Program Manager IV Director of Program Integrity

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 22

100 S. Charles Street
Baltimore, MD 21201

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.

• 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.

• Possession of a Bachelor’s degree from an accredited college or university in Business…