Payment Integrity Specialist
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Job no: 494483
Work type: Permanent full time
Location: Perth CBD
Categories: Health Services
HBF Benefits
- Fully subsidised Gold Hospital Insurance Cover
- Flexible working and work from home options
- An organisation that cares about career development with allocated training allowances and secondment opportunities
- 3 additional wellbeing days each year (on top of our standard 20 days annual and 10 days personal leave)
- 2 volunteering days per year
- 18 weeks paid parental leave (after 12 month of continuous service)
- Access to corporate discounts across a range of gyms, retail, restaurants, and hotels
- On site barista with subsidised coffees at our central Perth CBD office
As a Payment Integrity Specialist with HBF you will work towards ensuring HBF’s sustainability into the future by investigating instances of claims fraud and inappropriate conduct to reduce potential loss to the organisation. Through investigations, you’ll actively look for opportunities to implement new or enhance existing processes to effect greater identification of claims leakage.
Every day is different – from crunching data to negotiating recoveries and shaping policy improvements, this is a role where your decisions matter and your impact is real.
What you'll do
You’ll be part of our Payment Integrity team, protecting member benefits and reducing unnecessary costs. Here’s a snapshot of your day-to-day:
- Investigate an audit claims leakage, fraud, and inappropriate behaviour to minimise financial risk
- Analyse data and run reports to spot anomalies and potential fraud
- Prepare briefs of evidence for police, AHPRA, and regulatory bodies
- Liaise with providers, members, and internal teams to gather and document evidence
- Share findings and deliver fraud awareness training
- Recommend policy and system changes to reduce leakage and align with industry standards
- Build strong relationships with stakeholders and professional bodies
About You
You’re naturally curious, detail-driven, and love connecting the dots to uncover trends. With previous experience in investigations or audit, you’re confident in your ability to spot anomalies and tell the story behind the data.
You communicate clearly over the phone and in report writing and external communications, and know how to build strong relationships while influencing outcomes. You’re comfortable presenting fraud awareness sessions to different audiences and experience preparing briefs for police or regulators.
Next steps
To apply, click “Apply Now" button to complete your application attaching a copy of your CV that outlines your skills and experience.
At HBF, we don’t just accept difference - we celebrate it, we support it, and we thrive on it for the benefit of our employees, our products, and our community. HBF is a place of belonging. We are proud of who we are, and we encourage applications from diverse groups such as Indigenous and Torres Strait Islander people, physical ability, age, sexual orientation, gender identity or expression and family background, including caring responsibilities.