Fraud Program Investigator ADMINISTRATOR I

Main Purpose of Job

This is the primary position for the Bureau of Investigative Services Unit (BIS) in the Office of the Inspector General (OIG).

The position conducts reviews, examinations and investigations in order to objectively monitor, verify, and analyze allotment of State and federal funds disbursed through Department of Human Services (DHS).

It is a key resource for ensuring department financial integrity with regard to preventing and investigating fraud and other misconduct against DHR.

By protecting DHR programs that must be free of financial and other types of abuse, the position also contributes to ensuring DHR customers achieve independence.

This assists the OIG’s mission to protect the integrity of the DHR and to detect, deter and reduce financial loss to the State.

Position Duties

• Receiving cases of suspected fraud in programs such as but not limited to Child Care Subsidy (CCS), Temporary Assistance for Needy Families (TANF), Supplemental Nutritional Assistance Program (SNAP), Medical Assistance (MA), Child Support (CS), Foster Care (FC), Public Assistance to Adults (PAA), Office of Home Energy Program (OHEP), Welfare Avoidance Grants (WAGs), and Energy Assistance (EA).
• Analyzing and interpreting program policies and procedures within DHR to assure payment accuracy, and compliance with appropriate federal and state laws.
• Analyzing disbursements related to suspected fraud, including, but not limited to programs administered by Family Investment Administration (FIA), Child Support Enforcement Agency (CSEA), Social Services Administration (SSA), Maryland State Department of Education (MSDE) and the Department of Health and Mental Hygiene (DHMH).
• Analyzing allegations of misconduct to assure any misuse of State Funds and other resources is resolved.
• Reviewing management referrals to improve timely resolution of fraud cases.
• Researching records, and gathering/preserving documentary evidence.
• Reviewing/verifying/analyzing the documentation of the reviewed entity.
• Performing quality control evaluations reviews/examinations/investigations by conducting on-site field interviews of complainants, witnesses, representatives of businesses, State, federal, and county government, and professionals from legal, medical, and financial institutions.
• Interviewing customers, employees, and contractors who may have knowledge of fraudulent eligibility practices and other activities.

Minimum Qualifications

• Education: Graduation from an accredited high school or possession of a high school equivalency certificate.
• Experience: Four years of administrative staff or professional work.
• Candidates may substitute 30 college credit hours from an accredited college or university for each year up to four years of the required experience.
• Candidates may substitute the possession of a Bachelor's degree from an accredited college or university for the required experience.
• Candidates may substitute the possession of a Master's degree from an accredited college or university for the required experience.
• Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for-year basis for the required experience.

Desired Or Preferred Qualifications

• One year of investigatory experience in any of the following areas: public assistance, child welfare, social service to adults, child support, law enforcement, criminal law and/or fraud investigations.
• One year of experience writing investigative reports.
• One year of experience using Microsoft Office Suite Word Suite computer software such as Word, Excel, or PowerPoint.
• Employees who are willing and able to perform fieldwork which includes home visits, in-person interviews, meetings, hearings, trials, and site visits at various locations, such as a subject’s place of employment, schools, daycare providers, Local Departments of Social Services (LDSS), and other state or local agencies.

Limitations On Selection

This recruitment is limited to current Department of Human Services (DHS)/Office of the Inspector General (OIG) employees only.

Benefits

• Health insurance, dental, and vision plans offered at a low cost.
• Personal Leave - new State employees are awarded six (6) personnel days annually (prorated based on start date).
• Annual Leave - ten (10) days of accumulated annual leave per year.
• Sick Leave - fifteen (15) days of accumulated sick leave per year.
• Parental Leave - up to sixty (60) days of paid parental leave upon the birth or adoption of a child.
• Holidays - State employees also celebrate at least twelve (12) holiday per year.
• Pension - State employees earn credits towards a retirement pension.
• Positions may be eligible for telework.