Program Integrity Fraud Investigator

Job Description:

Program Integrity Fraud Investigator

Description

Job Posting Closes at 11:59PM on:
11/14/24
Division:
Business and Finance Division
Management Level:
Individual Contributor
Scheduled Weekly Hours:
40
Benefit Eligibility:
This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement.

Description:

If you are passionate about researching and investigating allegations of program fraud and are, innovative, value integrity, appreciate working with a strong team, want a work life balance, and enjoy a variety of responsibilities the Fraud Investigator position with the Program Integrity team may be the perfect position for you.

The Program Integrity Fraud Investigator is responsible for Investigating suspected Welfare Fraud and Intentional Program Violations (IPVs) by gathering, identifying, and maintaining the evidence necessary for prosecution and administrative disqualification hearings. The person in this role Investigates allegations of program abuse in all state and Federal human service eligibility programs by gathering, identifying and maintaining information and evidence necessary for administrative hearings and prosecution. The Fraud Investigator also implements disqualification penalties.

The ideal candidate has exceptional communication and organizational skills and has exceptional multi-tasking skills, keeping track of deadlines, prioritizing, and interpreting Colorado Revised Statutes, Federal and state laws and regulations. The position requires dealing with highly sensitive and confidential information. The candidate must also have the ability to manage tasks with ease, thrive in a fast paced and dynamic environment with constantly evolving priorities and program rule changes. This position is an excellent opportunity for the right applicant who is eager to expand, grow and develop in their professional career as an investigator.

Schedule:

This position will have a hybrid work schedule both in office and remotely. Please note that during the training period needed for this position, you will be required to be on-site.

Compensation:

Hiring Range: $28.00 - $31.00 USD Hourly

Compensation will be determined based on education, experience, and skills.

Benefits: Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more. For more information, click here for our Total Rewards summary.

Essential Duties :

TheFraud Investigatorwill:

• Research, track and investigate allegations of welfare fraud.
  • Conduct extensive research across multiple database systems.
  • Gather,identify,and maintainthe evidence necessary for administrative action or prosecution of welfare fraud.
  • Reviewall pertinent case files and information to determine scope and method of investigation needed.

• Interview program clients, relatives, neighbors, acquaintances, employers, etc. through home and field visits when necessary to secure information and evidence pertinent to theinvestigation.
  • Obtainand reviewrecords and documents maintained by financial institutions,employers, landlords, andothergovernmental agencies.
  • Conductinternal investigations as directed bymanagement.
  • Review, research, and interpretColorado Revised Statutes, Federal and state laws and regulations.
  • Useindependent judgment to determine severity of offense and if criminal or administrative remedies will be sought.

• Write a detailed investigative report summarizing the scope and conclusion of the investigation.
  • Manage and track deadlines on all open and closed investigations.
  • Preparedetailed state level hearing packets. Prepareand file detailed District Attorney (DA) case filings.
  • Ensurequality of investigation.

• Testify at administrative or judicialproceedings,acting as an expert or advisory witness. Implement and impose intentional program violation (IPV) disqualifications for individuals found guilty through an administrative or criminal proceeding.
• Other duties and responsibilities as assigned.

Knowledge, skills, and abilities that lead to success in this role include:

• Time Management & Organization
• Prioritization & Adapt to Changing Needs
• Manage Multiple Projects Simultaneously
• Strong sense of Integrity
• Excellent Interpersonal Communication
• Critical Thinking

Qualifications:

Research shows that women and other underrepresented and historically marginalized groups tend to apply only when they check every box in the posting. If you are reading this and hesitating to click “apply” for that reason, we encourage you to go for it! A true passion and excitement for making an impact is just as important as work experience.

Minimal Qualifications :

• Bachelor’s degree, preferably in Social Work, Criminal Justice, or a related field and
• 1 year of work-related experience.
• Or an equivalent combination of education & experience.

Preferred Qualifications :

• Experience conducting research and investigations
• CBMS experience
• Excellent written and oral communication
• Great time management

Additional Job Information:

• Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references. Criminalhistory mustnotinclude butnotlimitedto convictions fortheft, forgery, counterfeiting, crimes against a person, or other related charges.
• Please note that supplemental questions requiring a written response will serve as a writing sample.
• Reference Checks are required if requested by the Hiring manager.
• CSS FP, and HS FP, and fraud screening are department specifics requests in HumanServices.
• CJIS certification will be required post hire.
• All Jefferson County Employees must apply through their internal profile.
• In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information

How to Apply:

Applications will be accepted electronically at Jefferson County Colorado Career Opportunities .

Applicants complete an online form and have the option to provide a resume and detailed cover letter that describes why you are the best candidate for the position. Applications are reviewed for minimum qualifications listed in the qualifications section of the job bulletin, and applicants are contacted directly by the hiring team regarding next steps. To view the status of your application or direct communication from the hiring team, please log into your candidate portal .

For more details on the recruitment process, please visit https://www.jeffco.us/1860/FAQs

Questions:

• County Recruitment Team: 303-271-8400 or careertalent@jeffco.us
• Library Recruitment Team: 303.275.6168 or talent@jeffcolibrary.org
• Sheriff Recruitment Team: 303.271.5332 or sheriff.recruiting@co.jefferson.co.us

Education:
Bachelor's Degree
Experience:
Work Experience: Minimum one year

Certifications:

Languages:

Category:
Health & Human Services