Program Integrity Analyst

Child Development Associates•Bonita, CA

7d•Hybrid

About The Position

Under the general supervision of the Family and Provider Programs Administrator, the Program Integrity Analyst will initiate investigations and conduct analysis to determine suspected fraud and abuse in the Child Care Payment Program (CCPP).

Requirements

Bachelor degree in Child Development, Human Services or related field
A minimum of three years’ experience in an Alternative Payment Program or other subsidized childcare program.
Demonstrated knowledge and understanding of the California Welfare and Institutions Code, Title 5 Regulations, Alternative Payment Funding Terms and Conditions, and CDSS Childcare Bulletins.
Ability to interpret CDA’s contractual requirements, policies, and procedures and apply this knowledge to determine compliance.
Strong organizational skills
Excellent investigative and problem-solving abilities
Strong math and reasoning skills.
Ability to prioritize workload, work under pressure, and meet strict deadlines.
Ability to compose objective, clear, and thorough reports and correspondence.
Strong verbal and written communication skills, including proficient proofreading, spelling, and grammar skills.
Excellent interpersonal skills with the ability to handle information discreetly.
Must be able to work independently and maintain confidential information.
Use computer applications proficiently on a daily basis.
Proficient experience in data entry.
This may include operating adding machines, calculators, copy and fax machines, telephones, and file cabinets in a safe manner.

Responsibilities

Respond to program integrity concerns by gathering and evaluating family and provider case files, narratives and other documents related to issues of concern.
Conduct parent and/or provider interviews to obtain statements or clarity regarding eligibly, need or payment discrepancies.
Contribute to the coordination efforts with community partners to research and deter potentially fraudulent activity.
Conduct child care provider site visits in conjunction with other regulatory agencies and community partners.
Participate in parental appeals to support CDA’s position in any terminations due to founded or suspected fraud.
Research, review, and compile information, linking variables and suspected acts of non-compliance and/or scams to defraud the program.
Organize findings accurately and concisely; thoroughly document steps taken throughout the course of the examination process; prepare a final summary of the case for decision-making purposes.
Report findings to the Family and Provider Programs Administrator; compose correspondence, reports and referral summary letter; refer cases to regulatory agencies, as instructed.
Safeguard program integrity by running a variety of periodic reports and perform analysis as necessary.
Contribute to educating employees on program integrity matters, best practices for identifying inconsistencies, and the process for reporting suspicious activity.
Contribute to the maintenance of polices and procedures to identify and address situations of potential fraud on the Child Care Payment Program.
Participate in on-site and off-site learning opportunities such as workshops, conferences, staff meetings and trainings; coordinate and arrange for special meetings, when required.
Perform other duties as assigned; support ongoing and special projects, audits, and reports, as needed.

Benefits

Medical | Dental | Vision - 80% paid by the employer in the first year, and 100% thereafter
Ongoing Training and Staff Development opportunities
Flexible Spending Account
Legal Service Plans Available
Paid Holidays, Sick Pay, and Vacation Time
Additional Vacation Days – Earn up to 5 bonus days after 3 years, and up to 15 bonus days after 10 years.
Long-Term Disability
Group and Voluntary Life Insurance Plan
Annual Employer Contribution Plan and Employee 401(k) Contribution
Employee Assistance Program