What are the responsibilities and job description for the Program Fraud Investigator (ADMINISTRATOR I) position at State of Maryland?
Introduction
GRADE
LOCATION OF POSITION
Main Purpose of Job
POSITION DUTIES
- Develop an investigative work plan in order to conduct reviews, examinations, and investigations.
- Receive cases of suspected fraud in programs such as, but not limited to (Child Care Subsidy (CCS) Temporary Assistance to 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) Energy Assistance (EA).
- Analyze and interpret program policies and procedures within DHR to assure payment accuracy, and compliance with appropriate federal and state laws.
- Analyze 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).
- Research records, and gather/preserve documentary evidence. Review, verify, and analyze the documentation of the reviewed entity.
- Perform 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.
- Interview 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.
Notes:
1. Candidates may substitute 30 college credit hours from an accredited college or university for each year up to four years of the required experience.
2. Candidates may substitute the possession of a Bachelor's degree from an accredited college or university for the required experience.
3. Candidates may substitute the possession of a Master's degree from an accredited college or university for the required experience.
4. 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
LIMITATIONS ON SELECTION
LICENSES, REGISTRATIONS AND CERTIFICATIONS
SELECTION PROCESS
BENEFITS
Contractual employees who work for an agency covered under the State Employee and Retiree Health and Welfare Benefits Program, have a current employment contract and work 30 or more hours a week (or on average 130 hours per month) may be eligible for subsidized health benefits coverage for themselves and their dependents. As a contractual employee, you will be responsible for paying 25% of the premiums for your medical and prescription coverage, including any eligible dependents you have enrolled. The State of Maryland will subsidize the remaining 75% of the cost for these benefits. You can also elect to enroll in dental coverage, accidental death and dismemberment insurance, and life insurance, but will be responsible to pay the full premium for these benefits.
Leave may be granted to a contractual employee at a rate of one hour for every 30 hours worked, not to exceed 40 hours per calendar year.
FURTHER INSTRUCTIONS