Professional Service Review (PSR) is an Agency within the Health and Aged Care portfolio whose work protects the integrity of the Medicare, child dental benefits and the pharmaceutical benefits programs (PBS).
PSR is established under Part VAA of the Health Insurance Act 1973, which sets out the role and powers of the Agency, as well as the process that it must follow when conducting its work.
The Case Management Unit is a small team that reports to the General Counsel and supports the Director, Associate Directors, Committees and the Determining Authority to manage and progress cases which have been referred to PSR efficiently and effectively.
What we offer youYou will have access to:negotiable salary entry pointsattractive 15.4% superannuationfree car parking at Brindabella Parkflexible working conditionssalary sacrificing options including superannuationprofessional learning and development opportunitiessupport for diversity, good health and wellbeingan engaged social club that facilitates activities to celebrate our people and build connections.
Our office is located at Brindabella Park, ACT, located 10 minutes from the CBD.
Brindabella Park hosts a dedicated gymnasium, sports facilities, cafe and restaurant dining, conference facilities, a childcare centre and provides a calendar of social events.
The key duties of the position includeThe Senior Legal Officer (SLO) performs a dual legal and case management role as part of the CMU and provides guidance on procedural, legislative and regulatory matters in the context of the PSR scheme (set out in Part VAA of the Health Insurance Act 1973).
The SLO is predominantly responsible for day-to-day oversight and delivery of work in relation to matters at the Director or Associate Director stage of the review process, in line with statutory timeframes.
This involves managing a small caseload as well as supervising and developing case managers and working collaboratively in a small team.
As part of matter management, the SLO may provide legal advice both independently and under the direction of senior legal staff.
The SLO may also assist principal legal officers in managing cases at the Committee stage of the review process, including drafting relevant documents and attending hearings.
The SLO works with a high level of autonomy and accountability in delivering legal and case management services to the Director, Associate Directors, PSR Committees and the Determining Authority.
The role makes recommendations and provides advice on solutions, emerging issues and issues that may impact the CMU.
The SLO provides professional leadership and guidance, including the allocation of resources and workloads.
The SLO will provide guidance and advice on legally technical or strategically complex matters.
Matters impacting the overall operations of the CMU, the PSR Agency, the PSR Scheme and the broader Medicare compliance landscape will be escalated to the principal legal officer.
The SLO's primary duties include:
managing matters, including more complex matters, at the Director or Associate Director stage of the review process using negotiation, problem-solving and strategic decision making skillsmanaging a small team of case managers, including reviewing work and assisting with organising work to align with matter prioritiesproviding professional direction to case team staff to ensure the delivery of servicesdrafting statutory decisions on behalf of PSR's decision-makers within PSR's statutory framework and according to administrative law principlesdrafting and reviewing correspondence to the Chief Executive Medicare, PSR panel members, practitioners under review and their legal representativescommunicating with practitioners under review and their legal representatives, medical consultants and PSR panel membersidentifying legal issues arising in matters and bringing them to the attention of the relevant principal legal officerproviding legal advice on the operation of the PSR scheme as required and providing oversight/clearance of legal advice provided by case managers.Other duties may include:attending hearings (usually interstate) to advise PSR Committees and drafting associated documentation including statements of reasons and hearing documentscontributing to the learning and development goals of the case team including by providing PSR training to staff and panel membersproviding legal advice on the exercise of compulsive powers and sanctions in a regulatory contexttaking responsibility for the handling of FOI requests and privacy matters and providing advice on the PGPA Act, as requiredoverseeing the co-ordination of outsourced legal services in relation to litigation including providing instructions to engaged firms and counsel.
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