What are the responsibilities and job description for the PROGRAM INTEGRITY INVESTIGATOR - 161986 position at Adams County Government?

Program Integrity Investigator - 161986

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Program Integrity Investigator - 161986

Salary

56,457.97 - $81,864.06 Annually

Location

Westminster, CO

Job Type

Regular Full-time

Job Number

06770

Department

Human Services

Division

HS Investigation and Recovery

Opening Date

10 / 17 / 2024

Closing Date

10 / 31 / 2024 4 : 30 PM Mountain

Our Mission

At Adams County, our team members engage in top-notch opportunities to grow and expand their impact. We cultivate an inclusive and innovative culture where diversity matters! Diversity, Equity & Inclusion (DEI) is a core cultural competency at Adams County, and we actively seek and welcome applicants that bring diverse experiences and value inclusion.

Cultural Competencies / EEO

Adams County is an equal opportunity employer. We strive to have a workforce that reflects the community we serve. No person is unlawfully excluded from employment opportunities based on race, color, national origin, ancestry, religion, creed, sex, sexual orientation, gender expression, gender identity, age, disability, genetic information, veteran status,marital status or any other legally protected characteristic.

Position classification

Remote First Job duties and expectations require very limited to no time in the office. There may be scheduled infrequent exceptions which require the employee to be onsite.

Description
Benefits
Questions

What Success Looks Like In This Job

This position is designed for an experienced Community Support Case Manager who is highly skilled in the accurate and timely issuance of all programmatic benefits. Investigators work in both an independent and team-oriented atmosphere while utilizing strong behavioral, analytical, communication, and customer service skills to investigate allegations of possible program eligibility abuse and fraud, apply findings to public assistance cases, and determine intentional program violations. They will provide clear and concise reports documenting findings coupled with the communication skills necessary to testify in Adams County Administrative Hearings and Civil Court. Investigators are expected to remain highly pro fi cient with all current and future program policy requirements, as well as in the use of analysis tools, including Microsoft Excel, Access, and other databases, and computer systems.

Examples of Duties for Success

Conduct thorough and professional investigations into concerns of program violations and fraud, including extensive research in multiple databases, client interviews, phone calls, and home visits to obtain needed verification and evidence.

Communicate with various entities and individuals such as customers, landlords, employers, lawyers, human service workers, and schools to obtain sufficient and accurate evidence and verification.

Write clear and concise reports of investigations completed.

Clearly communicate relevant program rules to households in verbal and written form.

Keep organized digital files of reports, findings, and evidence.

Apply program rules to the information discovered to determine if / when the information should have been made known to the County and should have affected the households benefits.

Utilize information gleaned from investigations to complete a thorough review of the households eligibility status, decide if a household received benefits it was not eligible to receive, determine if an intentional program violation (IPV) is warranted, and decide if civil action is appropriate.

Complete data entry in the Colorado Benefits Management System to apply investigative findings to each case and ensure correct, effective timeframes and outcomes, including any resulting overpayments, and establish claims in accordance with program rules and guidelines.

Ensure all actions taken are properly documented in the Colorado Benefits Management System.

Prepare evidence, attend and testify in state level hearings on applicant / participant appeals and county conferences.

Complete and send required documentation to communicate claim information to liable individuals timely in accordance with program regulations.

Provide coverage for other functions of the Program Integrity unit as needed including work assigned to the recovery specialists and administrative assistant.

Qualifications for Success

Knowledge Of :

Eligibility rules and regulations for all assistance programs including :

Adult Financial

Colorado Works

Food Assistance

Medical Assistance

Case processing policies and procedures.

Office and internal policies and procedures.

Basic methods utilized in investigating.

Techniques used to obtain pertinent information during an interview.

Strong knowledge of computers coupled with the ability to learn and utilize a variety of new programs to gather information.

Ability to :

Conduct thorough and professional interviews through a customer service lens.

Research past client history and current program eligibility to determine if a violation is present. If the information gathered points toward a violation; provide all documentation to support your case so that it may be used in an Administrative Hearing and / or Civil court.

Research and interpret rule to apply to a variety of complex situations and timeframes.

Apply basic math and read, interpret, and apply manual regulations.

