Department Program Integrity Manager

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

Job Information

Title:

Department Program Integrity Manager

Market Range:

MR20

Approved Date:

3/24/2021 4:09:03 PM

FLSA:

Exempt

EEO Code:

PROFESSIONALS

Career Level:

M2

Career Level Description:

Management Level 2

Job Code:

100199

Job Family:

Legal and Compliance

Sub Family:

Compliance

Primary Purpose

Provides oversight, leadership and direction for the Program Integrity Unit.  Investigates and prevents suspected fraud and/or overpayments in human services and housing programs. Sets direction and development of short and long-range goals for the unit and researches and develops strategies for administration of services; identifies trends and recommends county policy changes and/or updates. Evaluates issues and concerns to ensure programmatic and agency outcomes are met.

•

Provides oversight, leadership and direction for the Program Integrity Unit to include the investigation and prevention of suspected fraud and/or overpayments in Food and Nutrition Services, Work First, Special Assistance, Medicaid, Child Care Subsidy, Emergency Assistance, and Housing Community Revitalization programs.

1

55%

•

Conducts Local Treasury Offset Program (TOP)  Reviews to ensure debts are legally enforceable.   

2

15%

•

Reviews accounts referred to the Legal Department to determine whether legal action is appropriate and to otherwise identify potential legal, compliance, or internal policy-related issues with respect to such accounts.                                         

3

10%

•

Compares work completed with milestone expectations, to meet program and unit objectives.    

4

10%

•

Provides staff support through effective supervision, coaching and performance management.   

5

10%

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

*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:

M2

Career Level Description:

Management Level 2

•

Fully accountable for implementing operational plans for a Work Group with measurable contribution on Division results.

•

May have budget accountability.

•

Responsible for making moderate improvements of processes, systems or standards to enhance performance of the Work Group.

•

Supports and utilizes the innovations of others to improve on solutions, approaches and technologies.

•

Communicates within and outside the Work Group, and may communicate with other parties within the Division.

•

Sometimes requires ability to influence others outside of own job area on policies, practices and procedures.

•

Manages professionals. Leads, directs and reviews the work of team members in order to accomplish operational plans and results.

•

Has hiring, firing, promotion, performance and reward authority for direct reports.

•

Requires practical knowledge in leading and managing the execution of processes, projects and tactics within one job area. Typically has advanced knowledge and skills within a specific technical or professional discipline with understanding of the impact of work on other areas of the organization.

Qualifications

•

Bachelor's degree

•

Five years of job-related experience, including three years of supervisory experience

•

Equivalent education and experience are accepted

•

5 Years

Program Integrity experience within a State or County Economic Services program (Food Nutrition Services, Work First, Family and Children's Medicaid, Adult Medicaid or Special Assistance Medicaid).

And

•

Competent working knowledge of NC Fast or similar State or County Economic Benefit system experience at a proficient level.

•

Supervision skills with ability to provide guidance and professional support to staff, offer regular feedback, hold staff accountable, and serve as a mentor.

•

Strong ability to interact effectively with many different levels of people. Strong business acumen and savvy. Be persuasive and articulate when advising on legal concerns and proposed mitigation strategies. 

•

Excellent leadership, interpersonal and team building skills.

•

Ability to plan work assignments to assure exemplary customer service and mutually beneficial results. Ability to make logical adjustments in methods or procedures.

•

Strong attention to detail and analytic skills required.

•

Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

•

Maintains good working relationships with internal parties to ensure open lines of communications and timely responses to compliance questions.

•

Strong analytical ability with demonstrated research skills. 

•

Ability to encourage others in complex and sensitive situations to reach a mutually agreeable resolution that achieves business goals.

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

Enforcing Laws, Rules & Regulations

Enforces governmental laws, rules, and regulations, and initiates enforcement actions in a way that the public perceives as fair, objective, and reasonable.

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.

Technical Expertise

Applies and improves extensive or in-depth specialized knowledge, skills, and judgment to accomplish a result or to accomplish one's job effectively.

Coaching & Mentoring

Works to improve and reinforce performance of others. Facilitates their skill development by providing clear, behaviorally specific performance feedback, and making or eliciting specific suggestions for improvement in a manner that builds confidence and maintains self-esteem.

Relationship Building

Builds constructive working relationships characterized by a high level of acceptance, cooperation, and mutual respect.

Team Leadership

Willingly cooperates and works collaboratively toward solutions that generally benefit all involved parties; works cooperatively with others to accomplish organizational objectives. Manages staff in ways that improve their ability to succeed on the job.

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

Understand complex problems and collaborate to explore alternative solutions

Organization

Organize and prioritize the work schedules of others to manage multiple tasks and/or projects

Decision Making

Make decisions that have significant impact on a department's credibility, operations and/or services

Communication

Communicate in-depth information for the purpose of interpreting and/or negotiating

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