External Activity Analyst- Out of Area Referral Management

Job overview

Due to the impending retirement of the current post holder, we are looking for an analytical, proactive and highly motivated individual to join the commissioning finance team as an External Activity Analyst. This is a unique opportunity to work at the intersection of healthcare, data analysis, commissioning and patient services.

Every year significant numbers of patients receive treatment outside of Aneurin Bevan University Health Board. As our External Activity Analyst, you will play a vital role in ensuring these referrals are managed appropriately, fairly and in line with Health Board policy.

You will investigate and analyse complex patient activity data, work closely with clinicians, GP practices and NHS providers across Wales and England, and help shape decisions that directly affect patient pathways and the effective use of NHS funding.

Main duties of the job

The role will cover

• Managing the Health Board's Out of Area Referral process which will involve developing strong relationships with stakeholders across Wales and England.
• Working with clinicians, GPs and healthcare providers to ensure referrals are managed effectively.
• Analysing healthcare datasets to identify trends, anomalies and opportunities for savings.
• Validating activity and challenging inaccurate charges from external providers.

The role is varied and a unique opportunity due to its remit within the Commissioning Finance team. One day you could be supporting a review panel for a complex patient referral, the next you could be challenging provider data worth thousands of pounds, identifying opportunities to improve commissioning arrangements, or producing insight for senior management teams.

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

Detailed job description and main responsibilities

The key role for the post holder will be to manage Out of Area referrals against the ABUHB Out of Area Referrals Policy. This will involve working with GP practices, senior clinicians and NHS provider organisations to ensure that referrals are dealt with appropriately and in a timely manner. In some instances the role will necessitate contact with patients, through correspondence and/or over the phone. On occasion referrals may escalate to the Review process under the policy at which point the role will have responsibility for coordinating a review panel, to include Independent Board member representation, and the associated paperwork to inform a Review.

Alongside this function, the post holder will support the external commissioning agenda. Reviewing patient activity to validate associated charges. Also supporting the delivery and development of improved performance reporting across the externally commissioned contracts which Aneurin Bevan Health Board hold within England and Wales. The post holder will be responsible for liaising with and challenging providers in managing referrals and reaching agreement on reported activity and any disputes.

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click “Apply now” to view in Trac

Applicant requirements

This post will require a submission for Disclosure to be made to check for any unspent criminal convictions.

Welsh language skills are desirable