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Regulatory Specialist - Senior - OIG Fraud Investigator

Company Wisconsin Department of Health Services
Location Dane, WI
Update 4 Day ago
The Department of Health Services (DHS); Office of the Inspector General (OIG) is seeking talented individuals to fill two Regulatory Specialist-Senior vacancies in Madison. OIG is charged with protecting the taxpayers of Wisconsin by preventing and detecting waste, fraud, and abuse of public assistance programs such as Medicaid and FoodShare.

DHS is located at 1 W. Wilson Street in the heart of downtown Madison; near the state capitol and the Monona Terrace, the Wednesday Farmers' Market, the Madison Metro route and the Capital City bike path. In addition to a top-rate benefits package including a state retirement plan, paid holidays and excellent health insurance, DHS also offers on-site yoga classes, an indoor walking area and a supportive and collaborative work section.

Position Summary : The OIG has primary responsibility for maintaining integrity of the Income Maintenance (IM) Programs such as Medicaid/BadgerCare Plus and FoodShare. IM Program eligibility determination is supported by a number of complex automated information systems including: ACCESS online application, Client Assistant for Reemployment and Economic Support (CARES), and the DHS Medicaid management information system (interchange). In the Fraud Investigation, Recovery and Enforcement (FIRE) Section of the OIG, the person in this position is responsible for monitoring and assisting local agencies (consortia and independents) that administer Fraud Prevention and Investigation Program (FPIP), completing recipient and vendor fraud investigations, providing training and technical assistance to local agencies, updating and disseminating program guidance materials, and representing the OIG on all data systems projects related to recipient fraud and trafficking. Special Notes : Due to the nature of the position, all applicants who may be appointed will be required to allow DHS to conduct a background check to determine whether the circumstances of any conviction may be related to the job being filled.

This position requires some travel to conduct onsite vendor activities.

Qualifications : A minimally qualified applicant will have:
  • Economic support experience (i.e. determining eligibility for FoodShare and Medicaid programs).

  • Experience collecting, analyzing and evaluating data, conducting trend analysis, or developing reports based on collected data.

  • Proficiency in multiple computer systems including Microsoft Office and CARES.

  • In addition, well-qualified applicants will have:
  • Investigatory experience performing duties such as identifying, preserving and examining evidence, coordinating surveillance, investigative report writing, etc.

  • Experience in the development and implementation of training programs performing duties such as developing training plans and materials and providing training to a variety of audiences.

  • Experience participating in administrative hearings and/or administrative waiver experience.

  • How To Apply : To apply for this position, click “Log In” to access your existing account or to create a new account if you do not already have an account in the system. After you have logged in, click “Apply Now.” You will be asked to provide your personal information and attach a resume and cover letter in a PDF or Word compatible document. To be considered for this position applicants must complete the online process. Failure to submit all required materials will result in an incomplete application and ineligibility for this position. Application materials will not be accepted if received in an email, as a hard copy or a fax.

    Your resume and cover letter will be evaluated by one or more job experts. Your materials must provide sufficient detail to portray your qualifications. It is important that you clearly describe your background so the job expert(s) evaluating your application materials are able to make an accurate judgment regarding your qualifications. Use specific examples to clearly demonstrate your level of expertise. Candidates that are deemed eligible will be invited to participate in the next step of the selection process. If you have any questions regarding the application process, please contact the HR Specialist listed above.
    Permanent classified state employees who are eligible for consideration (transfer, voluntary demotion, or former employees as a reinstatement) must complete the online application process to apply.
    Please note important information regarding this recruitment may be communicated via email.

    Veterans with at least a 30% service-connected disability rating should contact the HR Specialist listed above regarding eligibility for consideration under the non-competitive appointment process.

    DHS is an Equal Opportunity and Affirmative Action employer seeking a diverse and talented workforce.