Fraud Specialist

The NHSBSA plays an important role in tackling fraud and error across the wider NHS and have the potential to do more to reduce opportunities for fraud and loss.
We are currently recruiting Fraud Specialists to work within the NHSBSA Loss and Fraud Prevention Team (LFP) Team on a permanent basis.
You will apply your expertise to ensure loss and fraud prevention and detection controls are embedded across our services. You will be responsible for identifying and tackling system weaknesses across all NHSBSA services and producing Fraud Risk Assessments(FRA's) to ensure risks are mitigated and monitored. You will design fraud prevention, deterrent, detection, corrective controls to reduce risks and measure the benefits, both financial and changes in behaviour.
You will undertake investigations into allegations of fraud, bribery and corruption in accordance with Criminal Procedure and Investigation Act (CPIA), this requires frequent travel across the country to undertake enquiries and interviews under caution in accordance with the Police and Criminal Evidence Act (PACE) 1984 and NHS Counter Fraud Authority (NHSCFA) guidance.
What do we offer?
27 days leave (increasing with length of service) plus 8 bank holidays
Flexible working
Flexi time
Hybrid working model
Career development
Active wellbeing and inclusion networks
Excellent pension
NHS Car lease scheme
Access to a wide range of benefits and high street discounts!
Producing FRA's, both high level and detailed.
Completing end to end service reviews to ensure fraud, bribery and loss risks are captured and prevention and detection is embedded across our services.
Designing and implement methodologies to measure the benefits of existing and new controls.
Collaborating with colleagues in the NHSBSA and across the NHS to deliver national proactive exercises and loss measurement exercises.
Undertaking investigations into allegations of fraud, bribery and / or corruption.
The post holder will either hold an Accredited Counter Fraud Specialist (ACFS) certificate or must successfully complete the ACFS training course within 6 months of commencing post.
The post is full time and e mployment in this post is subject to a satisfactory Disclosure from the Disclosure & Barring Service.
If you have any queries or require any further information, please contact lcfs@nhsbsa.nhs.uk.
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.
In this role, you are accountable for:
1. To deliver a rolling programme of fraud awareness sessions to staff across the NHSBSA.
2. Establish and maintain effective liaison with Heads of Service and key staff within the NHSBSA to identify opportunities where fraud and error could occur. Working with the service area to mitigate or eradicate the opportunities for fraud and error.
3. Analyse financial, payment and other systems and regulations within the NHSBSA to identify system weaknesses that have allowed fraud to be perpetrated. Use expertise gained to comment on and propose strategies to impact on fraud in own area of work and across the wider NHS. Such strategies may include the redesign and implementation of policy, procedures and legislation.
4. Participate in National Proactive Exercises: devising appropriate methodology, planning and executing exercises in accordance with guidance from NHS Counter Fraud Authority.
5. Line management responsibility of junior members of the NHSBSA Fraud Team.
6. To investigate, within operational and legislative guidelines to the highest standards, all allegations of fraud in the NHSBSA. Ensure that appropriate disciplinary, civil or criminal remedies are applied by the following means:

• Analyse possible avenues and methods of investigation to obtain evidence through various relevant means.
• Use in-depth knowledge and experience of the processes and systems across the NHS to determine where relevant evidence can be found
• Analyse and understand the financial, accounting, payment and organisational factors in that part of the NHS relevant to the type and location of the fraud committed. Convert technical information into plain English, suitable for presentation at Court.
• 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
• Prepare and present briefings to staff and police in relation to arrests, searches and interviews with suspects
• Actively assist police and other agencies in arrest and search procedures, providing expert professional advice where required, all in accordance with current legislation. Where evidence has been passed to the Fraud Specialist following such procedures, or otherwise obtained in the course of an investigation, ensure that the integrity of the evidence is maintained in accordance with NHS Counter Fraud Authority (NHS CFA) policy.
• Plan and conduct taped interviews with suspects either at police stations or NHS premises in accordance with the Police and Criminal Evidence Act (1984).
• Maintain investigation files and evidence with due regard to the Criminal Procedures Investigation Act 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.

7. Prepare cases for criminal, civil and disciplinary consideration in all cases where evidence of fraud is established.
8. 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 professionals before and during criminal and civil proceedings.
9. 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.
10. 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.
11. Lead in negotiations for financial recoveries of NHS funds including:

• Contacting NHS CFA to seek assistance from their Financial Investigators
• Analysis of evidence and intelligence.

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. Prepare and present reports, submissions and other documents as required. Provide clear, complete and accurate information to internal and external senior management, professionals and professional bodies
15. Promote and contribute to the development of policies, practices and procedures for NHSBSA and more widely across the NHS.
16. Work outside normal office hours when required, which will occasionally necessitate extended hours and possibly weekends. Travel and overnight absence from home when required.
17. Advise on counter fraud measures by preparing and carrying out fraud awareness presentations, tailoring the presentation for managers and staff reflecting specific requirements.
18. Appropriate use, maintenance and security of NHSBSA premises, assets, evidence, exhibits and equipment. Ensure the integrity and continuity of evidence at all times.
19. Responsible for personal development. Undertake relevant training as identified with line management.
20. Provide continuous 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.
21. To work in circumstances that are potentially hazardous and where there is potential to encounter hostile situations.

Car scheme, Company pension, Employee discount, Flexible schedule