Program Integrity Specialist

County of Mecklenburg, NC•Charlotte, NC

1d•Onsite

About The Position

Conduct investigations relating to public assistance fraud; verify eligibility; and prepare evidence relevant to the prosecution of fraudulent acts. This position, under general supervision, is responsible for collecting data, visiting and interviewing claimants, and apply all Department of Social Services policies and North Carolina's Social Services laws and regulations. The Mecklenburg County Department of Child, Family, & Adult Services (CFAS) strives to strengthen families and communities through a safety-net of services, collaborations, and hope. Our vision is to define and cultivate an organizational culture that is more compassionate and understanding toward each other and our clients. The Operations, Strategy & Innovation (OSI) division of CFAS leads the pursuit of more efficient and effective services and helps DSS achieve its strategic vision. We keep the wheels turning day to day, from budget and quality control to resource management and staff development. OSI helps the department decide where it’s heading and how to get there with data informed decision making. We are an innovative and creative team striving towards improving services, identifying best practices, and promoting a positive work culture where staff feel valued and empowered, at every level, to drive meaningful change for each other and the community.

Requirements

Minimum of two years of intake, case management and/or investigative experience.
Bachelor’s degree in human services, criminal justice or a related field.
Ability to obtain Certified Welfare Fraud Investigator Certification within three years of hire.
May require a valid North Carolina or South Carolina Driver's License
Knowledge of Techniques, procedures and sources used in conducting investigations
Knowledge of Interviewing and Interrogation techniques
Knowledge of Current Federal, State and local social services policies, procedures and eligibility guidelines for Food Nutrition, Work First, Medicaid, Child Care, and Transportation
Knowledge of Current Federal, State and local social services Fraud policy and procedures
Skills Obtaining information through interview, interrogation and observation
Skills Applying program policy knowledge to accurately determine fraud claims for Food and Nutrition, Medicaid, Work First, Child Care, Transportation, and Adult Medicaid cases
Skills Observing situations analytically and objectively
Skills Interpersonal communication skills
Abilities Building Trust: Interacting with others in a way that gives them confidence in one’s intentions and those of the organization
Abilities Collaboration: Working effectively and cooperatively with others; establishing and maintaining good working relationships
Abilities Communication: Clearly conveying information and ideas through a variety of media to individuals or groups in a manner that engages the audience and helps them understand and retain the information provided
Abilities Decision Making: Identifying and understanding issues, problem and opportunities; comparing data from different sources to draw conclusions; using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probably consequences
Abilities Engagement Readiness: Demonstrating a willingness to commit to one’s work and to invest one’s time, talent, and best efforts in accomplishing organizational goals
Abilities Information Monitoring: Setting up ongoing procedures to collect and review information needed to manage an organization or ongoing activities within it
Abilities Safety Awareness: Identifying and correcting conditions that affect employee safety; upholding safety standards
Intermediate in various computer applications including Microsoft Office Suite

Nice To Haves

Previous program integrity experience
NCFAST experience
Previous Food and Nutrition policy experience
5 years of intake, case management and/or investigative experience with public assistance benefits

Responsibilities

Investigate acts of welfare fraud
Evaluate and establish fraud claims in all DSS programs
Collect data and research from state systems, social media sites and other private databases
Complete home visits and maintain a presence in the community
Build and maintain relationships with other organizations within the community (CCRI, Section 8, Charlotte Housing Authority, Charlotte Mecklenburg Police, Probation/Parole and Crisis Assistance)
Monitor social media sites for misuse of government benefits
Apply Fraud policy to fraudulent cases and calculate overpayments using fraud budgeting policy.
Work directly with clients, employers and other third-party sources to obtain relevant information for case write-ups
Work directly with Assistance District Attorney on the prosecution of egregious cases of welfare fraud
Prepare cases for prosecution and issue warrants for arrest
Maintain a level of professionalism and have ability to testify in criminal and civil court proceedings
Investigate cases of missing Work First checks and Food Nutrition benefits
May be required to staff shelters in the event of a disaster