a professional and productive approach.12. Contributing towards the preparation of accurate and valid workload plans.13. Contributing to the ongoing review and development of our casework operations, ad hoc audits and other quality assurance activities as required.14. Ensuring your objectives are developed and owned that, in turn, fully support the service objectives. 16. Be accountable for your performance and development. Agree realistic targets, monitor and evaluate your achievement, with timely constructive feedback.17. Make effective and timely use of all relevant HR policies to support performance management and implement policies in accordance with the values and capabilities promoted by the organization.
Job description
Job responsibilities
In this role, you are accountable for1. Ensuring all casework is carried out in accordance with Governance frameworks, policies and procedures ensuring that accurate and timely records of activities are maintained.2. Self-managing and planning your own workloads to ensure optimally effective outputs. 3. Collating and interpreting data obtained from records, other business areas and stakeholders.4. Identify contractors or activities for each review exercise as part of a defined sampling process.5. Manage review exercises and coordination of authorized overpayment recoveries.6. Understanding and interpreting regulations and guidance and analyzing data to enable well informed evidence-based decisions to be made, referring exceptional risks and issues to Provider Assurance Lead7. Producing reports on casework and associated activity including recommendations for further action in preparation for review meetings.8. Liaising with relevant internal and external stakeholders to discuss cases.9. Communicates effectively in writing and on the telephone with internal/external stakeholders, resolving queries and answering enquiries to provide an excellent level of customer service. Where necessary, conducts research/obtains information to resolve queries.10. Accurately collect and collate, analyse and report information in a timely manner. 11. Contacting Primary Care Contractors and the wider NHS to discuss report content, potentially dealing with confrontational situations with a professional and productive approach.12. Contributing towards the preparation of accurate and valid workload plans.13. Contributing to the ongoing review and development of our casework operations, ad hoc audits and other quality assurance activities as required.14. Ensuring your objectives are developed and owned that, in turn, fully support the service objectives. 16. Be accountable for your performance and development. Agree realistic targets, monitor and evaluate your achievement, with timely constructive feedback.17. Make effective and timely use of all relevant HR policies to support performance management and implement policies in accordance with the values and capabilities promoted by the organization.
Person Specification
Qualifications
Essential
- Minimum of 5 GCSE's (or equivalent) at Grade C or above, including English and Mathematics, or can demonstrate equivalent work experience or further education.
Desirable
- NVQ level 3 or equivalent in a relevant discipline.
Experience
Essential
- Significant demonstrable experience in a post involving data collection, validation and analysis.
- Experience in personally resolving complex queries.
- Experience of working to strict guidelines and deadlines.
- Experience of working in a customer service environment.
Desirable
- Worked in NHS or similar large organisation.
- Experience of using Case Management systems.
Personal Knowledge, Qualities and Skills
Essential
- Data validation, analysis and interpretation.
- Understanding of best practice when collecting, managing and presenting data and other information.
- IT literate in Microsoft packages, able to use database, word processing, spread sheet and presentational packages to enable accurate analysis and reporting.
- Able to produce reports and operational information.
- Ability to interpret policy and regulations.
- Understanding of the Information Governance principles, including the Data Protection Act.
Desirable
- Understanding of policy and procedures.
- Understanding of the data, systems and operations underpinning the payment Primary Care Contractors.
- Understanding of Primary Care Contractors supporting regulations and policies.
Person Specification
Qualifications
Essential
- Minimum of 5 GCSE's (or equivalent) at Grade C or above, including English and Mathematics, or can demonstrate equivalent work experience or further education.
Desirable
- NVQ level 3 or equivalent in a relevant discipline.
Experience
Essential
- Significant demonstrable experience in a post involving data collection, validation and analysis.
- Experience in personally resolving complex queries.
- Experience of working to strict guidelines and deadlines.
- Experience of working in a customer service environment.
Desirable
- Worked in NHS or similar large organisation.
- Experience of using Case Management systems.
Personal Knowledge, Qualities and Skills
Essential
- Data validation, analysis and interpretation.
- Understanding of best practice when collecting, managing and presenting data and other information.
- IT literate in Microsoft packages, able to use database, word processing, spread sheet and presentational packages to enable accurate analysis and reporting.
- Able to produce reports and operational information.
- Ability to interpret policy and regulations.
- Understanding of the Information Governance principles, including the Data Protection Act.
Desirable
- Understanding of policy and procedures.
- Understanding of the data, systems and operations underpinning the payment Primary Care Contractors.
- Understanding of Primary Care Contractors supporting regulations and policies.
