Anti-Fraud Specialist
Job overview
Anti-Fraud Specialists
An exciting opportunity has arisen for two highly motivated, accredited, Anti-Fraud Specialists with both client management and criminal investigation experience to support in the delivery of our anti-fraud services to our clients across the Northwest / West Midlands with particular focus on clients located in Manchester, Lancashire and Staffordshire.
As an Anti-Fraud Specialist (Band 6) you will be earning up to £44,962, leading the local delivery of anti-fraud services and adding value to NHS and Public Sector organisations, all within a flexible working environment.
Although the role is primarily focused on awareness raising and the prevention, deterrence and detection of fraud, within our client organisations, you must be able to provide evidence of experience in undertaking successful criminal investigations.
Reporting directly to the Head of Anti-Crime Services, you will support the wider team in the delivery of proactive work. As and when required you will also support the progression of fraud investigations across our clients. You will have the freedom to act with autonomy whilst assisting the Anti-Fraud Managers in providing a professional service to clients.
The post-holder will need to have a clean driving license and ready access to a vehicle, as whilst there is an element of home working there is also a requirement to travel to clients on a regular basis.
Main duties of the job
You will be required to-- Work as a member of the Anti-Fraud Services function maintaining the highest professional standards.
- Take responsibility for the delivery of a portfolio of allocated Anti-Fraud work
- Deliver a full range of proactive anti-fraud work across the MIAA client base
- Conduct, as and when required, criminal investigations into allegations of fraud.
- Report to Directors of Finance and other senior executives on a regular basis.
- Respond to a range of sensitive and complex queries from clients, external agencies, and staff.
Applicants must be able to demonstrate:
- A history of working in an accredited anti-fraud fraud role, preferably within the NHS
- Experience of undertaking proactive anti-fraud work
- Practical experiences of successfully investigating / prosecuting fraud to a criminal standard
- Awareness and understanding of key systems employed by public sector organisations including payroll, procurement, HR, recruitment, non-pay expenditure etc.
Particular consideration will be given to formally accredited (i.e., PINS / Accredited Counter Fraud Specialist/ LCFS) anti-fraud specialists with experience of conducting a similar range of anti-fraud work in other sectors, who are able to evidence that they substantially meet the requirements of the role.
Working for our organisation
MIAA is an NHS Shared service, hosted by Liverpool University Hospitals NHS Foundation Trust. MIAA is the predominant provider of internal audit services to over 50+ NHS and public sector organisations in the Northwest and beyond. MIAA offer clients a number of services in addition to internal audit including Solutions, Anti-Fraud, Technical Risk Assurance, Capital, Clinical Coding, Healthcare Quality Support Unit.
MIAA’s budgeted turnover is 12 million, which is demonstrative of the organisation’s ambitious and strategic goals.
We pride ourselves in promoting equality and valuing diversity.
All our teams benefit from:-- Flexible/Hybrid Working
- Generous Pension Scheme
- Development and protected learning time
- Career progression
- Trust
- Respect & Compassion
- Innovation and Excellence
Detailed job description and main responsibilities
Communication is central to the job and is built upon the provision and receipt of routine, complex and sensitive information of a confidential nature. This will require analysis, tact and persuasion as well as an appreciation and understanding of complex client risks, NHS systems and existing guidance.Discussions with senior and non-finance staff forms a substantial element of the job often concerning contentious and complicated fraud and corruption issues at a corporate level. Communication will involve dealing with external agencies. The job involves significant involvement in persuading and negotiating the reasoning behind recommendations with senior staff, up to and including Board level, across a range of disciplines in order to arrive at an agreed position.
Communication of investigation findings and fraud awareness will be delivered through the drafting of reports and making presentations.
Work is managed rather than supervised, with the jobholder working within procedures, broad policies and guidelines as defined by the NHSCFA policies and procedures and MIAA corporate policies, but having the freedom to act with autonomy. The nature of the work necessitates a thorough and concentrated focus on the gathering, testing and evaluation of evidence ensuring continuity and integrity at all times.
The nature of the work necessitates a thorough and concentrated focus on processes to deliver consistent and robust outcomes whilst balancing competing priorities. The work pattern is occasionally unpredictable but there is routinely a need to conduct investigations requiring high levels of sustained concentration.Meeting competing deadlines is a routine element of the job.
Establish contact with, interview and take statements from relevant witnesses including expert witnesses, displaying the knowledge and application of effective interviewing techniques to deal with hostile, uncooperative or reluctant witnesses.Taped interviews with suspects will be planned and conducted in accordance with the Police and Criminal Evidence Act (1984).
Provide occasional support, advice and guidance, and manage the expectations of, witnesses and victims including NHS staff, patients and healthcare professionals, from the time of initial contact until after the conclusion of an investigation, including any court process.
Attend criminal and civil courts, disciplinary hearings of NHS or other employers and professional and regulatory bodies, as and when required, 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 professional before and during criminal and civil proceedings.
For further information please read Job description and Person Specification in detail.
Person specification
Qualifications
Essential criteria- Graduate/equivalent Counter Fraud Specialist qualification
Experience
Essential criteria- Practical experience of successfully investigating fraud
- Experience of liaising closely with outside agencies within regulatory frameworks to combat fraud and corruption
- Experience of working in NHS or other public sector organisation resulting in a good understanding of systems and processes is desirable for the post
- Experience of using IT as an investigative tool to counter fraud and corruption
Knowledge
Essential criteria- An understanding of NHS structure, policy, functions and systems together with the aptitude to build on that knowledge
- An understanding of the practical application of all relevant legislation in relation to the investigation and prosecution of suspected fraud and corruption cases
Skills
Essential criteria- Must have good oral and written communication skills to enable fraud issues to be explained to a range of staff of NHS staff, often at a senior level. This will include presentational skills
- Ability to negotiate and persuade, sometimes in a setting that is unresponsive or hostile
- Good level of numeracy, keyboard skills and computer literacy (ECDL or equivalent)
- Good time management skills and the ability to work to tight deadlines whilst managing competing priorities
- Ability to analyse large amounts of data, draw sound conclusions and present findings in an easily understood format
- Ability to make sound judgements
Please ensure you check the email account (including junk/spam boxes) from which you apply regularly as we will use this to contact you regarding your application.
Posts advertised to ‘internal staff’ are open to employees of hospitals within University Hospitals of Liverpool Group and you should confirm your employment within your application form.
Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview.
We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role.
Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months’ of their 18^th birthday.
The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment.Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working.
The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24.
Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £23 (standard disclosure) or £43 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment.Bank posts require upfront payment. DBS applications submitted from 2nd December will be subject to the new DBS fee of £26.50 (standard) and £54.50 (Enhanced).
From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years.
Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa.
This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults’ policy and comply with the Local Safeguarding Children and Adult Board procedures.
Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation.
All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action.
As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.
If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on 0151 706 4666 at the earliest opportunity to ensure that measures can be put in place to enable your application for this post.
Please note: new entrants to the NHS will commence on the first pay point of the relevant band.