Family and Provider Programs Administrator

Description

Employment Type: Full-time | Exemption Status: Exempt

Salary:  $119,600.00, $57.50 (hourly) 

Location: Bonita, CA

About CDA

Under the general supervision of the Vice President of Family and Provider Programs, the Family and Provider Programs Administrator provides operational supervision for program integrity, parent appeals, and provider grievance functions within the Child Care Payment Program (CCPP). 

The Family and Provider Programs Administrator supervises and directs analysts and hearing officers; trains and provides technical guidance to staff; supervises investigative activities, fraud prevention efforts, appeals and grievance processes, and recoupment actions. 

This position ensures consistent, accurate, and defensible decision-making through quality control, staff training, and performance management; analyzes program data to identify risk and improvement opportunities.

Summary of Responsibilities:

1. Plan, coordinate, and supervise program integrity and due process activities, exercising a strong understanding of interpreting and application of CDA Family Services and Provider Services Policy and Procedures; and applying Welfare and Intuitions Code, California Code of Regulations Title 5, Funding Terms and Conditions, and CDSS guidance to decision making.
2. Coordinate unit workload priorities to ensure regulatory timelines, deadlines and goals are met; identify and manage available resources to maximize efficiency; collaborate with other departments when additional resources are needed.
3. Supervise, coach, counsel, and evaluate analysts and hearing officers to ensure compliance with CDA policies, procedures, rules and regulations; participate in all aspects of hiring, training, scheduling, and measuring of performance. 
4. Manage the parent appeal and provider grievance processes; providing technical guidance and training to hearing officers ensuring appeal hearings/provider grievances determinations are sound, timely, and compliant with CDA and CDSS requirements. 
5. Serve as the lead hearing officer, participate in complex or suspected fraud hearings, conduct and/or supervise parent or provider interviews.
6. Supervise the development and maintenance of internal system for tracking suspected fraud referrals, investigative cases, report generation, etc.
7. Supervise and monitor recoupment determinations, working collaboratively with internal departments in determining monetary amounts of ineligible services, cases to be referred to small claims court and/or collections, as needed; represent CDA in Small Claims court.
8. Regularly report investigative case status and findings to the Vice President of Family and Provider Programs; maintain records, prepare correspondence and reports for law enforcement and partner agencies; monitor the referral of cases to regulatory agencies, law enforcement and CDSS.
9. Safeguard program integrity by running a variety of periodic reports and perform analysis as necessary. Analyze program integrity, appeals, and grievance data to identify risks and improvement opportunities; develop and recommend policy, procedure, or training. 
10. Educate employees on program integrity matters, best practices for identifying inconsistencies, and the process for reporting suspicious activity.  Coordinate and conduct regular trainings for staff in collaboration with the quality assurance unit. 
11. Develop, implement, and maintain written procedures related to fraud detection and prevention, program integrity, parent appeals, and provider grievances. Participate in interdepartmental policy discussion and procedural development.  

Additional Duties & Responsibilities

1. Represent the agency and ensure professional and accurate representation at community meetings, programs, hearings, and events; may conduct training for outside agencies and/or provide consultation on program integrity, compliance, due process, and improvement matters. 
2. Participate in professional development activities to maintain current knowledge of regulatory, policy, legal, and programmatic changes related to subsidized child care programs, fraud prevention, due process requirements, and compliance activities.
3. Perform other duties as assigned in support of agency objectives, special initiatives, and continuous improvement efforts.

Minimum Qualifications 

• Bachelor’s Degree in public administration, business administration, criminal justice, human services, or a related field combined with two (2) to five (5) years of experience in auditing, compliance, fraud investigation (FWA), program integrity, or human services programs.
• A minimum of three (3) years of experience in a California Alternative Payment Program or other subsidized child care program, including experience requiring independent judgment related to compliance, program integrity, appeals, provider grievances, quality assurance, investigations, or oversight functions.
• A minimum of two (2) years of supervisory experience required.
• Specialized experience in program integrity, compliance, audits, investigations, appeals, provider grievances, or due process functions within government or human services sectors preferred.
• Bilingual Spanish preferred.
• Valid California driver’s license, auto registration, and insurance required; certification of good DMV record required. Employment contingent upon successful background clearance.

