Caseworker Job at NHS Business Services Authority

Caseworker Job at NHS Business Services Authority – We are looking for enthusiastic and motivated Caseworkers to join the Provider Assurance Teams on a secondment/fixed term basis. We are inviting applicants from all locations with the opportunity to work remotely. These roles play a key part in the success and on-going development of this service. This role is national and may require occasional travel.  This is a joint recruitment for the Caseworker role across Dental, V&I, Ophthalmic, Operations and Pharmacy.

This is a role which will continue to develop and evolve in line with Primary Care Services growth strategy. To be effective in this role you will need to:

• Display strong communication and interpersonal skills and the ability to interact with customers and stakeholders in a calm, confident and professional manner.
• Make robust decisions based on sound analysis and understanding of data sets.
• Be able to deal with sensitive and confidential data.
• Develop an advanced understanding of service specifications and requirements.
• Be able to deal with change positively in a fast moving environment.
• Have a strong team work ethic as well as the ability to work using your own initiative.

A cover until 4.30pm is required within the V&I team. *Please note this is subject to change depending on business needs.

Detailed job description and main responsibilities

1.    Ensuring all casework is carried out in accordance with Governance frameworks, policies and procedures ensuring that accurate and timely records of activities are maintained.

2.    Self-managing and planning your own workloads to ensure optimally effective outputs. 

3.    Collating and interpreting data obtained from records, other business areas and stakeholders.

4.    Identify contractors or activities for each review exercise as part of a defined sampling process.

5.    Manage review exercises and coordination of authorized overpayment recoveries.

6.    Understanding and interpreting regulations and guidance and analyzing data to enable well informed evidence-based decisions to be made, referring exceptional risks and issues to Provider Assurance Lead
 
7.    Producing reports on casework and associated activity including recommendations for further action in preparation for review meetings.

8.    Liaising with relevant internal and external stakeholders to discuss cases.

9.    Communicates effectively in writing and on the telephone with internal/external stakeholders, resolving queries and answering enquiries to provide an excellent level of customer service. Where necessary, conducts research/obtains information to resolve queries.

10.    Accurately collect and collate, analyse and report information in a timely manner. 

11.    Contacting Primary Care Contractors and the wider NHS to discuss report content, potentially dealing with confrontational situations with a professional and productive approach.

12.    Contributing towards the preparation of accurate and valid workload plans.

13.    Contributing to the ongoing review and development of our casework operations, ad hoc audits and other quality assurance activities as required.

14.    Ensuring your objectives are developed and owned that, in turn, fully support the service objectives. 

16.     Be accountable for your performance and development. Agree realistic targets, monitor and evaluate your achievement, with timely constructive feedback.

17.    Make effective and timely use of all relevant HR policies to support performance management and implement policies in accordance with the values and capabilities promoted by the organization. 

The NHSBSA is passionate about creating a diverse and inclusive organisation, which is a great place to work and truly reflects the diversity of our customers. We welcome applications from talented people of diverse characteristics including age, disability, gender identity and expression, race or ethnicity, religion or belief, sexual orientation, or any marginalised group. We also welcome applications from all those in the Armed Forces Community. 

Accepting applications until: 07 November 2025