Medical Officer Class 3 - Medical Advisor

apartmentDepartment of Health and Aged Care placeMelbourne scheduleFull-time calendar_month 

Medical Officer Class 3 - Medical Advisor

Medical Advisers (MAs) in the Professional Review Section are key to administering the Department’s Practitioner Review Program (PRP), ensuring that health practitioners are provided the opportunity to be reviewed by medical professionals regarding their Medicare servicing and Pharmaceutical Benefits Scheme (PBS) prescribing.
Key Responsibilities:

Under the Department’s PRP, assist in identifying and assessing health practitioners who may be claiming Medicare benefits, ordering tests, or prescribing inappropriately.

Draw on clinical knowledge of contemporary practice and analyse data from a range of data tools to identify possible non-compliance with Medicare and PBS requirements or possible inappropriate practice. This may include considering whether:
A practitioner’s practice/conduct when providing or initiating Medicare services or prescribing PBS medicines would be unacceptable to the general body of their peers.
Medicare Benefits Schedule (MBS) and/or PBS requirements have been met.
Services are medically necessary and clinically relevant, that is, generally accepted by the relevant profession as necessary for the appropriate treatment of the patient.
Managing a case load of practitioners under the PRP, including:
Conducting practitioner interviews and/or practice site visits to effectively and professionally communicate concerns of possible inappropriate practice.
Seek practitioner responses.
Determine whether concerns remain.
Prepare concise written reports and correspondence to practitioners under review to advise on your findings, outcomes, and next steps.
Liaising with practitioners and their legal advisers on matters arising out of PRP reviews or other compliance matters, including any concerns that remain unresolved.
Applying clinical experience and professional advice more broadly to support the development and implementation of the Division’s other compliance activities and policies.
Undertake ongoing learning and development relevant to the role.

Assist the Director and Senior Medical Advisers with other tasks as required.

Eligibility

To be eligible for employment with the Department of Health and Aged Care, applicants must be an Australian citizen at the time an offer of employment is made.

An applicant’s suitability for employment with Health and Aged Care will also be assessed through a variety of pre-employment check processes, such as:

Satisfactory completion of a criminal history check, and where relevant, a Working with Children and Vulnerable People Check, Completion of a medical declaration and pre-employment medical (where required), Providing evidence of qualifications (where required), and

Obtaining and maintaining a security clearance at the required level.

For this role applicants must be able to obtain and maintain a Baseline security clearance or hold a current security clearance at an appropriate level.
Mandatory Qualifications:
To be eligible for this position applicants must hold a qualification as a medical practitioner and registration as a medical practitioner with AHPRA.

Notes

Applications close 11:30pm AEST.
Applicants are asked to quote reference number 24-BIDIV-24989 to assist when making an enquiry.

Employees perform their duties at one of the Department of Health and Aged Care (DoHAC) offices, in the locations specified in this advertisement. Remote working is possible and is negotiated with your manager on commencement. Flexibility can be negotiated with your manager to balance your personal and professional needs with the needs of your role and business area.

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