Performs all supervisory functions including planning, organizing, leading, and monitoring assigned functional area(s); ensures appropriate unit staffing levels.
Review and monitor case accuracy, timeliness and documentation to maintain program integrity
Analyze error trends and identify them to determine the root cases which helps in formulating corrective actions to improve program integrity
Prepare comprehensive reports detailing error rate findings, corrections actions taken and improvements achieved ensuring timely submission to relevant stakeholders
Conducts performance evaluations and motivates employees to reach peak productivity and performance; participates in the hiring and disciplinary process.
Oversees program integrity functions, such as fraud prevention/investigations or agency quality assurance.
Monitors program audits, investigations, and referrals, and reviews status with appropriate staff
Ensures audits/investigations are completed accurately and in a timely manner. Informs the appropriate leadership team of updates
Reviews all program findings and facilitates the timely completion of corrections and/or rebuttals.
Interprets, communicates, and implements rules, policies, procedures, and regulations of assigned programs in conjunction with the Staff Development team.
Recommends policy/procedure updates to senior-level staff; monitors changes to business practices and updates assigned staff accordingly.
Handles personnel and customer issues, concerns, and complaints.
Researches concerns, complaints, and allegations and ensures appropriate action is taken.
Maintains a high level of proficiency in research and analytical skills within systems utilized by the agency and all relevant program policy.
Utilizes data and reports to meet program guidelines/expectations and identify areas of opportunity for potential improvement.
Prepares, designs, and implements plans for improvement in respective units in conjunction with the Staff Development team.
Monitors and tracks timeliness within the unit, division, and agency. Maintains a database and relevant statistics on program integrity based on assigned functional area(s).
Participates in trainings and workshops that enhance knowledge of service integration and department functions.
Participates in internal and external committees as a representative of the department. Develops and maintains relationships with internal and external stakeholders, community agencies.