DUA Program Integrity Manager

Commonwealth of Massachusetts • Boston, MA

16h

About The Position

The Executive Office of Labor and Workforce Development (EOLWD) is responsible for six agencies and departments under the organization. EOLWD and its agencies are committed to developing a world-class, highly skilled labor force to support business growth and innovation in the Commonwealth. The Department of Unemployment Assistance (DUA) administers the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their own and who are able to work, available for work and looking for a job. As a direct report to the Director of Program Integrity, this position has oversight of the business unit responsible for leading the organizations’ effort to prevent, detect, and recover unemployment insurance overpayments. They will manage, plan, organize and control all operations and activities of DUA’s agencywide program integrity strategy and functions.

Requirements

• At least five (5) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management.
• A certificate in a relevant or related field may be substituted for one (1) year of the required experience.
• A Bachelor's degree in a related field may be substituted for two (2) years of the required experience.
• A Graduate degree in a related field may be substituted for three (3) years of the required experience.
• A Doctorate degree in a related field may be substituted for four (4) years of the required experience.

Responsibilities

• Plays a crucial role in maintaining the integrity of the unemployment insurance (UI) system by overseeing the investigation and resolution of fraudulent activities.
• Guides a team of investigators, ensuring compliance with relevant regulations, and enhancing the effectiveness of fraud detection and prevention measures.
• Reviews and analyzes UI claim data, employer records, and system transactions to detect inconsistencies and potential fraud.
• Ensures that advanced analytical tools and techniques are effectively utilized to recognize patterns and anomalies.
• Ensures all investigative actions and recommendations comply with federal and state laws, as well as departmental policies.
• Flags suspicious employer accounts and fraudulent claims for further investigation.
• Coordinates with other departments and external agencies to resolve complex cases.
• Collaborates with legal teams, enforcement agencies, and other stakeholders to support investigations and ensure thorough resolution of fraud cases.
• Supervises the examination of employer records to ensure compliance, making necessary updates with proper documentation in accordance with federal Department of Labor guidelines.
• Oversees regular compliance checks to confirm adherence to laws and regulations.
• Supervises the compilation and preparation of case files for referral to the Office of the Attorney General, ensuring that all documentation is up-to-date and sent timely.
• Manages communications with employers to clarify compliance requirements, resolve issues, and provide support as needed.
• Responsible for managing the Benefit Collections Team and ensuring that all overpayment checks are processed, deposited, and reconciled in a timely manner.
• Coordinates with EOLWD Finance to ensure proper accounting, reconciliation, and resolution of any payment discrepancies.
• Oversees all benefit-related payments to and from the agency involving claimants and external entities.
• Coordinates with financial institutions and external stakeholders to ensure effective processes are in place, resolve payment discrepancies, and maintain compliance with applicable federal and state requirements.
• Provides leadership, supervision, and performance management for Program Integrity staff by monitoring employee productivity, quality, and compliance using reports, system queries, dashboards, and other performance metrics.
• Conducts regular performance reviews, prepares employee evaluations, provides coaching and developmental feedback, and addresses performance concerns in a timely manner.
• Manages employee relations issues, including addressing workplace conflicts and fostering a collaborative and professional work environment.
• Works closely with Human Resources and Labor Relations to ensure appropriate documentation, progressive discipline, and corrective actions are administered in accordance with agency policies, collective bargaining agreements, and applicable laws and regulations.
• Undertakes special projects assigned, including system and analytical tool testing, development and implementation of new investigative techniques, and participation in inter-departmental initiatives.
• Contributes to strategic efforts to enhance fraud detection and prevention, supporting the continuous improvement of the department's capabilities.

Benefits

• Outstanding suite of employee benefits that add to the overall value of your compensation package.
• Work experience that supports you, your loved ones, and your future.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager