Anti-Fraud Specialist

Job overview

An exciting opportunity has arisen for a highly motivated, accredited, Anti-Fraud Specialist with client management, risk management and fraud prevention 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 and Lancashire.

Base Location: - One of MIAA office Location – L3 4BL, CH2 1BQ, M6 5FW or BB3 OFG

The Successful Applicant

The post-holder will need to have a clean UK 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 / MIAA offices on a regular basis.

You will be required to:-

Work as a member of the Anti-Fraud Services function maintaining the highest professional standards.

Take proactive responsibility for the delivery of a portfolio of allocated Anti-Fraud work, with limited supervision

Deliver a full range of proactive anti-fraud work across the MIAA client base, including assess and advising on client fraud risks

Conduct, as and when required, criminal investigations into allegations of fraud.

Report to client 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.

Main duties of the job

To support the local delivery of anti-fraud services and adding value to NHS and Public Sector organisations, all within a flexible working environment.

The role is primarily focused on client management, awareness raising and the prevention, deterrence and detection of fraud, including the conduct of fraud risk assessments, within our client organisations; however, you should also be able to provide some 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 and preventative 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 MIAA’s Anti-Fraud Managers in providing a professional service to clients.

See JD/PS for further information

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.

For further information, please refer to the attached job description and person specification