Child Care Provider Investigator

State of Nebraska•Lincoln, NE

3d•Onsite

About The Position

The Department of Health and Human Services (DHHS), Office of Economic Assistance, is looking for a strategic partner for the position of Child Care Provider Investigator. The successful candidate will participate in and support a culture where employees are highly motivated, energetic, excited, and enthusiastic working for DHHS. This position is responsible for statewide investigations. Under limited supervision, the Child Care Provider Investigator conducts investigations on referrals and/or allegations related to suspected fraud in DHHS Public Assistance programs such as Supplemental Nutrition Assistance, ADC, AABD, Energy Assistance, etc. Utilizing investigatory skills, performs thorough professional investigations including auditing client and worker records, interviewing witnesses, clients and employers and consulting DHHS program staff. Determines if client case should be referred for criminal prosecution and/or administrative hearing. Performs related work as assigned. “You have the passion; we have the opportunities – let’s make a difference for Nebraskans!”

Requirements

Post high school coursework/training in: criminal justice, law, social work or criminal investigative methods.
OR experience in a social service agency with responsibility for eligibility determination in a variety of program areas.
OR experience performing investigation, auditing, research, or information search activities, medical or service provider billing, claims adjustment review, or processing, service or payment authorization.

Nice To Haves

Prior law enforcement or criminal investigation experience.
Emphasis on experience involving completing investigations and investigative report writing.
In-depth knowledge of the DHHS Child Care programs.

Responsibilities

Conducts audits of files, provider billings and claims, client records and computer-generated printouts to identify alleged violations by providers, clients or staff.
Reviews case files to determine if files are complete, accurate and meeting existing guidelines.
Writes reports of investigative findings.
Interviews child care providers, clients, employees, employers and third parties to gather information about the services and assistance provided in order to obtain evidence of fraud and abuse, to verify information and to inform them of the applicable aspects of the law.
Determines whether or not there was intent by a child care provider to defraud the agency and if the provider should be referred for criminal prosecution or disciplinary action.
Represents the agency at criminal court proceedings or administrative hearing to present and testify to investigation and findings.
Consults with agency employees and witnesses to prepare them for court appearances or administrative hearings.
Makes referrals for recoupment of overpayments when collection activities are warranted, and criminal prosecution is not possible.
Acts as a resource to the public and DHHS staff, including Child Care Licensing, Child Care Programs and Resource Development.
Receives referrals from the public, DHHS staff, government agencies, law enforcement officials, school officials, etc.