Department Program Auditor

J  o  b    D  e  s  c  r  i  p  t  i  o  n

Job Information

Title:

Department Program Auditor

Market Range:

MR15

Approved Date:

3/24/2021 5:16:22 PM

FLSA:

Non-Exempt

EEO Code:

PROFESSIONALS

Career Level:

P2

Career Level Description:

Professional Level 2

Job Code:

100197

Job Family:

Legal and Compliance

Sub Family:

Compliance

Primary Purpose

Conduct investigations of suspected fraud, over issuance and overpayments in the area of Economic Services Programs (Food and Nutrition Services, Medicaid, Work First, Child Care Subsidy, and Emergency Assistance Programs).  Responsible for ensuring integrity of program benefits by calculating overpayments, recommending disqualification hearings, initiating action to prosecute individuals, and negotiating voluntary repayment agreements.

•

Reconstruct cases by examination of agency records, budgets, on-line verification, contacting federal, state, local and third party sources as well as interviewing citizens.  Perform in-depth assessments by gathering and documenting information, negotiating, analyzing and or evaluating data necessary to substantiate or unsubstantiate allegations.  

1

50%

•

Manage work load to ensure timelines standards are met per federal, state, and county guidelines.

2

10%

•

Input and update claims data in NC Fast and Lotus Notes Database.

3

20%

•

Establishes and negotiate repayment agreements and address payment concerns and issues. 

4

20%

Position(s) may perform other duties in addition to the above as assigned by management.

•

Respond to administrative follow up with District Attorney, Legal aid, Defendant's Attorney, County staff and citizens. 

•

Complete daysheets, timesheets, and mandatory trainings.

•

Keep abreast of economics services policies and procedures. 

•

Explain policies to the citizens in a manner that can be easily and clearly understood. 

•

Assist and adhere to other duties as assigned.

•

Submit, prepare, participate in local and state hearings.

*IMPORTANT* In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.

Career Level Dimensions

Career Level:

P2

Career Level Description:

Professional Level 2

•

Works independently on projects/assignments that impact Work Group results.

•

Work is generally supervised and involves periodic process checks.

•

Responsible for making adjustments or recommended enhancements in systems and processes to solve problems or improve effectiveness of the Work Group.

•

Typically communicates within or outside the Work Group to provide information requiring some explanation or interpretation to reach agreement.

•

May provide guidance and assistance to entry level professionals or support staff.

•

Requires practical knowledge of the Work Group typically obtained through advanced education combined with experience.

Qualifications

•

Bachelor's degree

•

Three years of job-related experience

•

Equivalent education and experience are accepted

•

3 Years

Determining eligibility in the Food and Nutrition program and one additional eligibility program experience.

Or

•

2 Years

Determining eligibility from a State or local Department of Health and Human Services. 

And

•

Experience in NC Fast, On-line verification, and Social Media

•

A valid driver's license.

Upon Hire

•

Strong ability to interact effectively with diverse population.   

•

Ability to apply complex policies to determine program eligibility and proficiency in calculating budgets. 

•

Team player with strong interpersonal, written, verbal communication and presentation skills.

•

Ability to interpret and explain state, federal and county policy.

•

Exceptional research skills.

•

Must have strong organizational, verbal and written communication, and interpersonal skills combined with proficient proofreading, spelling and grammar skills. 

An individual must be able to perform each essential duty satisfactorily to perform this job successfully. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies

Adaptability & Flexibility

Changes behavioral style or method of approach when necessary to achieve a goal; adjusts style as appropriate to the needs of the situation. Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives.

Attention to Detail

Thoroughness in accomplishing a task through concern for all the areas involved, no matter how small. Monitors and checks work or information and plans and organizes time and resources efficiently.

Communication

Creates an atmosphere in which timely and high-quality information flows smoothly up and down, inside and outside of the organization; encourages open expression of ideas and opinions.

Customer Service

Balances interests of a variety of clients, and readily readjusts priorities to respond effectively to pressing and changing demands for information, advice and assistance.  Anticipates and meets the needs of clients; achieves quality end products; and commits to continuous improvement of services.

Professionalism

Thinks carefully about the likely effects on others of one's words, actions, appearance, and mode of behavior. Selects the words or actions most likely to have the desired effect on the individual or group in question. Maintains calmness in stressful or adverse situations. Diplomatically handles challenging or tense interpersonal situations.

Time Management

Manages own time, priorities, and resources to achieve goals. Establishes a systematic course of action for self or others to ensure accomplishment of a specific objective. Sets priorities, goals, and timetables to achieve maximum productivity.

Integrity

Act with honesty, transparency and respect in our interactions with co-workers and those we serve. Adhere, without exception, to laws, policies, procedures and professional standards.

Accountability

Establish high-quality standards for work. Add value. Measure results and hold self and others accountable for making progress toward desired outcomes. Take a logical and data-driven approach to decision-making.

Diversity

Believe that different backgrounds and experiences strengthen the organization and produce better results. Value inclusion across race, gender, age, religion, identity and experience, and strive to reflect in our workforce the diversity of our community.

Collaboration

Foster a work culture in which different ideas and opinions are encouraged and expected. Listen carefully and speak thoughtfully. Work together toward shared goals with mutual respect and cooperation.

Continuous Improvement

Continuously improve work processes and products. Provide a safe environment to be innovative and creative and try new things. When things don't go as planned, use it as an opportunity to learn, regroup and begin again. Provide time and resources for individuals to grow and develop both personally and professionally.

Wellness

Take proactive steps to be physically fit and healthy, emotionally strong, financially secure and socially fulfilled, while inspiring and empowering others to do the same.

Service Orientation

Commit to making a difference within the community. Actively engage in and enjoy our work. Deliver services that exceed expectations, with courtesy, politeness and sensitivity to the experiences, concerns and feelings of all co-workers and customers.

ADA Checklist

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

Standard ADA Selection:

Office Environment

Standing

X

Walking

X

Sitting

X

Lifting/Carrying 0-10 pounds

X

Lifting/Carrying 10-20 pounds

X

Lifting/Carrying 20-50 pounds

X

Lifting/Carrying 50-100 pounds

X

Pushing

X

Pulling

X

Climbing

X

Balancing

X

Stooping

X

Kneeling

X

Crouching

X

Crawling

X

Reaching

X

Handling

X

Grasping

X

Fingering

X

Feeling

X

Talking

X

Hearing

X

Visual Perception

X

Repetitive Motions

X

Eye/Hand/Foot Coordination

X

Memorization/Concentration

X

Learning/Knowledge Retention

X

Preparing/Analyzing Numerical Figures

X

Use of Interfaced Commmunication Devices (Phone, Computer, Radio etc.)

X

Analyzing/Examining/Testing Data

X

Emotional/Behavioral Self-Regulation

X

Interacting with Others

X

Comprehension

X

Organization

X

Decision Making

X

Comprehension

Organization

Decision Making

Communication

Extreme cold

X

Extreme heat

X

Humid

X

Wet

X

Noise

X

Hazards

X

Temperature Change

X

Atmospheric Conditions

X

Vibration

X

Computers/Monitors

X