Team Manager - Monitoring, Audit and Fraud

This is a Team Manager - Monitoring, Audit and Fraud role with Australian Healthcare Associates based in Melbourne, VIC, AU == Australian Healthcare Associates == Role Seniority - mid level, senior More about the Team Manager - Monitoring, Audit and Fraud role at Australian Healthcare Associates About us Australian Healthcare Associates (AHA) is Australia's largest specialist health and human services consultancy. Now in our 35th year, we partner with federal, state and territory governments to improve health and social outcomes for Australians by delivering evaluations, reviews and program administration engagements of major national importance. AHA’s story is all about its people. We pride ourselves on our supportive and inclusive culture, and on the vision, creativity, and drive of our staff. Our high-performing team of passionate and talented individuals works collaboratively to deliver great outcomes for our clients. About the role We’re seeking an experienced Team Manager to lead compliance oversight and drive consistency, accuracy and good practice across our busy monitoring and compliance team within the Pharmacy Programs Administrator (PPA) project. The PPA is responsible for administering 27 government funded pharmacy programs on behalf of the Australian Government Department of Health, Disability and Ageing. These programs provide government funding to pharmacies, pharmacists and other entities to deliver a range of important programs and services. As part of this engagement, the PPA receives and processes more than 4.5 million claims annually and makes payments exceeding $400 million each year via a purpose-built claims and payment IT portal. One of the PPA’s key contractual requirements is to deliver a comprehensive monitoring and compliance function to ensure claims meet relevant program rules and to identify, detect and correct compliance issues including potential fraud. In this role, you will report to the Pharmacy Programs Manager and lead a team responsible for ensuring that those receiving payments under these programs are eligible, following all required rules and have all necessary evidentiary documentation. As the Team Manager - Monitoring, Audit and Fraud you’ll: Lead and oversee complex compliance reviews and desktop audits across pharmacy programs, including determining appropriate compliance actions. Develop clear, structured compliance correspondence (notices, education letters, suspension actions). Conduct cross-program and data-led analysis to identify systemic risks and anomalies and drive continuous improvement. Lead and manage the performance, training and development of the monitoring and compliance team. Build productive working relationships with all relevant stakeholders including the Department of Health, Disability and Ageing, pharmacy advocacy bodies, pharmacists, service providers and internal stakeholders including the PPA Program Leads and the PPA Support Centre. Collaborate with IT and data teams to strengthen fraud detection and monitoring mechanisms. Manage reporting, including regular reporting to the Department on the PPA’s monitoring and compliance activities and review findings. You’ll receive an attractive salary aligned with your skills and experience and have the opportunity to work from home (up to 4 days per week depending on your preference) and in the Melbourne CBD office. About you You’re a confident and pragmatic compliance professional who combines strong analytical capability with sound judgement. You’re comfortable making evidence-based decisions and communicating them clearly and professionally. You have: 5+ years of experience in a compliance, audit or regulatory role. 3+ years of experience leading, managing or mentoring team members. Experience interpreting program rules, and/or funding guidelines. Strong analytical skills and ability to identify risk patterns in data. Exceptional written and verbal communication skills, in particular a record of communicating complex and/or sensitive concepts and issues effectively. An ability to manage competing priorities and complex matters independently. Advanced Microsoft Office suite skills. Experience working with health programs, government funding, or pharmacy sectors (highly regarded). To apply please upload your CV and a cover letter outlining how your skills and experience align with the requirements of the role. Note: applications that do not include a tailored cover letter will not be considered. Applications close 5pm 15 May 2026. All questions can be directed to recruitment@ahaconsulting.com.au Due to the nature of the work, applicants must have Australian citizenship. Additional information about the Pharmacy Programs Administrator (PPA) can be found at www.ppaonline.com.au Further information about AHA is available at our website: ww