Program Integrity Investigator

State of Indiana; Indianapolis (IN); Presencial; USD 48 000 - 59 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Health insurance

Pension plan options

Paid holidays

Education Reimbursement

Free Parking

Free LinkedIn Learning access

Resumo da oferta

The State of Indiana is seeking a Program Integrity Investigator for the IHCDA to help prevent fraud and ensure compliance across housing programs. The role involves reviewing escalated issues, investigating suspected fraud, and coordinating recoupment of funds while supporting program integrity education.

Qualified candidates will have strong communication, analytical abilities, and the drive to work independently in a collaborative, high-performing team environment.

Qualificações

• Bachelor’s degree preferred; or a minimum of 5 years’ relevant job experience.
• Preferred experience with insurance or medical claims review and investigation; compliance; fraud investigation; real estate; or financial assistance program administration.
• Proficient in basic computer skills, i.e. Microsoft Word, Excel, Internet usage (e‑mail).

Responsabilidades

• Review issues as escalated from Program Integrity and/ or IHCDA staff for review and evaluation for conformity with program goals and guidelines.
• Investigate reports of suspected fraud, waste, and abuse from IHCDA staff and internal/ external referrals.
• Manage and prioritize a caseload of assigned issues under review.
• Review each issue and all relevant information available via IHCDA systems including SALES FORCE, Submittable, DMS, and systems supporting other IHCDA programs; research county property records, and other sources of information including CLEAR and LexisNexis; and contact IHCDA staff, landlords, tenants, program partners, and others as needed to verify information surrounding the issue or referral.
• Produce a written summary of steps taken to investigate each issue reviewed, including the research conducted and findings and recommendations for the issue, program staff and external partners.
• After investigation, render an opinion that an issue is either compliant or non-compliant.
• Escalate non-compliant issues to Program Integrity Director for determination of whether any additional action is needed.
• Make ongoing recommendations on program processes to Program Integrity Director based on data gathered from issue review.
• Coordinate the recoupment of incorrectly paid funds and related payment corrections with IHCDA Accounting and program staff.
• Communicate with IHCDA staff, external partners, program beneficiaries and others as needed to recoup funds and ensure payment errors are corrected.

Conhecimentos

Verbal and written communication

Independent work

Proactive problem solving

Attention to detail

Logic and analytical thinking

Initiative

Leadership potential

Computer basics (Word, Excel, Email)

Formação académica

Bachelor’s degree preferred

Descrição da oferta de emprego

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Begin a fulfilling career with the State of Indiana by joining one of the largest employers in the state, offering a range of opportunities across 60+ agencies. At the state, you'll find competitive compensation, a robust benefits package and a commitment to work-life balance. Most importantly, you'll have the chance to make a real and measurable impact on the lives of Hoosiers across Indiana.

About the Indiana Housing and Community Development Authority (IHCDA):

The Indiana Housing and Community Development Authority (IHCDA) is a public body corporate and politic of the State of Indiana and is committed to serving the entire spectrum of housing, from homelessness to homeownership. Our mission is to advance opportunity, affordability, and stability in housing to ensure each and every Hoosier feels at home in their community.

Role Overview:

The IHCDA Program Integrity Department supports the mission of IHCDA by serving as a centralized reporting point for all reports of fraud, waste, and abuse. These reports may concern programs managed, administered, or supervised by IHCDA. Reports will come to the Program Integrity Officer from both inside and outside the Agency as well as anonymously through the Legal Help Desk. The Program Integrity Investigator will be assigned to investigate matters sent to program integrity via staff and partner interviews, Clear, Lexis, public records, online research and social media.

The Program Integrity Investigator may assist in tracking, reporting, research, and resolution of matters referred to Program Integrity and may also participate in new program design or program modification as requested by programmatic staff.

The Program Integrity Department and its members will also serve IHCDA and its partners by offering education on fraud, reporting fraud, and preventing fraud in program design.

The salary for this position traditionally starts at $53,200.00 but may be commensurate with education and work experience. Use our Compensation Calculator to view the total compensation package.

