Enhanced Analysis Team Lead

The Providencia Group•El Paso, TX

2d•Onsite

About The Position

The Enhanced Analysis Team Lead is a pivotal role focused in the timely identification and resolution of high risk fraud cases as well as enhancing the integrity of our services. This role will assist in overseeing a dedicated team responsible for managing case escalations related to safety and fraud instances, ensuring that cases are handled with the appropriate level of urgency and coordination. This supervision involves ensuring comprehensive investigations, straightforward communication with involved parties, our customer, law enforcement agencies, and other external stakeholders to mitigate fraud risks, ensuring effective resolution of critical cases and implementing effective reporting systems. Enhanched Analysis Lead will collaborate with internal departments and external stakeholders and assist in developing policies that align with the latest government regulations and best practices. The role demands a strategic thinker who can analyze complex information and make sound decisions which prioritize public safety and fraud prevention. Enhanched Analysis Lead will possess excellent leadership skills, facilitating training sessions and workshops which elevate the capabilities of their team. Additionally, this supervisory position will require adaptability in an ever-changing environment, as well as the ability to manage sensitive discussions with discretion and professionalism. By fostering a culture of accountability and transparency, the Enhanched Analysis Lead will play a critical role in safeguarding the integrity of our program and enhancing customer trust.

Requirements

Associate’s degree. In lieu of an associate’s degree a minimum of) three years (3) of confirmed relevant experience is required.
Bilingual in English and Spanish. (preferred)
Strong analytical skills with proficiency in data manipulation and analysis tools and techniques; strong organizational, technologies, problem solving skills.
Demonstrated ability to work with in cross functional teams, ensuring smooth coordination between regional, field, and external partners.
Exceptional communication skills, both verbal and written.
Demonstrated ability to work collaboratively in a team environment.
Knowledge of government regulations and compliance standards in safety and fraud management.
General Knowledge of safety and fraud prevention best practices and regulations.
Proven experience and high level of comfortability operating technology and learning new software applications quickly to complete required data entry tasks.
Ability to work independently and exercise a high level of confidentiality.
Available to work a flexible schedule, including nights and weekends.
Available to travel, as required.
Must possess strong computer skills in MS Office, including Excel, Word, Teams
Ability to type 45 wpm.
Complete a Drug Test.
Must be at least 21 years of age.
A valid U.S. Driver’s license.
Available to travel as necessary.
Must be a U.S. Citizen or Permanent Resident.
Child Abuse/Neglect Report (CAN) or child protective services check to the satisfaction of contract requirements.
Internal background check to the satisfaction of contract requirements.

Responsibilities

Oversee and lead the investigation and escalation process for high risk fraud cases in the program, ensuring that all cases are prioritized based on severity, in coordination with the Senior Lead, Project Manager, management staff and stakeholders to ensure effective interventions.
Work closely with Enhanced Analyst team members and partners and leverage internal and external data to conduct thorough investigations to identify potential fraud issues, patterns, and collaborate with partners to confirm and mitigate risks effectively.
Serve as a point of contact for the program, law enforcement, regulatory agencies, and other key external partners on escalated fraud cases.
Serve as the escalation point for researching and analyzing discrepancies, red flags, and/or possible indicators of fraud or abuse.
Conduct thorough assessments of escalated fraud cases, leveraging law enforcement/intelligence fusion experience to perform in depth data analysis, behavioral insights, and investigative techniques to identify the root causes and determine the best course of action.
Utilize fraud detection models and analytics to assess case severity and manage risk appropriately.
Perform audits of potential fraud activity and regularly review the effectiveness of fraud detection and case management processes to ensure they are functioning optimally by using analytics and case feedback to assess and refine detection operational strategies.
Assist in preparing and provide comprehensive fraud case status reports to executive leadership and management on a daily, weekly and monthly basis, collaborating closely with the Operations team, compliance, and internal/external stakeholders.
Assist in establishing and maintaining research and analysis protocols, including documentation and report templates.
Maintain detailed documentation of escalated cases, ensuring that all necessary actions and outcomes are recorded in line with company and customer policies and procedures.
Oversee database collection and tracking of historical cases, and identification of regional hot spots or groups of special interest.
Ensure that procedures are being followed, document audit findings, and notify management of any significant issues.
Assist Senior Lead in the development of policies and procedures for proactive fraud monitoring, document the current control process, and recommend enhancements.
Foster relationships across corporate departments and work closely with external stakeholders and the Operations team to support investigations and ensure that high risk cases are handled with the appropriate urgency.
Facilitate communication between teams to ensure alignment on case strategy and resolution.
Provide guidance and training to internal and external stakeholders on best practices for handling escalated fraud cases and ensure staff are equipped with the knowledge and resources necessary to effectively address complex fraud incidents.
Brief appropriate personnel on patterns, trends and leads developed through analysis to further investigations and communicates concerns to relevant stakeholders.
Under special circumstance Lead will assist Senior Lead in providing daily reports per contractual requirements.
Lead will assist in providing any reports regarding issues with the program to Senior Lead and Project Manager.
Ensure adherence to company and client policies and procedures.
Schedule staff, manage personnel performance, provide coaching and feedback to continually improve effectiveness.