Fraud Investigator

The purpose of the Audit Division is to provide independent, objective assurance designed to add value and improve the Colorado Department of Human Services’ (CDHS or Department) operations. The Audit Division aims to accomplish this by bringing a systematic, disciplined approach to evaluate and improve the effectiveness of risk management, internal controls, and the governance process. The purpose is accomplished through the examination and analysis of internal controls and policies and procedures of the Department and its subrecipients and contractors.

Examples of this include:

• Examining and analyzing CDHS’ compliance, as well as its subrecipients’ and contractors’ compliance, with Federal and State laws, rules, regulations, and internal policies and procedures;
• Identifying Federal and State funds that were by CDHS, as well as its subrecipients and contractors, and subsequently recovering improperly expended funds, as needed;
• Providing a deterrent against waste, fraud, and abuse of Federal and State funds;
• Tracking and managing the implementation of external and internal audits of CDHS’ programs and activities;
• Regularly collaborating with internal staff and external stakeholders; and
• Providing training and technical assistance to ensure compliance with Federal and State laws, rules, regulations, and internal policies and procedures.

Please note:

These working arrangements are subject to change

The purpose of the position is to enhance and protect the Department’s vision, mission, and values by detecting and investigating allegations of fraud. The position is responsible for:

• Acting as the sole lead and owner for all fraud services at CDHS.
• Independently lead and investigate fraud related matters related to CDHS employees, and when deemed necessary CDHS funded providers, employees of county departments or clients receiving benefits funded by CDHS;
• Maintain fraud hotline and fraud databases;
• Developing and reviewing fraud detection analytics/data that may indicate fraud or need for further inquiry.
• Review complex contracts in order to determine compliance with contract terms and requirements;
• When needed, preparation and referral of criminal complaints for suspected misuse of taxpayer funds;
• When needed, testifying at administrative, civil, and criminal hearings and proceedings;
• Determining the appropriate amount of investigation needed to accomplish investigation and review objectives;
• Preparation of detailed reports and exhibits; and
• Creating and disseminating required fraud reports to CDHS leadership, the State Controller’s office, and the Office of the State Auditor (OSA).

• Eight (8) years of relevant experience in Accounting, Forensic Accounting, Finance, Legal Studies, Fraud Investigation or other related occupation to the work assigned to this position

OR

• A combination of related education and/or relevant experience in Accounting, Forensic Accounting, Finance, Legal Studies, Fraud Investigation or other occupation related to the work assigned equal to eight (8) years
• Current, valid licensure as a CPA from the Colorado Board of Accountancy or current, valid CIA or CFE certificate will substitute for five (5) years of the requirement

• Investigative Expertise & Interviewing:
  Ability to independently plan and execute complex fraud investigations, conduct forensic evidence gathering, and perform effective investigative interviews of alleged perpetrators and witnesses.
• Professional Standards & Legal Compliance:
  Mastery of applying professional fraud/auditing standards and state/federal rules (such as Uniform Grant Guidance 2 C.F.R. Part 200 and State Fiscal Rules)…