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Forensic Fraud Examiner(Hybrid)

3 months ago

Hartford, United States State of Connecticut Remote Work Freelance Full time

Introduction
Do you have experience conducting investigations of complex financial records in matters under investigation by state/federal agenciesor law enforcement authorities? If this sounds like you, then we invite you to check out this opportunity to join our team as a Forensic Fraud Examiner 

At the State of Connecticut, Department of Social Services (DSS), we are currently looking for one qualified individual to join our Office of Quality Assurance, Special Investigations Division in Hartford as a Forensic Fraud Examiner.

What We Can Offer You:

Visit our newState Employee Benefits Overview pageThe opportunity to work for a Forbes top company: 'Forbes' State of Connecticut Ranked One of the Best Employers of 2023 - State of CT Receives National Recognition for Offering Job Growth, Competitive Benefits, and Flexible ScheduleProfessional growth and development opportunitiesA healthy work/life balance to all employees
Position Highlights

This position is located at the Office of Quality Assurance, Special Investigations Division, 55 Farmington Avenue, Hartford, CTFull-time, first shift position (40 hours per week) Schedule of Monday - Friday, 8:00 am - 4:30 pm.

Your Role as a Forensic Fraud Examiner

In this position, we will entrust you to investigate alleged fraudulent activities by providers enrolled in the Connecticut Medical Assistance Program (CMAP). This position is vital to the continued performance of the Provider Investigations Unit.

Discover the opportunity to:

Develop detailed fraud referral reports.Work closely with the Office of the Attorney General, The Medicaid Fraud Control Unit, and the Department of Health and Human Services (HHS) Office of Investigations.Investigate complaints made to DSS and evaluate for possible agency action using various resources.Who We Are

The Department of Social Services (DSS) delivers and funds a wide range of programs and services as Connecticut’s multi-faceted health and human services agency.  Within DSS, the Division of Social Work administers services to a variety of populations including older persons, families and individuals experiencing crisis, and persons with disabilities.  Programs include, Protective Services for the Elderly, Domestic Violence Support Services, Social Work In-Home Supports and the Conservator of Person and Estate.

We hope you pursue joining our team and encourage you to detail your related experience on the application

Selection Plan
For Assistance in Applying:
Please read or watch our Applicant Tips on How to Apply

Application Process:

This position will be filled in accordance with contractual language, reemployment, SEBAC, transfer, promotion and merit employment rules. 

In order to comply with Public Act 21-69, the State of Connecticut is no longer asking for resumes during the initial application process.

In order to be considered for this job opening, you must meet the minimum qualifications as listed on the job opening. You must specify your qualifications on your application. The minimum experience and training requirements must be met by the close date, unless otherwise specified.

The immediate vacancy is listed above, however, applications to this recruitment may be used for future vacancies in this job class.

All application materials must be received by the recruiting agency by the time specified on the job opening for the position for which you are applying. Late applications may not be submitted and will not be considered. Exceptions are rare and limited to documented events that incapacitate a candidate during the entire duration of the job posting time period. It is the candidate’s obligation and responsibility to request an exception and provide a legally recognized justification to accommodate such exception. Requests should be made to DAS.SHRM@ct.gov.

Please ensure that your application is complete. You will be unable to make revisions once you officially submit your application to the state of Connecticut.

Selection Process:

This posting may require completion of additional referral questions (RQs) which will be sent to you via email after the closing date. The email notification will include an expiration date by which you must submit (Finish) your responses. Please regularly check your email for notifications. Please check your SPAM and/or Junk folders, as emails could end up there in error.

During the recruitment process, applicants may be required to submit additional documentation supporting their qualification(s) for this position. These documents may include performance reviews, supervisory references, college transcripts, licensure, etc. at the discretion of the agency.

For current state employees, salary calculations are not necessarily comparable from branch to branch but it does not impact your state service credit.

Contact Information:

Due to the large volume of applications received, we are unable to provide confirmation of receipt or status during the recruitment process. 

Should you have any questions pertaining to this recruitment, please contact Ethan Ives at Ethan.Ives@ct.gov.
PURPOSE OF JOB CLASS (NATURE OF WORK)
In the Departments of Revenue Services, Social Services, and Transportation, and the Office of the Attorney General this class is accountable for conducting the most complex and difficult forensic examinations of financial records in matters under investigation by the agency and law enforcement authorities.
EXAMPLES OF DUTIES
Performs the most complex forensic analysis of financial records related to complex financial fraud investigations undertaken by the agency;Participates as a member of task forces on most complex cases;Reviews referred complaints for existence of financial fraud;Examines prior audit reports, financial statements, budgets or other available data for evidence of fraud, waste or abuse;Examines accounting methods and procedures to ensure compliance with accepted accounting practices;Analyzes and traces proceeds of other assets involved in fraudulent schemes;Identifies assets for possible seizure and/or forfeiture;Utilizes intelligence databases for financial records, reports and forensic analysis in investigations;Conducts interviews of witnesses and targets;Provides technical assistance to staff;Acts as a liaison with other operating units, agencies and outside officials regarding unit policies and procedures;Participates in hearings and settlement negotiations;Prepares reports and makes recommendations in investigations;Testifies in administrative and other legal proceedings regarding forensic fraud analysis and audit results;Performs related duties as required.
KNOWLEDGE, SKILL AND ABILITY
 Considerable knowledge and ability to apply professional accounting and auditing principles and practices;and ability to utilize electronic data processing (EDP) systems relevant industry accounting principles and practices;substance and application of relevant statutes and regulations;courtroom procedure;evidence;Considerable oral and written communication skills;interpersonal skills;Considerable ability to analyze complex financial records, documents and reports for evidence of financial fraud;prepare comprehensive reports and exhibits.
MINIMUM QUALIFICATIONS - GENERAL EXPERIENCE
Seven (7) years of experience in accounting, auditing or financial examinations.
MINIMUM QUALIFICATIONS - SPECIAL EXPERIENCE
Two (2) years of the General Experience must have been in conducting forensic financial examinations.
MINIMUM QUALIFICATIONS - SUBSTITUTIONS ALLOWED
College training in accounting may be substituted for General Experience on the basis of fifteen (15) semester hours equalling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor’s degree.A Master’s degree in accounting or certification as a Certified Public Accountant, Certified Internal Auditor or Certified Fraud Examiner may be substituted for one (1) additional year of the General Experience.
PREFERRED QUALIFICATIONS
Experience performing healthcare claims analysisExperience performing healthcare fraud investigations
SPECIAL REQUIREMENTS
Incumbents in this class may be required to travel.Incumbents in this class may be required to possess and retain a valid Motor Vehicle Operator’s license.
Conclusion
AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER

The State of Connecticut is an equal opportunity/affirmative action employer and strongly encourages the applications of women, minorities, and persons with disabilities.
ACKNOWLEDGEMENT
As defined by Sec. 5-196 of the Connecticut General Statutes, a job class is a position or group of positions that share general characteristics and are categorized under a single title for administrative purposes. As such, a job class is not meant to be all-inclusive of every task and/or responsibility.