Senior Probity Officer, Band 5

1 Days Old

JOB SUMMARY The post holder will assist the Probity Manager in respect of the planning, coordination and delivery of Probity Services. The post holder will effectively manage his/her personal casework. He/she will act as part of a multi-disciplinary team which will be responsible for the monitoring and verification of payments made to Family Practitioners (Doctors, Dentists, Pharmacists and Optometrists). KEY DUTIES / RESPONSIBILITIES Assist with the preparation of an annual programme of visits to ensure that all practitioners are visited in accordance with the relevant Post Payment Verification (PPV) Circulars where applicable. Liaise, plan and co-ordinate with practitioners and Board Professional Advisers in relation to the scheduling of PPV visits. Prepare relevant working papers for completion during the course of PPV visits and select samples of claims to be verified during the visits. Undertake PPV visits to individual practitioners in conjunction with the relevant Board Professional Advisers ensuring that all procedures are correctly adhered to. Analyse data and assist with the development of robust systems for effective monitoring and reporting of information. Complete working papers and prepare draft reports on all PPV visits for discussion and review with the Probity Manager. Liaise with Probity Manager/Head of Probity Services on any issues arising during the course of PPV visits. Ensure that systems are in place to ensure that all reports are maintained and all follow up action carried out Liaise with practitioners and relevant Board Professional Advisers to ensure the issue and receipt of draft reports are in accordance with agreed timetables. Prepare summary schedules on each visit for discussion and review with the Probity Manager/Head of Probity Services. Produce benchmark/monitoring reports on payment information for Dental/Ophthalmic/Medical and Pharmaceutical areas to inform annual programme of visits and to identify "outlying" practitioners. Preparation of practice profiles where appropriate. Ensure that issues arising during visits concerning the validity of data are raised with the Probity Manager/Head of Probity Services. Provide administrative input to relevant probity meetings; including investigations, organising and co-ordinating agenda items, note taking and drawing up relevant action sheets. Monitoring follow-up action accordingly. Liaise as necessary with the Counter Fraud Investigation Team, the PSNI and other agencies involved in the area of probity. 16 Undertake the recovery of monies from Practitioners and Patients. Ensure that appropriate procedures are implemented to ensure an effective probity service. Participate in staff development through the use of regular team meetings and conducting one to one meetings with staff as required. Delegate appropriate responsibility and authority to staff within his/her control with effective decision-making whilst retaining overall responsibility and accountability for results. Participate as required in the selection and recruitment of staff reporting to him/her. Take such action as may be necessary in areas relating to disciplinary and grievance. Participate in training events as required in both the role of recipient and deliverer. RAISING CONCERNS - RESPONSIBILITIES The post holder will promote and support effective team working, fostering a culture of openness and transparency. The post holder will ensure that they take all concerns raised with them seriously and act in accordance with the Trust's 'Your Right to Raise a Concern (Whistleblowing)' policy and their professional code of conduct, where applicable GENERAL REQUIREMENTS The post holder will be required to: Assist Business Services Organisations in fulfilling its statutory duties under Section 75 of the Northern Ireland Act 1998 to promote equality of opportunity and good relations and under the Disability Discrimination (Northern Ireland) Order 2006. Staff are also required to support Business Services Organisation in complying with its obligations under Human Rights Legislation. Ensure the Organisation's policy on equality of opportunity is promoted through his/her own actions and those of any staff for whom he/she has responsibility. Co-operate fully with the implementation of The Organisation's Health and Safety arrangements, reporting any accidents/incidents/equipment defects to his/her manager, and maintaining a clean, uncluttered and safe environment for patients/clients, members of the public and staff. Adhere at all times to all Trust policies/codes of conduct, including for example: Smoke Free policy IT Security Policy and Code of Conduct standards of attendance, appearance and behaviour Contribute to ensuring the highest standards of environmental cleanliness within your designated area of work. Co-operate fully with regard to Trust policies and procedures relating to infection prevention and control. Take responsibility to minimise the Trust's environmental impact wherever possible. This will include recycling, switching off lights, computers, monitors and equipment when not in use. Helping to reduce paper waste by minimising printing/copying and reducing water usage, reporting faults and heating/cooling concerns promptly and minimising travel. All employees of the Organisation are legally responsible for all records held, created or used as part of their business within the Business Services Organisation including patients/clients, corporate and administrative records whether paper-based or electronic and also including emails. All such records are public records and are accessible to the general public, with limited exceptions, under the Freedom of Information act 2000 the Environmental Information Regulations 2004, the General Data Protection Regulations (GDPR) and the Data Protection Act 2018. Employees are required to be conversant with the Business Services Organisation policy and procedures on records management and to seek advice if in doubt. Take responsibility for his/her own ongoing learning and development, in order to maximise his/her potential and continue to meet the demands of the post. Represent The Organisation's commitment to providing the highest possible standard of service to patients/clients and members of the public, by treating all those with whom he/she comes into contact in the course of work, in a pleasant, courteous and respectful manner. This Job Description will be subject to review in the light of changing circumstances and is not intended to be rigid and inflexible but should be regarded as providing guidelines within which the individual works. Other duties of a similar nature and appropriate to the grade may be assigned from time to time. It is a standard condition that all Trust staff may be required to serve at any location within The Organisation's area, as needs of the service demand. Qualifications/Experience - 1a. A degree or professional qualification and one year's relevant experience (i.e. in the area of probity/audit/statistical or financial analysis). OR 1b. Five year's practical relevant experience (i.e. in the area of probity/audit/statistical or financial analysis). - Working knowledge of Family Practitioner Services and respective claiming areas. - Working knowledge/experience in working with Access databases. * CLOSING DATE NOON * If you need any other information contact Skills: Senior Probity Officer
Apply
Location:
Londonderry County Borough
Job Type:
FullTime
Category:
Management | Management

We found some similar jobs based on your search