Manager of Program Integrity

$81,827 - $105,000/Yr

DCS Corporation - Boston, MA

Full-time - Manager

Boston, MA

Merchant Wholesalers, Durable Goods

About the position

The Manager of Program Integrity plays a crucial role in maintaining the integrity of the unemployment insurance (UI) system by overseeing the investigation and resolution of fraudulent activities. This leadership position is responsible for guiding a team of investigators, ensuring compliance with relevant regulations, and enhancing the effectiveness of fraud detection and prevention measures. The role involves managing the agency's program integrity strategy and functions, ensuring that all operations align with federal and state laws.

Responsibilities

• Review and analyze UI claim data, employer records, and system transactions to detect inconsistencies and potential fraud.
• Ensure that advanced analytical tools and techniques are effectively utilized to recognize patterns and anomalies.
• Oversee the documentation of findings and the compilation of comprehensive reports on fraudulent activities.
• Prepare detailed reports for internal use and potential legal proceedings, ensuring accuracy and compliance with relevant laws, regulations, and policies.
• Ensure all investigative actions and recommendations comply with federal and state laws, as well as departmental policies.
• Stay updated on changes in legislation and best practices related to unemployment fraud.
• Flag suspicious employer accounts and fraudulent claims for further investigation.
• Coordinate with other departments and external agencies to resolve complex cases.
• Collaborate with legal teams, enforcement agencies, and other stakeholders to support investigations and ensure thorough resolution of fraud cases.
• Supervise the examination of employer records to ensure compliance, making necessary updates with proper documentation in accordance with federal Department of Labor guidelines.
• Oversee regular compliance checks to confirm adherence to laws and regulations.
• Supervise the compilation and preparation of case files for referral to the Office of the Attorney General, ensuring that all documentation is up-to-date and sent timely.
• Manage communications with employers to clarify compliance requirements, resolve issues, and provide support as needed.
• Undertake special projects as assigned, including system and analytical tool testing, development and implementation of new investigative techniques, and participation in inter-departmental initiatives.
• Contribute to strategic efforts to enhance fraud detection and prevention, supporting the continuous improvement of the department's capabilities.

Requirements

• Five years of full-time or equivalent part-time professional, administrative, supervisory, or managerial experience in business administration, public administration, or related fields.
• Ability to lead and direct staff in the accomplishment of agency priorities and goals.
• Ability to meet program deadlines and effectively resolve productivity issues.
• Ability to understand, apply, and interpret the provisions of laws, rules, regulations, and policies governing agency operations.
• Ability to utilize extensive call center and UI Online technology in managing operational decisions.
• Ability to develop staff capabilities.

Nice-to-haves

• Experience in supervising staff and managing teams.
• Familiarity with unemployment insurance systems and fraud detection techniques.

Benefits

• Comprehensive employee benefits package including health insurance, retirement plans, and paid time off.
• Potential for a hybrid work schedule.