Knowledge, Skills & Abilities

• Demonstrated advanced knowledge of California Welfare and Institutions Code, California Code of Regulations Title 5, Alternative Payment Program Funding Terms and Conditions, and CDSS Child Care Bulletins. Ability to interpret, apply, and guide others in regulatory, contractual, and procedural requirements.
• Strong analytical, evaluative, investigative, and decision-making skills, including the ability to synthesize complex information, review supporting documentation and evidence, develop reasoned conclusions, and communicate findings clearly in written and oral form.
• Knowledge of compliance monitoring, fraud prevention practices, investigative processes, audits, due process procedures, and administrative review practices within human services or government-funded programs.
• Strong organizational, problem-solving, and workload management skills with the ability to prioritize competing responsibilities, work under pressure, and meet strict deadlines.
• Ability to compose objective, clear, and thorough reports, correspondence, and documentation with strong proofreading, spelling, grammar, and verbal communication skills.
• Ability to exercise discretion and sound judgment when handling sensitive and confidential matters; ability to work independently with minimal supervision while collaborating effectively with internal departments, community partners, regulatory agencies, and law enforcement.
• Excellent interpersonal skills with the ability to maintain professionalism, provide technical guidance, navigate difficult conversations, and build effective working relationships across departments and external agencies.
• Advanced proficiency in Microsoft Word, Excel, Outlook, and data analysis or case management systems. Proficient data entry skills and ability to use computer applications proficiently on a daily basis.
• Ability to safely operate standard office equipment, including calculators, copy and fax machines, telephones, and file cabinets.

Work Schedule:   

Full-time, Monday – Friday, 40 hours per week, typically 8:30 am to 5:00pm. May require evening and weekend hours based on the needs of the program. 

This position may be eligible for a hybrid work schedule of up to twenty-four (24) hours remote and sixteen (16) hours in-office per week following the successful completion of training. Remote work is not guaranteed and may be modified, suspended, or discontinued at any time based on business and operational needs. In-person attendance may be required for trainings, meetings, or other agency-related purposes.

Working Conditions

Professional office environment with extensive computer use and routine interaction with employees, families, providers, community partners, regulatory agencies, and law enforcement representatives. 

Noise level is typically low to moderate. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

The list of job duties and responsibilities is not intended to be all-inclusive and may be expanded from time to time to include other duties and responsibilities that may be deemed necessary.

Physical Requirements

The physical characteristics described are representative of those required to perform essential job functions. These include frequent sitting and computer use; occasional standing, walking, reaching, bending, twisting, and lifting or carrying materials up to 20 pounds. Reasonable accommodations may be made on a case-by-case basis.

Frequent upward and downward flexion of the neck; frequent: sitting use of hands to operate computers, printers, and copiers; occasional: walking, standing; bending, and twisting of neck, bending and twisting of waist, squatting, grasping, reaching above and below shoulder level. Close vision and color vision required. Regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds.

This list of job duties and responsibilities is not intended to be all-inclusive and may be expanded from time to time to include other duties or responsibilities that may be deemed necessary.

Benefits:

• Medical | Dental | Vision - 100% paid by the employer
• Ongoing Training and Staff Development opportunities
• Flexible Spending Account
• Legal Service Plans Available
• Paid Holidays, Sick Pay, and Vacation Time
• Additional Vacation Days – Earn up to 5 bonus days after 3 years, and up to 15 bonus days after 10 years.
• Long-Term Disability
• Group and Voluntary Life Insurance Plan
• Annual Employer Contribution Plan and Employee 401(k) Contribution
• Employee Assistance Program