Program Integrity Director Jobs (NOW HIRING)

Introduction
Maryland's Family and Medical Leave Insurance (FAMLI) program is one of Maryland's most significant new public benefit programs, providing workers with the financial security to care for themselves and their loved ones during life's most important moments. We're building something that will serve millions of Marylanders for years to come - and we're looking for passionate, innovative people who want to help shape its future. If you're energized by solving complex problems, collaborating with talented colleagues, and making a lasting public impact, we'd love to have you on our team. FAMLI is seeking a Director of Program Integrity to lead the program's fraud prevention efforts and safeguard the FAMLI Trust Fund. As state benefit programs across the country are increasingly targeted by sophisticated, international criminal elements, FAMLI's Program Integrity team will be on the front lines of protecting this critical program's financial health and sustainability. We need a leader with strong data analytical skills to detect claim anomalies and identify fictitious employers to prevent claim payments from ending up in the hands of malicious actors. The ideal candidate will have knowledge of fraud prevention best practices from across the public and private sectors who is up for the challenge of building an innovative and effective fraud prevention operation from the ground up. If you're passionate about making a meaningful impact and are eager to join a government team that moves at the speed of a startup, this may be the career-defining job you've been looking for.
GRADE
Grade 22
LOCATION OF POSITION
100 S. Charles Street
Baltimore, MD 21201
Main Purpose of Job
The Director of Program Integrity is responsible for leading Maryland's Family and Medical Leave Insurance (FAMLI) program's efforts to prevent, detect, investigate, and correct fraud, waste, and abuse across the program, and ensure the solvency and integrity of the Trust Fund. This position oversees strategic planning, data analytics, and cross-functional coordination as it relates to fraud prevention activity to ensure compliance with State and federal regulations, and protect public resources. The Director will design policies to strengthen internal controls, lead data analysis and investigations, and collaborate with legal, IT, operations and enforcement partners to support accountability and program excellence. Additionally, the Director will engage with stakeholders across the Department, the State, and external partners (such as financial institutions and other states) to identify systemic vulnerabilities and strengthen cross-boundary fraud protections. By proactively implementing effective fraud prevention measures, the Director of Program Integrity plays a crucial role in protecting and supporting the FAMLI program's long-term financial security, ensuring that Marylanders can continue to benefit from paid leave. The Director is responsible for budget, staffing, and resource planning, including establishing program integrity units focused on data and trend analysis, and investigations and enforcement.
POSITION DUTIES
Duties of this position include but are not limited to:

• Establish and oversee the Program Integrity directorate, including staffing, policies, processes, procurement of digital tools, and collaborative work with other directorates within FAMLI.

• Supervise a team of Program Integrity data analysts, investigators, and other integrity professionals who analyze data and trends to detect and catch fraud attempts before they occur.

• Develop data analytics workflows, systems, tools, and procedures to identify, prevent, and investigate ongoing fraudulent activity.

• Maintain a repository of fraud bad actors and coordinate identified fraud risks with other known bad actor lists and government entities.

• Oversee fraud investigations and enforcement activities.

• Continuously improve outcomes by updating knowledge of regulations, laws, and best practices related to fraud prevention.

• Implement new techniques and strategies to stay in front of the ever changing fraud landscape.

MINIMUM QUALIFICATIONS
Education:

• Possession of a Bachelor's degree from an accredited college or university in Business Management, Public Administration/Management, Statistics, Mathematics, Data Science, Finance, Accounting, Criminal Justice, Computer Science or other related degree.

Experience:

• Seven (7) years of progressively responsible experience in fraud prevention, fraud risk management, data analysis, or a related field, including at least three (3) years supervising others.
• Strong analytical skills with experience in data visualization platforms.
• Expertise in using fraud detection tools, identity proofing and identity verification systems, and data analytics platforms.
• Knowledge of fraud schemes, including synthetic identities, phishing, and cyberthreats.

DESIRED OR PREFERRED QUALIFICATIONS
Direct experience with fraud analytics, cybersecurity, digital identity management.
Experience researching, evaluating, choosing, and implementing technology solutions, especially with respect to fraud detection tools, identity proofing and identity verification systems, data analytics platforms.
Possession of Certified Fraud Examiner (CFE) or comparable certification.
Experience managing or executing complex data analytics, extracting and manipulating data.
SPECIAL REQUIREMENTS
All candidates are subject to a background check against files maintained by the Division of Unemployment Insurance (Labor/DUI) to determine whether any monies are owed to Labor/DUI as a result of unemployment insurance overpayment/fraud. Any unpaid debt may have an impact on whether or not a candidate is offered employment.
SELECTION PROCESS
All information concerning the qualifications, including any required documentation (diploma, transcript, certificate, etc.) must be submitted and received by the closing date. Information submitted after this date will not be considered. Applications that meet minimum and/or selective qualifications will be referred to the hiring unit for interview selection. Units will select those candidates most closely demonstrating the qualifications for the interview. A resume and cover letter are strongly encouraged for this position. Please upload one Word or PDF file that includes your combined cover letter and resume using the "Transcript" upload function, or via the JobAps "Other" tab.
EXAMINATION PROCESS
The assessment may consist of a rating of your education, training, and experience related to the requirements of the position. It is important that you provide complete and accurate information on your application.
BENEFITS
This is a full-time, permanent position and eligible for full State benefits, which include:

• Flexible hours and hybrid teleworking
• Paid holidays 12-13 per year
• Generous paid leave package (annual, sick, personal and compensatory leave)
• State Pension ("defined benefit" plan)
• Tax-deferred supplemental retirement savings plans (401(k) and 457)
• Comprehensive, subsidized health, dental and prescription plans with little to no deductibles, free generic prescriptions, and free preventative health services
• Flexible Spending Account plans for Health Care and Daycare
• State Employees Credit Union

To Learn more, please click this link:
STATE OF MARYLAND BENEFITS
FURTHER INSTRUCTIONS
The online application is STRONGLY preferred. A resume and cover letter are strongly encouraged for this position. Please upload a Word or PDF file that includes your combined cover letter and resume via JobAps "Other" tab. However, if you are unable to apply online, or having difficulty with your login or password, please contact DBM's Helpdesk directly at (410) 767- 4850 (8:00 AM to 5:00 PM daily, except for holidays and weekends). After business hours, please submit an email request to Application.Help@maryland.gov.
U.S. Military Veterans may qualify for additional bonus points towards certification. Any job offer will be contingent on the candidate providing a U.S. Military form DD 214 verifying honorable discharge from service prior to starting employment (and may be requested prior to interview). Permanent State employees do not need to submit proof of Veterans' status. If you encounter difficulty attaching required or optional documentation, you may contact Michael Deans via email to michael.deans2@maryland.gov. Please be sure to include your name, identification number (Easy ID#) and job announcement number on any documentation to ensure timely processing.
PLEASE DO NOT FAX OR EMAIL UNSOLICITED DOCUMENTATION
Completed applications, required documentation, and any required addendums may be mailed to:
Maryland Department of Labor / Office of Administration Attn:
Michael Deans, Recruitment ID 26-005479-0021
100 S. Charles Street, 5th Floor Baltimore, MD 21201
Maryland State Application Form
Maryland Department of Labor, Licensing and Regulation is an equal opportunity employer. It is the policy of MD Labor that all persons have equal opportunity and access to employment opportunities, services, and facilities without regard to race, religion, color, sex, age, national origin or ancestry, marital status, parental status, sexual orientation, disability or veteran status.