Team Manager Monitoring, Audit and Fraud

About us

Australian Healthcare Associates (AHA)is Australias largest specialist health and human services 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.

AHAs 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

Were seeking an experienced Team Manager to lead compliance oversight and drive consistency accuracy andgood practiceacross 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 PPAs 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 youll:

• 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 PPAs monitoring and compliance activities and review findings.

Youll 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

Youre a confident and pragmatic compliance professional who combines strong analytical capability with sound judgement. Youre comfortable making evidence-based decisions and communicating them clearly and professionally.

You have:

• 5years of experience in a compliance audit or regulatory role.
• 3 years of experience leading managing or mentoring team members.
• Experience interpreting program rulesand/orfunding guidelines.
• Strong analytical skills and ability toidentifyrisk 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 applyplease upload yourCVand acover letteroutlining 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

Due to the nature of the work applicants must have Australian citizenship.

Additional information about the Pharmacy Programs Administrator (PPA) can be found at

Further information about AHA is available at our website:

Agency applications will not be considered.

AHA is an Equal Opportunity Employer who provides an inclusive work environment and embraces the diverse talent of its people. We support flexible and accessible working arrangements for all. This includes people with a disability Aboriginal and Torres Strait Islanders culturally religiously and linguistically diverse people young people older people and people who identify as gay lesbian bisexual transgender intersex or queer. All are encouraged to apply.

Required Experience:

Manager