Australian Capital Territory
> Melbourne VIC, Woden ACT, Brisbane QLD
The Investigations Section (the Section), within the Compliance Enforcement and Professional Review (CEPR) Branch of the Benefits Integrity and Digital Health Division (BIDHD), is looking for experienced Senior Investigators to manage and lead complex fraud investigations and teams in several locations across Australia.
The Section is responsible for investigating instances of serious and intentional misuse, misappropriate and fraudulent obtaining of funds in relation to Health Provider access to Australian Government Health funding programs, and for undertaking investigations under Part IID of the Human Services (Medicare) Act 1973. Following such investigations,
the Section may refer matters to the Commonwealth Director of Public Prosecutions (CDPP) for criminal prosecution. All teams work closely internally to ensure consistent and effective management of cases.
The Section is geographically divided across regionally defined footprints, for which the National Director, Investigations Section, is ultimately responsible for:
• Investigations West - responsible for Western Australia, South Australia and the Northern Territory, and reporting to the Director West,
• Investigations East - responsible for New South Wales and the Australian Capital Territory, Victoria and Tasmania, and Queensland, and reporting to the Director East,
• The Investigations Business Management (IBM) Team - coordinates all case selection and analysis, administrative and reporting, and procedural and internal governance support to the Section. The IBM Team is a geographically dispersed team with staff located in all investigation locations and reports to the Director West,
• Forensic Accountancy Team – conducts forensic accounting reviews of investigations and Proceeds of Crime Application (POCA) referrals for the Section and reports to the Director East, and,
• Pharmacist Team - PBS related investigations and entity analysis of PBS cases and report to the Director East.
The key duties of the position include:
• Independently conduct investigations into health professional cases of serious non-compliance,
• Coordinate and lead all aspects of serious non-compliance health professional investigations. This may involve joint investigations with other agencies,
• Perform the duties of an ‘Authorised Officer’ under the Human Services (Medicare) Act 1973,
• Prepare and execute search warrants, plan and conduct records of interview and taking of witness statements,
• Supervise secondary case officers in the analysis and preparation of information or reports required throughout an investigation,
• Data and risk analysis, interpretation and profiling of cases,
• Prepare requests for legal advice,
• Assist in the development of policy and procedures for the conduct of investigations within The Department of Health as required,
• Assist and work as directed in major and more complex operations,
• Build strong relationships and partnerships with key internal and external stakeholders including Medicare program, the Department of Human Services, Commonwealth Director of Public Prosecutions, law enforcement agencies and briefing counsel,
• Give evidence in criminal and civil court as required,
• Some travel may be required, and,
• Other duties as required commensurate with the skills and capabilities of an officer at level.
• To be eligible for employment with the Department of Health applicants must be an Australian citizen at the time an offer of employment is made.
• An applicant’s suitability for employment with Health will also be assessed through a variety of pre-employment check processes, such as:
o Satisfactory completion of an Australian Federal Police criminal history check, and where relevant a Working with Children and Vulnerable People Check.
o Completion of a medical declaration and pre-employment medical (where required).
o Providing evidence of qualifications (where required), and
o Obtaining and maintaining a security clearance at the required level.
• For this role applicants must be able to obtain and maintain a Negative Vetting Level 1 security clearance, or hold a current security clearance of an appropriate level.
• To be eligible for this position applicants must hold a Certificate IV Government Investigations.
• Applications close 11:30PM AEST.
• Applicants should quote reference number 21-BIDHDIV-8373 to assist when making an enquiry.
RecruitAbility applies to this vacancy. Under the RecruitAbility scheme you will be invited to participate in further assessment activity for the vacancy if you choose to apply under the scheme; declare you have a disability; and meet the minimum requirements for the job. For more information visit: https://www.apsc.gov.au/recruitability
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