Communicate clearly and concisely, both verbally and in writing.

Write complete, clear, detailed, and concise reports.

Work quickly and accurately, with minimal supervision, to complete time-sensitive tasks.

Develop and maintain positive working relationships with those contacted during work.

Differentiate between relevant and non-relevant information when making eligibility decisions, creating claims, and determining intentional program violation.

Input data accurately and detect errors / make corrections.

Maintain objectivity and confidentiality.

Work e ff ectively and positively with individuals of diverse cultural and socioeconomic backgrounds and educationally diverse populations.

Personally commit to champion the County's norms and values as an individual and professional commitment to design facilitations for others that reinforce the County's cultural expectations.

More Qualifications for Success

Experience :

At least two (2) years of experience determining eligibility for multiple programs is required

Experience as a Community Support Case Manager II / III with consistently high case productivity and accuracy rates is preferred.

Working experience and knowledge of all programs Adult Financial, Colorado Works, Food Assistance, Medical Assistance, LTC is preferred but not required.

There is an expectation to learn all programs once hired.

Education and Training :

High school diploma or GED equivalent required.

An associate or bachelors degree is strongly preferred and may substitute for one year of required experience.

Additional analytical, statistical, or other related higher education is preferred.

Bilingual in English / Spanish is preferred.

License or Certificate : None.

Background Check : Must pass a criminal background check.

Other :

Ability to work in a standard office environment.

Ability to utilize personal vehicle or other mode of transportation to conduct field investigations as needed.

Adams County complies with Colorados Job Application Fairness Act (JAFA). JAFA prohibits employers from asking individuals to disclose their age, date of birth, or dates of school attendance or graduation on an initial employment application. However, additional application materials such as certifications and transcripts containing this information may be required for certain positions; if such additional materials are requested, applicants may redact information that identifies the applicants age, date of birth, or dates or attendance or graduation.

Adams County provides a comprehensive benefits package to employees that goes above and beyond what is offered at most organizations.

Clickhere (https : / / youtu.be / ILAvllPaGb4) to watch our video about why Adams County is an Employer of Choice!

Benefits You Expect :

AFLAC Supplemental Medical Insurance

Basic Term Life & Optional Term Life Insurance

Deferred Compensation Plan

Dental / Vision / Medical Plans

Generous Vacation / Sick leave

Long-Term Disability

Retirement Plan

Short-Term Disability

Plus some you might not expect :

Employee Assistance Program

Employee Fitness Center

Employee Health Clinics

Flexible Work Schedules

Recreation Center Discounts

Training & Tuition Reimbursement Programs

Wellness programs

Lactation friendly certified workplace

Please be aware that your cover letter and resume will not be accessed in the initial screening process, so you must complete your application and supplemental questions with as much detail as possible. Any personally identifiable information (PII) such as name and address will be redacted from applications that meet the minimum screening requirements and are forwarded to the hiring manager. If the hiring manager selects you to advance in the hiring process, your cover letter and resume will then be accessible to the hiring team. Information provided on the application is used to determine if a candidate meets minimum qualifications. Only information provided at the time of the application being completed will be considered and additional information that is not listed on the application will not be considered when deciding if a candidate meets or does not meet the qualifications. Applicants are STRONGLY encouraged to include all information and details on their application. I understand and agree that only information provided at the time of my application will be used to determine if I meet the minimum requirements for this position.

Yes, I understand and agree

Yes, I understand but disagree.

Please select how you meet the minimum qualifications.

At least one (1) year of experience determining eligibility for multiple programs AND a Bachelor's Degree or higher.

At least one (1) year of experience determining eligibility for multiple programs AND an Associate's Degree.

At least two (2) years of experience determining eligibility for multiple programs AND a High school diploma or GED equivalent.

None of the above.

Please explain the way(s) you would be able to uniquely contribute to the team and our efforts.

How would others you work with describe who you are as a person and employee? In other words, what would they say you are known for or characterizes who you are?

What excites you most about this position?

Required Question

Agency

Adams County

Address

4430 S. Adams County Parkway, Suite C4000BBrighton, Colorado, 80601-8213

Website

http : / / www.adcogov.org / current-career-opportunities

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Salary : $56,458 - $81,864

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