Program Integrity Investigator-162010,162126

About the Department

This position is designed for an experienced Community Support Case Manager who is highly skilled in the accurate and timely issuance of all programmatic benefits. Investigators work in both an independent and team-oriented atmosphere while utilizing strong behavioral, analytical, communication, and customer service skills to investigate allegations of possible program eligibility abuse and fraud, apply findings to public assistance cases, and determine intentional program violations. They will provide clear and concise reports documenting findings coupled with the communication skills necessary to testify in Adams County Administrative Hearings and Civil Court. Investigators are expected to remain highly proficient with all current and future program policy requirements, as well as in the use of analysis tools, including Microsoft Excel, Access, and other databases, and computer systems.

Position Duties

Minimum Qualifications

Knowledge Of:

• Eligibility rules and regulations for all assistance programs including:
  1. Adult Financial
  2. Colorado Works
  3. Food Assistance
  4. Medical Assistance
• Case processing policies and procedures.
• Office and internal policies and procedures.

• Basic methods utilized in investigating.
• Techniques used to obtain pertinent information during an interview.
• Strong knowledge of computers coupled with the ability to learn and utilize a variety of new programs to gather information. 

Ability to:

• Conduct thorough and professional interviews through a customer service lens.
• Research past client history and current program eligibility to determine if a violation is present. If the information gathered points toward a violation; provide all documentation to support your case so that it may be used in an Administrative Hearing and/or Civil court.
• Research and interpret rule to apply to a variety of complex situations and timeframes.
• Apply basic math and read, interpret, and apply manual regulations.
• Communicate clearly and concisely, both verbally and in writing.
• Write complete, clear, detailed, and concise reports.
• Work quickly and accurately, with minimal supervision, to complete time-sensitive tasks.
• Develop and maintain positive working relationships with those contacted during work.
• Differentiate between relevant and non-relevant information when making eligibility decisions, creating claims, and determining intentional program violation.
• Input data accurately and detect errors/make corrections.
• Maintain objectivity and confidentiality.
• Work effectively and positively with individuals of diverse cultural and socioeconomic backgrounds and educationally diverse populations.
• Personally commit to champion the County's norms and values as an individual and professional commitment to design facilitations for others that reinforce the County's cultural expectations.

Other Qualifications

Experience:

• At least two (2) years of experience determining eligibility for multiple programs is required
• Experience as a Community Support Case Manager II/III with consistently high case productivity and accuracy rates is preferred.
• Working experience and knowledge of all programs – Adult Financial, Colorado Works, Food Assistance, Medical Assistance, LTC is preferred but not required.
  1. There is an expectation to learn all programs once hired.

Education and Training:

• High school diploma or GED equivalent required.
• Additional analytical, statistical, or other related higher education is preferred.
• Bilingual in English/Spanish is preferred.

License or Certificate: None.

Background Check: Must pass a criminal background check.

Other:

• Ability to work in a standard office environment.
• Ability to utilize personal vehicle or other mode of transportation to conduct field investigations as needed.