PROGRAM MANAGER IV Director of Program Integrity

State of Maryland; Maryland; Hybrid; USD 135,000 - 170,000; Full time

Benefits offered by this job

Hybrid teleworking

Paid holidays

Generous leave package

State Pension

Retirement savings plans (401(k), 457)

Health, dental, prescription plans

Flexible Spending Account

Credit Union

Job summary

Maryland Department of Labor, Licensing and Regulation is seeking a Director of Program Integrity to lead the fraud prevention program for FAMLI, ensuring solvency of the Trust Fund. The role emphasizes data analytics, cross-functional coordination, and policy design to strengthen internal controls.

The successful candidate will oversee strategic planning, investigations, and enforcement, while engaging with stakeholders and partners to identify vulnerabilities and protect public resources.

Qualifications

• Seven years of progressively responsible experience in fraud prevention, fraud risk management, data analysis, or a related field.
• Experience includes at least three years supervising others and leading teams.
• Strong analytical skills with experience in data visualization platforms.

Responsibilities

• Establish and oversee the Program Integrity directorate, including staffing, policies, processes, procurement of digital tools, and collaboration with other directorates.
• Supervise a team of data analysts, investigators, and other integrity professionals to detect and prevent fraud.
• Develop data analytics workflows, systems, tools, and procedures to identify, prevent, and investigate fraudulent activity.
• Maintain a repository of fraud bad actors and coordinate identified fraud risks with other lists and government entities.
• Oversee fraud investigations and enforcement activities.
• Continuously improve outcomes by updating knowledge of regulations and best practices.
• Implement new techniques to stay ahead of the evolving fraud landscape.

Skills

Fraud prevention

Data analytics

Team leadership

Fraud detection tools

Data visualization

Identity proofing

Cybersecurity tools

Education

Bachelor's degree in Business/Public Administration/Management, Statistics, Data Science, Finance, or related field

Tools

Fraud detection tools

Identity proofing

Data analytics platforms

Cybersecurity tools

Job description

Introduction

Maryland’s Family and Medical Leave Insurance (FAMLI) program is one of Maryland’s most significant new public benefit programs, providing workers with the financial security to care for themselves and their loved ones during life’s most important moments. We’re building something that will serve millions of Marylanders for years to come – and we’re looking for passionate, innovative people who want to help shape its future. If you’re energized by solving complex problems, collaborating with talented colleagues, and making a lasting public impact, we’d love to have you on our team. FAMLI is seeking a Director of Program Integrity to lead the program’s fraud prevention efforts and safeguard the FAMLI Trust Fund. As state benefit programs across the country are increasingly targeted by sophisticated, international criminal elements, FAMLI’s Program Integrity team will be on the front lines of protecting this critical program’s financial health and sustainability. We need a leader with strong data analytical skills to detect claim anomalies and identify fictitious employers to prevent claim payments from ending up in the hands of malicious actors. The ideal candidate will have knowledge of fraud prevention best practices from across the public and private sectors who is up for the challenge of building an innovative and effective fraud prevention operation from the ground up. If you’re passionate about making a meaningful impact and are eager to join a government team that moves at the speed of a startup, this may be the career-defining job you’ve been looking for.

GRADE

Grade 22

LOCATION OF POSITION

100 S. Charles Street
Baltimore, MD 21201

Main Purpose of Job

The Director of Program Integrity is responsible for leading Maryland’s Family and Medical Leave Insurance (FAMLI) program’s efforts to prevent, detect, investigate, and correct fraud, waste, and abuse across the program, and ensure the solvency and integrity of the Trust Fund. This position oversees strategic planning, data analytics, and cross-functional coordination as it relates to fraud prevention activity to ensure compliance with State and federal regulations, and protect public resources. The Director will design policies to strengthen internal controls, lead data analysis and investigations, and collaborate with legal, IT, operations and enforcement partners to support accountability and program excellence. Additionally, the Director will engage with stakeholders across the Department, the State, and external partners (such as financial institutions and other states) to identify systemic vulnerabilities and strengthen cross-boundary fraud protections. By proactively implementing effective fraud prevention measures, the Director of Program Integrity plays a crucial role in protecting and supporting the FAMLI program’s long-term financial security, ensuring that Marylanders can continue to benefit from paid leave. The Director is responsible for budget, staffing, and resource planning, including establishing program integrity units focused on data and trend analysis, and investigations and enforcement.

POSITION DUTIES

• Establish and oversee the Program Integrity directorate, including staffing, policies, processes, procurement of digital tools, and collaborative work with other directorates within FAMLI.
• Supervise a team of Program Integrity data analysts, investigators, and other integrity professionals who analyze data and trends to detect and catch fraud attempts before they occur.
• Develop data analytics workflows, systems, tools, and procedures to identify, prevent, and investigate ongoing fraudulent activity.
• Maintain a repository of fraud bad actors and coordinate identified fraud risks with other known bad actor lists and government entities.
• Oversee fraud investigations and enforcement activities.
• Continuously improve outcomes by updating knowledge of regulations, laws, and best practices related to fraud prevention.
• Implement new techniques and strategies to stay in front of the ever changing fraud landscape.

MINIMUM QUALIFICATIONS

• Possession of a Bachelor’s degree from an accredited college or university in Business Management, Public Administration/Management, Statistics, Mathematics, Data Science, Finance, Accounting, Criminal Justice, Computer Science or other related degree.

Experience

• Seven (7) years of progressively responsible experience in fraud prevention, fraud risk management, data analysis, or a related field, including at least three (3) years supervising others.
• Strong analytical skills with experience in data visualization platforms.
• Expertise in using fraud detection tools, identity proofing and identity verification systems, and data analytics platforms.
• Knowledge of fraud schemes, including synthetic identities, phishing, and cyberthreats.

Desired or Preferred Qualifications

• Direct experience with fraud analytics, cybersecurity, digital identity management.
• Experience researching, evaluating, choosing, and implementing technology solutions, especially with respect to fraud detection tools, identity proofing and identity verification systems, data analytics platforms.
• Possession of Certified Fraud Examiner (CFE) or comparable certification.
• Experience managing or executing complex data analytics, extracting and manipulating data.

Special Requirements

All candidates are subject to a background check against files maintained by the Division of Unemployment Insurance (Labor/DUI) to determine whether any monies are owed to Labor/DUI as a result of unemployment insurance overpayment/fraud. Any unpaid debt may have an impact on whether or not a candidate is offered employment.

EXAMINATION PROCESS

The assessment may consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application.

Benefits

This is a full-time, permanent position and eligible for full State benefits, which include:

• Flexible hours and hybrid teleworking
• Paid holidays 12-13 per year
• Generous paid leave package (annual, sick, personal and compensatory leave)
• State Pension ("defined benefit" plan)
• Tax-deferred supplemental retirement savings plans (401(k) and 457)
• Comprehensive, subsidized health, dental and prescription plans with little to no deductibles, free generic prescriptions, and free preventative health services
• Flexible Spending Account plans for Health Care and Daycare
• State Employees Credit Union

Maryland Department of Labor, Licensing and Regulation is an equal opportunity employer. It is the policy of MD Labor that all persons have equal opportunity and access to employment opportunities, services, and facilities without regard to race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability or veteran status.