Program Fraud Investigator | Maryland Department of Human Services

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Program Fraud Investigator

Department DHS – Office of the Secretary

Filing Deadline 4/29/2025 11:59:00 PM

Employment Type Full-Time

Work Location Baltimore City

Main Purpose of Job

This is the primary position for the Bureau of Investigative Services Unit (BIS) in the Office of the Inspector General (OIG). This position conducts reviews, examinations and investigations in order to objectively monitor, verify, and analyze allotment of State and federal funds disbursed through Department of Human Resources (DHR). It is a key resource for ensuring department financial integrity with regard to preventing and investigating fraud and other misconduct against DHR. By protecting DHR programs that must be free of financial and other types of abuse, the position also contributes to ensuring DHR customers achieve independence. This assists the OIG’s mission to protect the integrity of the DHR and to detect, deter and reduce financial loss to the State.

POSITION DUTIES

Develop an investigative work plan in order to conduct reviews, examinations, and investigations.
Receive cases of suspected fraud in programs such as, but not limited to (Child Care Subsidy (CCS) Temporary Assistance to Needy Families (TANF), Supplemental Nutritional Assistance Program (SNAP) Medical Assistance (MA) Child Support (CS) Foster Care (FC) Public Assistance to Adults (PAA) Office of Home Energy Program (OHEP) Welfare Avoidance Grants (WAGs) Energy Assistance (EA).
Analyze and interpret program policies and procedures within DHR to assure payment accuracy, and compliance with appropriate federal and state laws.
Analyze disbursements related to suspected fraud, including, but not limited to programs administered by Family Investment Administration (FIA), Child Support Enforcement Agency (CSEA), Social Services Administration (SSA), Maryland State Department of Education (MSDE) and the Department of Health and Mental Hygiene (DHMH).
Research records, and gather/preserve documentary evidence. Review, verify, and analyze the documentation of the reviewed entity.
Perform quality control evaluations reviews/examinations/investigations by conducting on-site field interviews of complainants, witnesses, representatives of businesses, State, federal, and county government, and professionals from legal, medical, and financial institutions.
Interview customers, employees, and contractors who may have knowledge of fraudulent eligibility practices and other activities.

It is expected that the employee will attend all staff training sessions and meetings, regardless of their location in the state.

MINIMUM QUALIFICATIONS

Education: Graduation from an accredited high school or possession of a high school equivalency certificate.

Experience: Four years of administrative staff or professional work.

Notes:

Candidates may substitute 30 college credit hours from an accredited college or university for each year up to four years of the required experience.
Candidates may substitute the possession of a Bachelor’s degree from an accredited college or university for the required experience.
Candidates may substitute the possession of a Master’s degree from an accredited college or university for the required experience.
Candidates may substitute U.S. Armed Forces military service experience as a commissioned officer involving staff work related to the administration of rules, regulations, policy, procedures and processes, or overseeing or coordinating unit operations or functioning as a staff assistant to a higher ranking commissioned officer on a year-for- year basis for the required experience.

DESIRED OR PREFERRED QUALIFICATIONS

The ideal candidate will possess:

One year of investigatory experience in any of the following areas: Public assistance, child welfare, social service to adults, child support, law enforcement, criminal law and/or fraud investigations.
One year of experience writing investigative reports.
One year of experience using Microsoft Office Suite Word Suite computer software such as Word, Excel, or PowerPoint

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