Fraud & Compliance Analyst - Child Care

Socket.dev; Bonita (CA); Hybrid; USD 39,000 - 55,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Training & Development

Flexible Spending Account

Paid Holidays

Job summary

Child Development Associates, Inc. (CDA) is a community-based, multiservice nonprofit with 300+ employees.

The Program Integrity Analyst will initiate investigations and analyze suspected fraud in the Child Care Payment Program, gathering data, interviewing families and providers, and coordinating with partners to deter fraudulent activity. Responsibilities include site visits, documentation, reporting findings, and assisting in policy and training to safeguard program integrity.

Qualifications

• Bachelor degree in Child Development or related field.
• Three years' experience in an Alternative Payment Program or subsidized childcare.
• Knowledge of California Welfare and Institutions Code, Title 5 Regulations, and CDSS Bulletins.
• Strong organizational, investigative, and problem-solving abilities.
• Excellent verbal and written communication skills.
• Ability to work independently and maintain confidential information.
• Proficient data entry and daily computer applications.

Responsibilities

• Respond to program integrity concerns by gathering and evaluating case files, narratives, and related documents.
• Conduct parent/provider interviews to obtain statements and clarify eligibility and payment discrepancies.
• Coordinate with community partners to research and deter fraudulent activity.
• Conduct child care provider site visits with regulatory agencies and partners.
• Participate in parental appeals to support CDA’s position in cases of fraud.
• Research, review, and compile information linking activities to non-compliance or fraud.
• Document findings thoroughly and prepare final case summaries for decision making.
• Report findings to the Family and Provider Programs Administrator; refer cases to regulators as needed.
• Safeguard program integrity by running periodic reports and analyses.
• Educate employees on program integrity best practices and reporting processes.
• Maintain policies and procedures to address potential fraud in the Child Care Payment Program.
• Participate in trainings, meetings, and special projects.

Skills

Investigative skills

Math skills

Communication

Organizational skills

Data entry

Computer skills

Confidentiality

Education

Bachelor's degree

Tools

None

Job description

Child Development Associates, Inc. (CDA) is a community-based, multiservice nonprofit with 300+ employees.

The Program Integrity Analyst will initiate investigations and analyze suspected fraud in the Child Care Payment Program, gathering data, interviewing families and providers, and coordinating with partners to deter fraudulent activity. Responsibilities include site visits, documentation, reporting findings, and assisting in policy and training to safeguard program integrity.