Compliance Manager

at  California Tribal TANF Partnership

SUMMARY

The Compliance Manager oversees the day-to-day functions of the Compliance Department and is responsible for the overall direction, coordination, and evaluation of the Compliance Investigators assigned to the unit. The Compliance Manager reports to the Deputy Director and serves on the executive management team.
The Compliance Manager investigates cases of known or suspected violations related to the fraudulent receipt of TANF funds and contacts employers and other public and private entities to secure and verify information related to cash aid fraud. It is the responsibility of the Compliance Manager to conduct investigations on cases referred for the purpose of establishing whether or not there is adequate evidence to support an investigation of welfare fraud or employee misconduct.
Fraud most commonly consists of participants failing to report income, failing to report that an absent parent is no longer absent, or failing to report that aided children no longer live in the aided household.
State departmental regulations stipulate any investigation be conducted in compliance with due process of law without infringing upon the constitutional rights of applicants, participants or employees. It is therefore incumbent upon Tribal TANF Compliance Department staff to conduct themselves with courtesy and respect for the rights of all persons involved.

KNOWLEDGE & SKILL REQUIREMENTS

• High school diploma or high school equivalency and three years or more of experience in a compliance or any combination of education, training and experience which provide the requisite knowledge, skills and abilities for this position.
• Must have knowledge of federal and state regulations, federal and Indian law as it applies to Tribal TANF operations.
• Current California drivers license.
• Certified Welfare Fraud Investigator highly desired.

The essential functions include, but are not limited to the following:

• Directly supervise Compliance Investigators.
• Develop department goals, objectives and systems.
• Participate in administrative staff meetings and attend other meetings as required.
• Make statistical and narrative reports on department performance.
• Carry out supervisory responsibilities according to the organizations policies, procedures and applicable laws. Assign and direct work and appraise performance.
• Reward and discipline employees, address complaints, and resolve problems.
• Manage and monitor work performance, including recommending final decisions on hiring and disciplinary actions, evaluating program work objectives and effectiveness, and realigning work and staffing assignments as needed.
• Provide technical guidance to the Compliance staff regarding procedures and techniques.
• Review and approve time sheets and leave requests for the Compliance Department.
• Review and approve check requests and purchase orders for the Compliance Department.
• Review all Personal Action Request and Human Resource forms for the Compliance Department.
• Responsible for conducting (in person and through delegation to Compliance Investigators) intensive investigations surrounding allegations of intentional program violations (IPV), unintentional program violations (UPV) or fraud, including collecting and evaluating evidence, determining violations of welfare laws and/or program regulations, preparing outcome for penalties, sanctions or requests for criminal complaints, depending on findings.
• Analyze and evaluate information and/or allegations of IPV, UPV or fraud.
• Develop and implement an appropriate investigation plan based on information received.
• Discuss allegations of suspected IPV or fraud with case management staff to explain findings and to identify facts.
• May make or have staff make unscheduled home visits to determine if current living arrangements violate program regulations.
• Oversee recoupment of overpayments and restitution.
• Prepare to secure evidence to support allegations of IPV or fraud.
• Review computation of overpayments for accuracy and correct application of regulations.
• Analyze investigative findings to determine whether evidence warrants referring investigative findings to the District Attorney’s Office for consideration for filling a criminal complaint after approval from the Deputy Director.
• Prepare written investigative summaries and assists attorneys assigned to cases in civil or criminal prosecutions. Provides case notes as appropriate.
• Assume responsibility for development and administration of standards, procedures and policies related to all fraud investigations within the program, as well as all background investigations involving participants, contractors, volunteers, and new hires for the organization.
• Create and develop a program of early fraud prevention to eliminate the necessity of IPVs/prosecution via involvement and verification in the initial application process.
• Maintain close liaison with the site offices; advise site staff and Regional Managers regarding fraud investigation policies, procedures, and issues.
• Ensure periodic status reports are compiled regarding progress of investigations as well as monthly reporting to the Deputy Director.
• Make statistical and narrative reports on department performance.
• Establish priorities, make assignments, and review the work of personnel within the Compliance Department.
• Evaluate and assign new cases for investigation to Compliance Department personnel.
• Provide technical guidance to the Compliance staff regarding investigative procedures and techniques.
• Review work of staff to ensure that written recommendations are based on sufficient findings of facts and conform to federal laws, regulations and organizational policy and procedure.
• Maintain liaison with agencies, organizations or staff which come into contact with the Compliance Department in the scope of their work practices.
• Conduct or supervise in-service training and orientation classes to staff as it pertains to fraud prevention.
• Review and approve or deny questionable applications for TANF benefits submitted to the Central Office.
• Supervise the review of all case management files through the online TANF Assistance Software for compliance to ensure that all supporting documentation is properly filed.
• Personally conduct case management file reviews.
• Keep informed and up to date on Federal and State Regulation record keeping requirements.
• Supervise the performance of Compliance training for all new site personnel and schedule in-service training as needed.
• Interact with governmental agencies to ensure records and agency documents are available to clients for record keeping purposes.
• Attend State and Federal quarterly meetings and appropriate conferences and workshops to represent CTTP.
• Maintain close communication with the Deputy Director and collaborate with other CTTP staff regularly.
• Work closely with Regional Managers and serve as a backup cash assistance and supportive services approver.
• Evaluate and make appropriate recommendations on selected cases.
• Detect and evaluate potential fraudulent situations.
• Enter data accurately into computerized system.
• Identify when computer output is inaccurate and make corrections.
• Other duties as assigned