Program Integrity Investigator II

Mass; Boston (MA); Hybrid; USD 67.000 - 96.000; Vollzeit

Benefits dieser Stelle

Hybrid work schedule

Zusammenfassung

Commonwealth of Massachusetts seeks an analytical Compliance Officer II to support the integrity of the PFML program. The role involves investigating potential fraud, analyzing data, and resolving complex issues to ensure accurate and equitable benefit administration.

You will review complaints, audit findings, and referrals, gather evidence, conduct interviews, and prepare findings and recommendations, collaborating with agency leadership and elected officials as needed.

Qualifikationen

• Knowledge of investigative procedures, compliance practices, and fraud detection techniques.
• Experience reviewing complex information, identifying discrepancies, and making sound recommendations.
• Knowledge of database structures, reporting tools, and data analysis techniques.
• Ability to interpret and apply laws, regulations, policies, and procedures.
• Ability to gather evidence, conduct interviews, analyze records, and document investigative findings.

Aufgaben

• Conduct investigations into potential fraud, eligibility discrepancies, and violations of PFML laws and regulations.
• Analyze data, reports, and cross-matched information to identify suspicious patterns and compliance concerns.
• Review complaints, audit findings, and referrals to determine investigative actions and resolutions.
• Gather evidence, conduct interviews, review records, and prepare investigative findings and recommendations.
• Monitor program compliance and resolve complex claimant and employer escalations.

Kenntnisse

Investigations

Data analysis

Fraud detection

Compliance practices

Ausbildung

Bachelor's degree or higher

Jobbeschreibung

Commonwealth of Massachusetts seeks an analytical Compliance Officer II to support the integrity of the PFML program. The role involves investigating potential fraud, analyzing data, and resolving complex issues to ensure accurate and equitable benefit administration.

You will review complaints, audit findings, and referrals, gather evidence, conduct interviews, and prepare findings and recommendations, collaborating with agency leadership and elected officials as needed.