Program Integrity Fraud Investigator

Job Posting Closes at 11:59PM on:

06/12/25

Division:

Business and Finance Division

Management Level:

Individual Contributor

Scheduled Weekly Hours:

40

Benefit Eligibility:

This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement.

Description:

If you're enthusiastic about researching and investigating program fraud, value integrity, and thrive in a collaborative environment, the Fraud Investigator role with the Program Integrity team offers a dynamic opportunity. This position is ideal for those seeking a balance between meaningful work and personal life, with a variety of responsibilities that engage both analytical and interpersonal skills.

The Program Fraud Investigator is responsible for Investigating suspected Welfare Fraud and Intentional Program Violations (IPVs) by gathering, identifying, and maintaining the evidence necessary for prosecution and administrative disqualification hearings. The person in this role Investigates allegations of program abuse in all state and Federal human service eligibility programs by gathering, identifying and maintaining information and evidence necessary for administrative hearings and prosecution. The Fraud Investigator also implements disqualification penalties.

We are seeking a highly skilled and adaptable professional to join our team. The ideal candidate will possess outstanding communication and organizational abilities, coupled with a strong aptitude for multitasking. Key responsibilities include managing multiple priorities, adhering to deadlines, and interpreting Colorado Revised Statutes, as well as federal and state laws and regulations. The role demands handling sensitive and confidential information with the utmost discretion.

The successful candidate will thrive in a dynamic, fast-paced environment, demonstrating resilience and flexibility in response to evolving priorities and program rule changes. This role provides a significant opportunity for a passionate professional to grow and excel in investigative work.

SCHEDULE:

This position will have a hybrid work schedule both in office and remotely. Please note that during the training period needed for this position, you will be required to be on-site.

COMPENSATION:

Hiring Range: $30.00 - $32.00 USD Hourly

Compensation will be determined based on education, experience, and skills.

BENEFITS:

Benefits include dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reimbursement, flexible schedules, remote work options and more. Click here for our Total Rewards summary.  

ESSENTIAL DUTIES:

The Fraud Investigator will:

• Research, track and investigate allegations of welfare fraud. 
  • Conduct extensive research across multiple database systems.
  • Gather, identify, and maintain the evidence necessary for administrative action or prosecution of welfare fraud.  
  • Review all pertinent case files and information to determine scope and method of investigation needed.

• Interview program clients, relatives, neighbors, acquaintances, employers, etc. through home and field visits when necessary to secure information and evidence pertinent to the investigation.  
  • Obtain and review records and documents maintained by financial institutions, employers, landlords, and other governmental agencies.
  • Conduct internal investigations as directed by management. 
  • Review, research, and interpret Colorado Revised Statutes, Federal and state laws and regulations.  
  • Use independent judgment to determine severity of offense and if criminal or administrative remedies will be sought.  

• Write a detailed investigative report summarizing the scope and conclusion of the investigation.
  • Manage and track deadlines on all open and closed investigations. 
  • Prepare detailed state level hearing packets. Prepare and file detailed District Attorney (DA) case filings.  
  • Ensure quality of investigation. 

• Testify at administrative or