Manager of Program Integrity

The Executive Office of Labor and Workforce Development (EOLWD) is responsible for six agencies and departments under the organization. EOLWD and its agencies are committed to developing a world-class, highly skilled labor force to support business growth and innovation in the Commonwealth. The Department of Unemployment Assistance (DUA) administers the Unemployment Insurance (UI) program which provides temporary income assistance to Massachusetts workers who are unemployed through no fault of their own and who are able to work, available for work and looking for a job. The Manager of Program Integrity plays a crucial role in maintaining the integrity of the unemployment insurance (UI) system by overseeing the investigation and resolution of fraudulent activities. This leadership position is responsible for guiding a team of investigators, ensuring compliance with relevant regulations, and enhancing the effectiveness of fraud detection and prevention measures. As a direct report to the Director of Program Integrity, this position has oversight of the business unit responsible for leading the organizations’ effort to prevent, detect, and recover unemployment insurance overpayments. They will manage, plan, organize and control all operations and activities of DUA’s agencywide program integrity strategy and functions. MAJOR RESPONSIBILITY AREAS: Review and analyze UI claim data, employer records, and system transactions to detect inconsistencies and potential fraud. Ensure that advanced analytical tools and techniques are effectively utilized to recognize patterns and anomalies. Oversee the documentation of findings and the compilation of comprehensive reports on fraudulent activities. Ensure reports include evidence collected and recommended actions. Prepare detailed reports for internal use and potential legal proceedings, ensuring accuracy and compliance with relevant laws, regulations, and policies, including M.G.L. 151A and 430 CMR. Ensure all investigative actions and recommendations comply with federal and state laws, as well as departmental policies. Stay updated on changes in legislation and best practices related to unemployment fraud. Flag suspicious employer accounts and fraudulent claims for further investigation. Coordinate with other departments and external agencies to resolve complex cases. Collaborate with legal teams, enforcement agencies, and other stakeholders to support investigations and ensure thorough resolution of fraud cases. Supervise the examination of employer records to ensure compliance, making necessary updates with proper documentation in accordance with federal Department of Labor guidelines. Oversee regular compliance checks to confirm adherence to laws and regulations. Supervise the compilation and preparation of case files for referral to the Office of the Attorney General, ensuring that all documentation is up-to-date and sent timely. Manage communications with employers to clarify compliance requirements, resolve issues, and provide support as needed. Undertake special projects as assigned, including system and analytical tool testing, development and implementation of new investigative techniques, and participation in inter-departmental initiatives. Contribute to strategic efforts to enhance fraud detection and prevention, supporting the continuous improvement of the department's capabilities. PREFERRED QUALIFICATIONS Ability to lead and direct staff in the accomplishment of agency priorities and goals. Ability to meet program deadlines; to prepare and monitor budgets; and effectively resolve productivity issues. Ability to understand, apply, and interpret the provisions of the laws, rules, regulations, policies, procedures, specifications, standards and guidelines governing agency operations. Ability to utilize extensive call center and UI Online technology in managing operational decisions. Ability to develop staff capabilities. Five years of supervisory or managerial experience. MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) five (5) years of full-time or, equivalent part-time, professional, professional internship, administrative, supervisory, or managerial experience in business administration, business management, public administration, public management, clinical administration or clinical management or (B) any equivalent combination of the required experience and substitutions below. Substitutions: I. A certificate in a relevant or related field may be substituted for one (1) year of the required experience. II. A Bachelor's degree in a related field may be substituted for two (2) years of the required experience. III. A Graduate degree in a related field may be substituted for three (3) years of the required experience. IV. A Doctorate degree in a related field may be substituted for four (4) years of the required experience. Comprehensive Benefits When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future. Want the specifics? Explore our Employee Benefits and Rewards An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply. The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role. Job: Administrative Services Organization: Department of Workforce Development Title: Manager of Program Integrity Location: Massachusetts-Boston-100 Cambridge Street Requisition ID: 240009J6