External Activity Analyst- Out of Area Referral Management

Job description

Job summary

Due to the impending retirement of the current post holder, we are looking for an analytical, proactive and highly motivated individual to join the commissioning finance team as an External Activity Analyst. This is a unique opportunity to work at the intersection of healthcare, data analysis, commissioning and patient services.

Every year significant numbers of patients receive treatment outside of Aneurin Bevan University Health Board. As our External Activity Analyst, you will play a vital role in ensuring these referrals are managed appropriately, fairly and in line with Health Board policy.

You will investigate and analyse complex patient activity data, work closely with clinicians, GP practices and NHS providers across Wales and England, and help shape decisions that directly affect patient pathways and the effective use of NHS funding.

Main duties of the job

The role will cover

Managing the Health Board's Out of Area Referral process which will involve developing strong relationships with stakeholders across Wales and England.

Working with clinicians, GPs and healthcare providers to ensure referrals are managed effectively.

Analysing healthcare datasets to identify trends, anomalies and opportunities for savings.

Validating activity and challenging inaccurate charges from external providers.

The role is varied and a unique opportunity due to its remit within the Commissioning Finance team. One day you could be supporting a review panel for a complex patient referral, the next you could be challenging provider data worth thousands of pounds, identifying opportunities to improve commissioning arrangements, or producing insight for senior management teams.

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

About us

Aneurin Bevan University Health Board (ABUHB) is a multi-award-winning NHS organisation serving the communities of Gwent. With more than 14,000 staff and volunteers, we provide safe, high-quality, and compassionate care across hospitals, GP practices, community services, and mental health settings. As a University Health Board, research, education, and innovation are central to our work, supporting evidence-based practice and continuous improvement.

Our work is guided by the Gwent Strategy 2025-2035, which sets out our long-term ambition to create a fairer and healthier future for our population. We focus on prevention, reducing health inequalities, and working in partnership with local authorities, voluntary organisations, and communities to improve health and wellbeing.

We are committed to creating an inclusive, supportive workplace where people feel valued, respected, and able to develop. Our values of Kindness, Integrity, and Respect shape how we care for patients and how we treat one another.

We offer a wide range of learning and development opportunities, flexible working where possible, and a comprehensive NHS benefits package. Working for ABUHB means being part of an organisation that values its people and offers the chance to build a meaningful and rewarding career while making a real difference to the lives of others.

Job description

Job responsibilities

The key role for the post holder will be to manage Out of Area referrals against the ABUHB Out of Area Referrals Policy. This will involve working with GP practices, senior clinicians and NHS provider organisations to ensure that referrals are dealt with appropriately and in a timely manner. In some instances the role will necessitate contact with patients, through correspondence and/or over the phone. On occasion referrals may escalate to the Review process under the policy at which point the role will have responsibility for coordinating a review panel, to include Independent Board member representation, and the associated paperwork to inform a Review.

Alongside this function, the post holder will support the external commissioning agenda. Reviewing patient activity to validate associated charges. Also supporting the delivery and development of improved performance reporting across the externally commissioned contracts which Aneurin Bevan Health Board hold within England and Wales. The post holder will be responsible for liaising with and challenging providers in managing referrals and reaching agreement on reported activity and any disputes.

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

Job description
Job responsibilities

The key role for the post holder will be to manage Out of Area referrals against the ABUHB Out of Area Referrals Policy. This will involve working with GP practices, senior clinicians and NHS provider organisations to ensure that referrals are dealt with appropriately and in a timely manner. In some instances the role will necessitate contact with patients, through correspondence and/or over the phone. On occasion referrals may escalate to the Review process under the policy at which point the role will have responsibility for coordinating a review panel, to include Independent Board member representation, and the associated paperwork to inform a Review.

Alongside this function, the post holder will support the external commissioning agenda. Reviewing patient activity to validate associated charges. Also supporting the delivery and development of improved performance reporting across the externally commissioned contracts which Aneurin Bevan Health Board hold within England and Wales. The post holder will be responsible for liaising with and challenging providers in managing referrals and reaching agreement on reported activity and any disputes.

You will be able to find a full Job description and Person Specification attached within the supporting documents or please click Apply now to view in Trac

Person Specification

Knowledge

Essential

• NHS data standards/ info governance

Desirable

• Understanding of healthcare pathways / cross border issues

Skills

Essential

• Advanced MS Office skills

Desirable

• clinical coding/sql/WDS systems

Experience

Essential

• Working in a public facing role / NHS health informatics

Desirable

• Training/promoting use of information

Qualifications

Essential

• Degree or equivalent experience

Desirable

• AAT or other qualification

Person Specification
Knowledge

Essential

• NHS data standards/ info governance

Desirable

• Understanding of healthcare pathways / cross border issues

Skills

Essential

• Advanced MS Office skills

Desirable

• clinical coding/sql/WDS systems

Experience

Essential

• Working in a public facing role / NHS health informatics

Desirable

• Training/promoting use of information

Qualifications

Essential

• Degree or equivalent experience

Desirable

• AAT or other qualification

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .

Additional information
Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. .

Employer details

Employer name

Aneurin Bevan University Health Board
Address

Llanfrechfa Grange

Cwmbran

NP44 8YN

United Kingdom

Employer's website