Senior Proactive Counter Fraud Response Officer

Main area: Counter Fraud

Grade: NHS AfC: Band 7

Contract: 11 months (Fixed Term contract until 31st March 2026)

Hours: Full time, Flexible working, Home or remote working (37.5 hours per week)

Job ref: 076-ATH-CFA030

Employer: NHS Counter Fraud Authority

Employer type: NHS

Site: 7th Floor, HM Government Hub, London

Salary: £46,148 – £52,809 per annum

Salary period: Yearly

Closing: 05/03/2025 23:59

NHS AfC: Band 7

The NHS Counter Fraud Authority (NHSCFA) is the national body responsible for matters relating to the prevention, detection, and investigation of economic crime across the NHS. Aligned to the DH Health Group Counter Fraud strategy, the NHSCFA acts as the principal lead for the NHS and wider health group in counter fraud intelligence work.

The NHSBSA is responsible for processing your application; a privacy notice is attached to advise you on how we will process your personal data.

Job overview

The NHSCFA is the national body responsible for all matters relating to the prevention, detection, and investigation of economic crime across the NHS.

Our new team is embarking on a piece of work to monitor data to identify and respond to patterns indicative of potential fraud. This will support our current work that reduces the likelihood of fraud occurring. We will bring in data science capabilities to be deployed in counter fraud activity and work closely with partners across health and government to further maximise the preventative impact of proactive counter fraud analysis. At the core will be the development and use of appropriate analytical techniques that include advanced analytics and machine learning to tackle some of the highest areas of fraud risk to the NHS and ultimately protect public funds for patient care.

This is a Fixed Term contract until 31st March 2026.

Potential applicants can contact James Boughen at for an informal chat if you have any questions regarding the role.

Interviews will be held w/c 17th March 2025.

Main duties of the job

The Senior Proactive Counter Fraud Response Officer will be a multi-disciplined practitioner with expertise in all aspects of fraud prevention, disruption, intelligence, and investigative practice. The role will work within the NHSCFA Project Athena Response Team, providing a comprehensive prevention, intelligence, and investigative function, delivering interventions tasked to them via the Proactive Counter Fraud Lead and/or the Response Team Manager. The role will focus on the timely response to fraud by driving counter fraud interventions.

The post holder will be required to have a NPPV2/3.

Working for our organisation

We have offices based in Coventry, Newcastle, and London and offer flexible, hybrid, office and home-based working. In addition to the advertised salary, working in the London area will attract High-Cost Area Supplement where appropriate. The NHSCFA values and respects the diversity of its employees and aims to recruit a workforce that reflects our diverse communities. We welcome applications irrespective of people’s age, disability, gender, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances. We have policies and procedures in place to ensure that all applicants are treated fairly and consistently at every stage of the recruitment process, including an invitation to the first stage of the selection process and consideration of reasonable adjustments for people who have a disability. The NHSCFA does not hold a sponsor licence in respect of skilled worker visas and so is unable to employ candidates requiring sponsorship.

We reserve the right to close this vacancy before the advertised closing date should we receive a significant number of applications.

Detailed job description and main responsibilities

1. Driving counter fraud initiatives tasked by the Proactive Counter Fraud Lead and Response Team Manager or from NHSCFA’s tasking process.
2. Apply the Fraud Investigation Model and determine all possible avenues for counter fraud initiatives.
3. Work alongside the data science arm of the program of work, examining anomalies identified and communicating back actionable insights generated which will improve the statistical detection modelling approach.
4. Work collaboratively in the development of pattern detection in relation to emerging fraud within data.
5. Sharing knowledge of fraud within the NHS with Data Science and Analytical professionals for large scale modelling and identification of patterns in data indicative of fraud.

Please see full Job Description and Person Specification.

Person specification

Specialist Knowledge

• Detailed and working knowledge of PACE and its Codes of Practice.
• Full working knowledge of CPIA, DPA, RIPA, Human Rights Act, Fraud Act 2006, Theft Act, Bribery Act 2010, and Money Laundering Regulations including POCA.
• Technical and practical knowledge of fraud investigation model.
• Proven prevention and disruption experience.
• Knowledge of policy and change processes to impact counter fraud initiatives.
• NHS Landscape and data repositories.
• Knowledge of NHS structure and working practices.

Experience

• Significant experience of undertaking and delivering large scale prevention and disruption initiatives where values can be quantified.
• Experience of driving policy change and influencing partners to take counter fraud action.
• Significant practical experience of successfully investigating economic crime within a public/private sector.
• Significant practical experience of applying criminal and civil sanctions in relation to fraud offences in a multi-agency environment.
• Experience of liaising closely with outside agencies within legislative and regulatory frameworks to combat fraud and corruption offenses.
• Experience of using case management and intelligence systems.
• Experience of working with data professionals for counter fraud modelling.

Qualifications

• Educated to degree level, or equivalent in a relevant counter fraud or criminal justice discipline or be able to demonstrate equivalent relevant practical experience.
• Accredited Counter Fraud Specialist qualification or member of Government Counter Fraud Profession in the Investigation Discipline (Practitioner Level) or equivalent experience/learning developed in a similar role e.g. PIP level 2.
• Post-graduate qualification or equivalent in relevant counter fraud or criminal justice discipline.
• Accredited financial investigator.

Communication Skills

• Excellent interpersonal negotiation and influencing skills, especially handling complex issues and topics with a range of stakeholders at different levels.
• Excellent written and verbal communication skills, experience of drafting and presenting a range of material for a variety of audiences.
• Excellent verbal and influencing skills to senior management and director level.

Other Skills

• Can demonstrate the ability to prioritise effectively, set targets and monitor achievements to deliver quality engagement services across several diverse tasks whilst working to tight deadlines.
• Can demonstrate an analytical approach to identifying problems and developing real and practical solutions.
• Understanding and proficiency in MS Office Program suite and others as required.
• Must demonstrate significant forward thinking and initiative.

The NHSCFA values and respects the diversity of its employees and aims to recruit a workforce which reflects our diverse communities. We welcome applications irrespective of people’s age, disability, gender, race or ethnicity, religion or belief, sexual orientation, or other personal circumstances.

All new entrants to the NHS will be appointed on the minimum of the pay scale in line with Agenda for Change Terms and Conditions.

If you are applying to undertake this role on a secondment basis, you should discuss this opportunity with your manager and have agreement to being released from your current role in principle, prior to submitting an application form.

We reserve the right to close any vacancies from further submissions when we have received sufficient applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role.

Please note all contact is made via our TRAC recruitment system. Please check your account regularly. If you are shortlisted for an interview, you will be required to provide proof of ID and the right to work in the UK. (Please refer to attached guidance documents for further details). Failure to bring the required proof will mean that we may be unable to proceed with your interview.

Please ensure you provide full contact details, including email address or fax number for each referee.

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