A Day in the Life:

The essential functions of this role are as follows:

• Review issues as escalated from Program Integrity and/ or IHCDA staff for review and evaluation for conformity with program goals and guidelines.
• Investigate reports of suspected fraud, waste, and abuse from IHCDA staff and internal/ external referrals.
• Manage and prioritize a caseload of assigned issues under review.
• Review each issue and all relevant information available via IHCDA systems including Sales Force, Submittable, DMS, and systems supporting other IHCDA programs; research county property records, and other sources of information including CLEAR and LexisNexis; and contact IHCDA staff, landlords, tenants, program partners, and others as needed to verify information surrounding the issue or referral.
• Produce a written summary of steps taken to investigate each issue reviewed, including the research conducted and findings and recommendations for the issue, program staff and external partners.
• After investigation, render an opinion that an issue is either compliant or non-compliant.
• Escalate non-compliant issues to Program Integrity Director for determination of whether any additional action is needed.
• Make ongoing recommendations on program processes to Program Integrity Director based on data gathered from issue review.
• Coordinate the recoupment of incorrectly paid funds and related payment corrections with IHCDA Accounting and program staff.
• Communicate with IHCDA staff, external partners, program beneficiaries and others as needed to recoup funds and ensure payment errors are corrected.

This position is exempt from overtime compensation for additional work hours which may be required to complete essential functions or other assigned work. Exempt employees may work more than 75 hours in a pay period without additional compensation and must report a minimum of 75 hours per pay period of work hours and/or paid leave taken to receive their base biweekly salary.

What You'll Need for Success:

Individuals in this role should minimally be able to articulate or demonstrate the following:

• Meet at least weekly with and provide a report to the Program Integrity Paralegal and Director to discuss caseload and identify unresolved issues, challenges, areas where assistance is needed, and areas for improvement.
• Attend and participate in relevant IHCDA staff meetings, events, and educational opportunities.
• Participate in continuous improvement events including huddles, rapid improvement events, process mapping of the ERA program, etc.
• Present additional opportunities for continuing fraud waste and abuse training to the Program Integrity Director for approval prior to attendance.
• Demonstrates effective verbal and written communication skills.
• Ability to be a leader within a high-performing team in a collaborative and results-oriented manner.
• Possesses skills, abilities, and desire to lead, develop, and empower peers.
• Demonstrates customer service orientation and drive to quickly resolve issues.
• Demonstrates a commitment to problem solving and a focus on being solutions oriented.
• Able to think logically and analytically.
• Able to work independently.
• Proactive in anticipating and alerting others to problems with projects or processes.
• High detail orientation and accuracy.
• Takes initiative and needs little supervision.
• Perform responsibilities efficiently and timely. Able to prioritize, organize tasks and time, and follow up.
• Able to work well in a team environment and as part of a team.
• Proficient in basic computer skills, i.e. Microsoft Word, Excel, Internet usage (e‑mail).
• Proficient in basic advanced mathematics.
• Bachelor’s degree preferred. Preferred in finance, business, public administration, public policy, planning, grant administration, or social work.
• Or a minimum of 5 years’ relevant job experience in the field of finance, business, public administration, public policy, grant administration, or social work.
• Preferred experience with insurance or medical claims review and investigation; compliance; fraud investigation; real estate; or financial assistance program administration.
• Able to perform essential functions with or without reasonable accommodation.
  

Supervisory Responsibilities/Direct Reports:

This role may be utilized in a supervisory capacity based on agency needs.

Benefits of Employment with the State of Indiana:

The State of Indiana offers a comprehensive benefit package for full-time employees which includes:

• Three (3) medical plan options (including RX coverage) as well as vision and dental plans
• Wellness Rewards Program: Complete wellness activities to earn gift card rewards
• Health savings account, which includes bi-weekly state contribution
• Deferred compensation 457(b)account (similar to401(k) plan) with employer match
• Two (2) fully-funded pension plan options
• A robust, comprehensive program of leave policies covering a variety of employee needs, including but not limited to:
  • 150 hours of paid New Parent Leave and up to eight weeks of paid Childbirth Recovery Leave for eligible mothers
  • Up to 15 hours of paid community service leave
• Combined 180 hours of paid vacation, personal, and sick leave time off
• 12 paid holidays, 14 on election years
• Education Reimbursement Program
• Group life insurance
• Employee assistance program that allows for covered behavioral health visits
• Qualified employer for the Public Service Loan Forgiveness Program
• Free Parkingfor most positions
• Free LinkedIn Learningaccess

The State of Indiana is an Equal Opportunity Employer and is committed to recruiting, selecting, developing, and promoting employees based on individual ability and job performance. Reasonable accommodations may be available to enable individuals with disabilities to complete the application and interview process as well as perform the essential functions of a role. If you require reasonable accommodations to complete this application, you can request assistance by contacting the Indiana State Personnel Department at [e-mail] .