Fraud Investigator 1-2

State of Louisiana; New Orleans (LA); Presencial; USD 29 000 - 31 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

SER eligibility

Premium pay up to $2.00/hr

Resumo da oferta

The Louisiana Department of Health seeks a Fraud Investigator to examine allegations of SNAP fraud, conduct investigations, interviews, and field visits, and help recover improper payments in Orleans Parish.

You will analyze employment, household, and financial information, prepare referrals, and provide testimony when required, ensuring program integrity while upholding ethics and state regulations.

Qualificações

• Four years of experience in social services; OR
• Six years of full-time work experience in any field plus one year of experience in social services; OR
• A bachelor's degree plus one year of experience in social services; OR
• A bachelor’s degree in social work or a master's degree in a social services field or education.
• EXPERIENCE SUBSTITUTION - 30 semester hours = 1 year up to 120 semester hours total.

Responsabilidades

• Receives and reviews allegations of potential SNAP fraud, trafficking, misuse, waste, or abuse.
• Conducts investigations to determine whether SNAP benefits were improperly issued or overpaid.
• Gathers, verifies, and analyzes employment, household, financial, and other relevant information to identify potential program violations.
• Conducts interviews, field visits, and other investigative activities with SNAP participants, employers, and community members.
• Prepares and processes administrative claims or criminal referrals based on investigation findings.
• Appears in court and provides testimony or investigative documentation as required.
• Documents investigation findings and identifies trends or issues to support program integrity, recover ineligible payments, and prevent future SNAP fraud.

Conhecimentos

Policies & procedures

Judgment

Critical thinking

Direction

Decisiveness

Ethics & integrity

Driving results

Problem solving

Data use

Formação académica

Bachelor's degree in social work

Master's degree in social services

Social services degree substitution rules

Descrição da oferta de emprego

The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana.

Learn more about Louisiana Department of Health

Protect program integrity and help ensure SNAP benefits reach eligible households! As a Fraud Investigator, you’ll investigate allegations of fraud, waste, and abuse, analyze case information, conduct interviews and field visits, and help recover ineligible payments. Your work will promote accountability, strengthen public trust, and support compliance with state and federal SNAP requirements. If you’re analytical, investigative, and motivated by making a meaningful difference, we encourage you to apply!

An ideal candidate should possess the following competencies:

• Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies.
• Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning.
• Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions.
• Accepting Direction: The ability to be open and willing to follow guidance or instructions.
• Acting Decisively: The ability to make timely, confident decisions using sound reason.
• Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity and honesty, regardless of circumstances or personal benefit.
• Driving Results: The ability to set and pursue goals, maintain focus amid competing demands, and deliver results.
• Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges.
• Using Data: The ability to collect, analyze, and use data to generate insights and inform decisions.

Experience Requirements

• Four years of experience in social services; OR
• Six years of full-time work experience in any field plus one year of experience in social services; OR
• A bachelor's degree plus one year of experience in social services; OR
• A bachelor’s degree in social work or a master's degree in a social services field or education.
• EXPERIENCE SUBSTITUTION
• Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field.

Job Duties

• Receives and reviews allegations of potential SNAP fraud, trafficking, misuse, waste, or abuse.
• Conducts investigations to determine whether SNAP benefits were improperly issued or overpaid.
• Gathers, verifies, and analyzes employment, household, financial, and other relevant information to identify potential program violations.
• Conducts interviews, field visits, and other investigative activities with SNAP participants, employers, and community members.
• Prepares and processes administrative claims or criminal referrals based on investigation findings.
• Appears in court and provides testimony or investigative documentation as required.
• Documents investigation findings and identifies trends or issues to support program integrity, recover ineligible payments, and prevent future SNAP fraud.

Position-Specific Details

Location: Medical Vendor Administration / FS Fraud and Recovery / Orleans Parish

Appointment Type: This position may be filled as a Probationary appointment or Job appointment

Cost Center: 3052130100

Position Number(s): 50688868

Career Progression: This position may be filled as a Fraud Investigator 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

Compensation: This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity.
Fraud Investigator 1 - $21.27 hr / $1,701.60 bi-weekly
Fraud Investigator 2 - $22.76 hr / $1,820.80 bi-weekly

Contact Information

Shambrielle Pooler

[e-mail]

LA Department of Health (LDH)

Division of Human Resources

PO Box 4818

Baton Rouge, LA 70821

225-342-6477

This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218.

LDH supports Louisiana’s commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities.

Information on the Louisiana Works, Louisiana Rehabilitation Services is available here.

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non‑merit factor.