BPI Field Investigator IV

TX-HHSC-DSHS-DFPS • Grand Prairie, TX

90d • $4,263 - $6,779

About The Position

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. The Office of Inspector General (OIG) Benefits Program Integrity (BPI) Field Investigator IV reports to the BPI unit manager. BPI Field Investigators conduct highly complex administrative and criminal investigations involving recipients of HHS programmatic services, such as Medicaid; the Children’s Health Insurance Program (CHIP); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and the Women, Infants, and Children’s (WIC) program. The BPI Field Investigator IV is responsible for investigating referrals of fraud, waste, and abuse by HHS clients, conducting thorough research and evidence gathering activities, and determining whether the information collected represents a violation of program laws, rules, or regulations according to applicable evidentiary standards.

Requirements

• Graduation from an accredited high school or GED.
• Graduation from an accredited four-year college or university with major coursework in business, public administration, criminal justice, or a field related to the assignment OR three years’ experience conducting administrative or criminal investigations OR three years of knowledge and experience in conducting research and applying SNAP, TANF, and/or Medicaid policies, procedures, and regulations.
• Current, Valid Driver’s License Required.

Nice To Haves

• Experience in applying HHS social services program eligibility requirements to recipient investigations.
• Experience in using automated systems for documentation, research, and tracking.

Responsibilities

• Researches, collects evidence, reviews records, and examines potential criminally prosecutable allegations through multiple agency, state, and federal systems to determine program compliance and identify fraud.
• Coordinates, evaluates, summarizes, and documents investigative findings.
• Calculates overpayments across multiple programs with differing and intricate requirements that vary depending upon the services and circumstances of a particular case.
• Maintains clear and thorough investigative documentation and implements well-organized electronic filing and documentation systems.
• Coordinates with BPI leadership to recommend and implement process improvements that increase efficiency and effectiveness of investigative activities and documentation.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan.
• Generous time off benefits.
• Numerous opportunities for career advancement.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Bachelor's degree