Investigator IV

Investigator IV The Investigator IV – Investigative Analyst performs moderately complex non-fraud and administrative investigations for individuals who have allegedly committed fraud in HHS programs.
Investigator will prepare evidence and testify during Fair Hearings and Administrative Disqualification Hearings.
Ensures investigations are conducted and reported in compliance with law, agency policy, and professional standards.
Assists the Regional Field Investigations Team with researching fraud and non-fraud investigations by screening complaints, accurately determining the type of investigations, identifying contacts and potential witnesses, contacting subjects, employers, or collaterals to verify recipient case information.
Accurately determines type of investigations, screens referrals, collects evidence including obtaining business records affidavits, and prepare case records for criminal investigations.
Provides testimony in Administrative Disqualification Hearings, Fair Hearings, and court proceedings.
Reviews and analyzes records and reports from multiple agency, state and federal databases to determine fraud and program compliance.
Assists with interpreting policy, training and coordinating regional intern staff, and responding to complaints.
Works under limited supervision with considerable latitude for the use of initiative and independent judgment.
This position requires 20% travel.
This position will also provide backup administrative support for the Regional Field Investigations Team as needed.
This position is Telework eligible.
Essential Job Functions: (25%) 1.
Conducts investigations and examinations of alleged violations of laws, rules, and regulations; identifies, contacts, and interviews potential witnesses and complainants; collects and compiles investigative data.
(10%) 2.
Prepares cases for presentation at hearings or in court; testifies and presents evidence in formal hearings or court proceedings.
Evaluates, summarizes, and documents investigative findings.
Prepares records, correspondence, and reports.
Interacts and exchanges information with various state and federal law enforcement and organizations.
(60%) 3.
Assists the Regional Field Investigations Team with researching fraud and non-fraud investigations by screening complaints, accurately determining the type of investigations, identifying contacts and potential witnesses, contacting subjects, employers, or collaterals to verify recipient case information.
Assists Regional Director with training, coordination, and monitoring of regional intern staff.
(5%) 4.
Performs administrative or support work for assigned area and makes recommendations for work standards and procedures.
Provides backup administrative support for the Regional Field Investigations Team as needed.
Knowledge Skills Abilities: Knowledge of investigative principles, techniques, and procedures.
Knowledge of office management and administrative procedures of the agency.
Knowledge of court procedures, practices, and rules of evidence.
Knowledge of state and federal laws pertaining to agency programs.
Knowledge of social services programs in assigned area.
Knowledge of agency and community resources.
Knowledge of skill in interviewing clients.
Skills in conducting quality assurance on cases of clients participating in HHS programs and conducting case readings.
Skills in operation of technical equipment and detection devices.
Skills in communicating both orally and in writing.
Skills in conducting legal research and analysis.
Skills in developing sources of information.
Skills in using a Microsoft Word and Excel.
Skills in conducting investigative research using various databases.
Ability to conduct interview and gather facts.
Ability compile, evaluate, and present information relevant to investigations.
Ability to assess situations encountered during an investigation and take appropriate actions.
Ability to communicate effectively with a variety of individuals.
Ability to comprehend agency policies and guidelines to determine employee, provider, or recipient compliance.
Ability to conduct diverse investigations with a minimum of supervision.
Ability to testify in hearings and court proceedings.
Registration or Licensure Requirements: Valid driver license required.
Initial Selection Criteria: Graduation from an accredited four-year college or university with major course work in business, public administration, criminal justice, or a field related OR four years of criminal and/ or administrative investigations experience OR five years administrative experience with a demonstrated background in conducting research, creating reports, conducting civil or administrative research involving SNAP, TANF, WIC, and Medicaid programs.
Additional Information: Req 595993 Criminal Investigations is defined as, developing information sources and gathering and verifying facts and evidence, conducting interviews and interrogations to document an offense for the purpose of criminal prosecution and providing testimony in criminal courts to support the results of the investigation.
The OIG is responsible for preventing, detecting, auditing, inspecting, reviewing, and investigating fraud, waste, and abuse in the provision of HHS in Medicaid and other HHS programs.
Potential employees of OIG are subject to criminal background checks in accordance with the HHS Human Resources policy.
Selected applicants must submit to a name-based, or in some instances a fingerprint based, criminal background check through Texas Department of Public Safety (DPS) to determine if an applicant has a conviction for a Class A misdemeanor within the last five years or a felony that constitutes a bar to employment.
The posted salary range reflects the minimum and maximum allowable by state law.
Any employment offer is contingent upon available budgeted funds.
The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual Chapter 7.
Consideration will also be given to known past job performance, if applicable, and prior work history.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.
If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747.
If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
MOS Code: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68R, 35M, 06, 6033, 2A7X2, AM, 35M.
For more information see the Texas State Auditor’s Military Crosswalk at https://www.
hr.
sao.
state.
tx.
us/Compensation/JobDescriptions.
aspx.
Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS HHS agencies use E-Verify.
You must bring your I-9 documentation with you on your first day of work.
In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.
If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747.
If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.