Regional Manager

Department of Public Safety•Grand Prairie, TX

4d•Onsite

About The Position

The Office of Inspector General (OIG) Benefits Program Integrity (BPI) Manager V reports to the BPI Regional Director. The BPI Manager V Performs advanced (senior-level) managerial work administering the daily operations and activities of a BPI field and claims investigations unit within a large geographic, multi-county area, including investigations of recipient fraud referred for administrative hearings and criminal prosecutions involving recipients of HHS programmatic services, such as Medicaid; the Children’s Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children’s (WIC) program. The position establishes unit goals and objectives and plans, develops, implements, monitors, and instructs BPI Investigators in all aspects of BPI and OIG business processes. The Manager V is responsible for guiding and training unit members in all facets of BPI investigations, including laws, regulations, agency policies, and professional standards. The position oversees the professional development of unit staff; establishes unit-level goals and objectives; develops schedules, priorities, and standards for achieving performance targets and standards; manages, plans, and assigns activities and supervises the work of unit leads and employees; and monitors work to promote quality and accountability. Oversees the allocation of resources to achieve timely outcomes and measurable goals; monitors and evaluates the effectiveness and efficiency of staffing levels; and makes adjustments as needed. Work includes reading cases; conducting unit-level quality assurance activities; researching, evaluating, and analyzing program operations; developing and implementing action plans; and overseeing the compilation of investigative case data for division, executive, and legislative reports or studies. The Manager V develops and evaluates budget requests and monitors budget expenditures for the unit. The Manager V serves as a liaison between the unit and BPI leadership across the state, communicating unit challenges, strengths, and needs to the BPI Director and Deputy and communicating information from OIG and BPI leadership to unit staff. The Manager V develops strong relationships with both internal and external partners, including local District Attorneys’ Offices; coordinates responses to legislative and other governmental inquiries; and assists with special projects. The position may be required to conduct field investigations, present evidence, and testify at both HHS administrative hearings and criminal proceedings. Works under limited supervision, with extensive latitude for the use of initiative and independent judgment in oversight of investigative functions and considerable latitude for the use of independent judgment in the management of division operations.

Requirements

Graduation from an accredited four-year college or university.
One year of Texas Health and Human Service OIG Lead Investigator experience or five years of managerial experience.
Knowledge of office management and HHS administrative procedures, including Human Resources processes.
Knowledge of principles and practices of public administration and management.
Knowledge of strategic planning processes, including setting goals, objectives, and strategies and measuring performance.
Knowledge of state and federal laws, regulations, and policies related to health and human services.
Knowledge of the OIG operating procedures as well as the OIG’s enabling legislation.
Knowledge of HHS social services programs and eligibility requirements.
Knowledge of investigative principles, techniques, and procedures.
Knowledge of administrative hearing and court procedures, practices, and rules of evidence.
Experience in applying HHS social services program eligibility requirements to recipient investigations.
Experience in using automated systems for documentation, research, and tracking.
Skill in planning, implementing, and coordinating priorities within deadlines or system milestones.
Skills in leadership and team management.
Skill in decision making and sound judgment.
Skill in performance monitoring and quality assurance.
Skill in collecting and analyzing complex data, evaluating information, drawing logical conclusions, and presenting complex concepts and information in concise reports.
Skill in communicating effectively both orally and in writing.
Skill in conducting investigative interviews and interrogations, both remotely and in person.
Skill in conducting legal research and analysis.
Skill in the use of computer/laptop equipment and applicable software applications.
Skill in using the Automated System for the Office of Inspector General (ASOIG).
Skill in finding applicable resources across agency systems.
Skill in performing sophisticated budget calculations and using mathematical formulas.
Skill in handling multiple competing priorities and meeting deadlines.
Skill in using Excel and other Office Suite software applications to analyze data and produce complex reports.
Skill in conducting quality assurance activities and identifying trends that indicate a need for policy or process improvements or additional training.
Ability to plan, assign, and supervise the work of others.
Ability to lead and motivate a team while fostering accountability and professionalism.
Ability to communicate effectively with employees, leadership, and external partners.
Ability to analyze performance data and develop improvement strategies.
Ability to effectively allocate resources.
Ability to manage program activities, organize workloads, and set priorities and mentor others on these processes.
Ability to establish goals and objectives.
Ability to establish and maintain effective working relationships with others.
Ability to interpret and apply laws and regulations.
Ability to develop, implement, and evaluate policies, procedures, program goals and objectives.
Ability to manage the activities of an administrative and criminal investigation program.
Ability to apply agency policies and guidelines and determine employee or recipient compliance.
Ability to devise solutions to administrative problems.
Ability to use facts to prepare high-quality investigative reports for administrative hearings and criminal prosecution with strong attention to detail that clearly demonstrate how the evidence gathered proves that fraud occurred.
Ability to provide factual and convincing testimony in hearings or court proceedings.
Ability to develop training materials and instruct and train others.
Current, Valid Driver’s License Required

Nice To Haves

Experience managing an investigative team is preferred.

Responsibilities

Manages the daily operations and activities of a BPI field and claims investigation unit lead and staff.
Selects, manages, and develops staff through coaching and counseling, mentoring, training, and performance reviews.
Provides guidance to investigators on investigative techniques, policy interpretation and case development.
Adjusts unit processes to accommodate a complex and high-volume workload.
Establishes unit goals, guidelines, and processes and monitors completion.
Plans, assigns, organizes, evaluates and prioritizes unit workload and scheduling to meet deadlines and performance goals.
Coordinates unit processes with other division managers across the state to promote consistency and alignment.
Provides mentorship to other BPI managers.
Monitors team performance using established metrics and implement strategies to improve productivity, quality and timeliness.
Reviews and approves fraud investigation reports to ensure that investigative findings are clearly supported by evidence, that overpayments are calculated correctly, that investigative reports and case files are documented and compiled in accordance with BPI policies and procedures, and that cases presented for hearing or prosecution represent high-quality work products.
Identifies trends and areas of needed change, establishes solutions and recommends process improvement.
Represents OIG in workgroups, meetings, trials, or committees.
Consults with federal and state agencies, law enforcement groups, and public advocacy groups to resolve issues or concerns with investigation activities and/or fraud, waste, and abuse within HHS programs.
Supports organizational initiatives, policy implementations and continuous improvement efforts.
Coordinates with agency leadership statewide to promote consistency in investigative activities and practices.
Collaborates with BPI Deputy, Directors, and Research, Analysis, Policy, and Training team to institute improvements to BPI policies, procedures, and training.
Oversees the preparation of BPI management and productivity reports and studies, including state and federally mandated reports.
Oversees special investigations, research studies, and projects to support the enhancement of OIG operations.
Manages unit budget and purchasing.
Oversees studies and analysis of Health and Human Services (HHS) operations, policy, and automation systems with regard to the prevention of fraud, waste, and abuse and makes recommendations for appropriate changes.
Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.