Ancillary Integrity & Group Manager

HBF Employee Benefits

• FREE Corporate Gold Hospital Insurance (for you and your family)
• 3 additional wellbeing days off a year (on top of our standard 20 days annual leave and 10 days personal leave) pro rata
• 2 volunteering days per year
• 18 weeks paid parental leave
• Access to corporate discounts across a range of gyms, retail, restaurants, and hotels
• Centrally located CBD office with discounted onsite barista
• Hybrid working arrangements available

About the Role

This role reporting directly to the General Manager of Networks is a leadership role responsible for driving the integrity of ancillary and dental claims across HBF, QCHF & See-u brands. You will lead a high-performing team to detect, investigate and prevent fraud & claims leakage while strengthening systems, processes and governance to minimise financial loss. Working closely with key stakeholders, you'll ensure fair, evidence-based outcomes and contribute to the ongoing development and execution of HBF's evolving payment integrity strategy.

In this role, you will:

• Lead and manage end-to-end ancillary integrity operations, including fraud, abuse, waste and error (FAWE) investigations
• Coach and develop a team of specialists, fostering a culture of accountability, performance and continuous improvement
• Oversee complex investigations, ensuring consistent, fair and evidence-based outcomes aligned with legal and regulatory frameworks
• Strengthen claims review, audit processes and analytics to proactively identify and mitigate financial risk
• Partner with internal and external stakeholders (including legal, compliance and authorities) to manage escalations and drive outcomes
• Contribute to strategy, governance and continuous improvement initiatives to enhance payment integrity and reduce leakage
• As a member of the Networks Leadership Team, you will be a core contributor to shaping team culture and departmental direction, leading by example and bringing the HBF behaviours to life in everything you do

This position is based in Perth on a permanent full-time basis.

About You

You're an experienced and values-driven leader with strong expertise in fraud and integrity management within a complex environment. You bring a proactive, analytical approach to risk, along with the ability to lead through ambiguity and influence outcomes across a broad range of stakeholders. Known for your integrity and sound judgement, you're confident handling sensitive matters and driving high-quality, consistent decisions.

Ideally, you will have:

• Proven leadership experience in fraud, abuse, waste and error (FAWE) or payment integrity management
• Strong knowledge of ancillary claims, provider behaviour and fraud risks within private health or a similar industry
• Excellent analytical and critical thinking skills, with the ability to interpret complex or incomplete information
• Demonstrated experience managing sensitive investigations with professionalism and objectivity
• Highly developed stakeholder management skills, with the ability to influence and balance competing priorities
• Qualifications in fraud investigation or health, or a related discipline (desirable), with strong governance and risk capability

Keen to Apply?

Great! Applying is as simple and quick as clicking on the "Apply" button to complete your application.

Our recruitment and selection process includes a variety of assessment methods including reference checks, National Police Clearance and verification of working rights in Australia.

Inclusion and Accessibility

At HBF, we believe in the potential of every individual. We're committed to creating an inclusive workplace where diverse perspectives are celebrated, because they make us stronger. We encourage applications from everyone, including Aboriginal and Torres Strait Islander peoples, people with disabilities, and members of the LGBTQIA+ community, including transgender and gender-diverse applicants.

We want you to Be You, Be Bold, and feel supported every step of the way. If you require any adjustments or alternative formats during the recruitment process, please contact us at ***email_hidden***.

To learn more about our commitments visit: Community Initiatives | HBF Health Insurance