Fraud Program Investigator

State of Maryland • Baltimore City, MD

7d • Hybrid

About The Position

This is the primary position for the Bureau of Investigative Services Unit (BIS) in the Office of the Inspector General (OIG). This position conducts reviews, examinations and investigations in order to objectively monitor, verify, and analyze allotment of State and federal funds disbursed through Department of Human Services (DHS). It is a key resource for ensuring department financial integrity with regard to preventing and investigating fraud and other misconduct against DHR. By protecting DHR programs that must be free of financial and other types of abuse, the position also contributes to ensuring DHR customers achieve independence. This assists the OIG’s mission to protect the integrity of the DHR and to detect, deter and reduce financial loss to the State.

Requirements

• Graduation from an accredited high school or possession of a high school equivalency certificate.
• Four years of administrative staff or professional work.
• Employees who are willing and able to travel statewide.
• Employees who are willing and able to perform fieldwork which includes home visits, in-person interviews, meetings, hearings, trials, and site visits at various locations.

Nice To Haves

• 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.

Responsibilities

• Conducts reviews, examinations and investigations to monitor, verify, and analyze State and federal funds disbursed through DHS.
• Analyzes and interprets program policies and procedures within DHR to assure payment accuracy and compliance with federal and state laws.
• Analyzes disbursements related to suspected fraud in programs administered by various agencies.
• Analyzes allegations of misconduct to assure misuse of State Funds and other resources is resolved.
• Reviews management referrals to improve timely resolution of fraud cases.
• Researches records and gathers/preserves documentary evidence.
• Reviews/verifies/analyzes the documentation of the reviewed entity.
• Performs 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.
• Interviews customers, employees, and contractors who may have knowledge of fraudulent eligibility practices and other activities.
• Conducts fieldwork including home visits, in-person interviews, meetings, hearings, trials, and site visits at various locations.

Benefits

• Health insurance
• Dental plans
• Vision plans
• Six (6) personnel days annually (prorated based on start date)
• Ten (10) days of accumulated annual leave per year
• Fifteen (15) days of accumulated sick leave per year
• Up to sixty (60) days of paid parental leave upon the birth or adoption of a child
• At least twelve (12) holidays per year
• Retirement pension

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED