Child Care Services Fraud Investigator

Workforce Solutions Borderplex•El Paso, TX

3d•Hybrid

About The Position

Performs moderately complex investigative, compliance, and technical assistance work related to Child Care Services program integrity and fraud prevention. Work involves conducting investigations, reviewing documentation, interviewing relevant parties, preparing findings and recommendations, and collaborating with internal and external partners to ensure compliance with Texas Workforce Commission requirements and Child Care Development Fund (CCDF) regulations. WORKFORCE SOLUTIONS BORDERPLEX IS ONE OF 28 PUBLIC WORKFORCE DEVELOPMENT BOARDS IN TEXAS SERVING THE SIX-COUNTY BORDERPLEX REGION. WE ARE A NON-PROFIT OPPORTUNITY INCUBATOR, PERSONALIZING THE CAREER PATH AND CONNECTING THE RIGHT PEOPLE TO THE RIGHT POSITIONS. WITH THE TOOLS, PROGRAMS, AND SERVICES WE PROVIDE, WE KNOW YOU CAN DO ANYTHING YOU PUT YOUR HEART INTO. OUR ORGANIZATION AND ITS INITIATIVES HAVE BEEN RECOGNIZED AND AWARDED BY THE TEXAS WORKFORCE COMMISSION FOR OUR INNOVATIVE APPROACH TO ASSISTING EMPLOYERS AND JOB SEEKERS. WSB SERVES IN THE SPIRIT OF COMMUNITY SUPPORT. WHAT WE DO IS SO IMPORTANT, BUT WE DON’T DO IT ALONE. WE SERVE THE REGIONAL BUSINESS COMMUNITY. OUR MISSION IS TO HELP THEM GROW STRONGER SO THEY CAN CREATE BETTER JOBS. WE ALSO PREPARE PEOPLE TO FILL THOSE JOBS AND ACHIEVE A SUSTAINING AND FULFILLING CAREER. WSB EXHIBITS A GROWTH MINDSET. WE SEEK INDIVIDUALS WHO BUY INTO THIS MISSION AND LEAD BY EXAMPLE BY BEING GOOD STEWARDS OF OUR FINANCIAL RESOURCES, WORK EFFICIENTLY TO STRETCH OUR RESOURCES, AND SUPPORT THE ORGANIZATION AND ITS COMMUNITY PARTNERS SO WE CAN COLLECTIVELY ELEVATE THE REGIONAL ECONOMY. OUR VALUES INCLUDE TRANSPARENCY, INNOVATION, ACCOUNTABILITY, RESEARCH-DRIVEN, IMPACT-DRIVEN, INTEGRITY, COLLABORATION, AND EMPATHY. JOIN THIS HIGH-PERFORMING TEAM AND SUPPORT A THRIVING REGIONAL ECONOMY!

Requirements

Minimum 3–5 years of relevant professional experience in one or more of the following areas: investigations, compliance, auditing, fraud detection, public benefits eligibility, case management review, program monitoring
Relevant experience and education may be substituted for one another
Must possess a valid Texas driver’s license and meet requirements to be included as an authorized driver on the Workforce Solutions Borderplex commercial insurance policy
Knowledge of federal and state Child Care Services regulations
Knowledge of Texas Workforce Commission policies and procedures
Knowledge of investigative methods and documentation standards
Knowledge of public benefits eligibility requirements
Knowledge of compliance monitoring and audit principles
Knowledge of confidentiality and records management requirements
Skill in analyzing records and identifying discrepancies
Skill in conducting objective investigations
Skill in preparing clear and detailed written reports
Skill in interviewing and fact-finding
Skill in using Microsoft Office products and case management systems
Skill in exercising sound judgment and discretion
Ability to gather, assemble, and analyze facts and evidence
Ability to apply policy and regulations consistently
Ability to communicate effectively both orally and in writing
Ability to maintain impartiality and confidentiality
Ability to work independently and manage multiple investigations simultaneously
Ability to provide recommendations for corrective action and process improvements
Attention to Detail: Ensures information is complete and accurate; follows up with others to ensure that agreements and commitments have been fulfilled.
Data Gathering & Analysis: Seeks or collects and synthesizes information from a variety of stakeholders and sources in an objective, unbiased manner to reach a conclusion, goal, or judgment, and to enable strategic and leadership decision making.
Problem Solving: Identifies problems and uses logic, judgment, and data to evaluate alternatives and recommend solutions to achieve the desired organizational goal or outcome.
Decision Making: Obtains information and identifies key issues and implications to make informed and objective decisions.
Decision Quality: Makes sound decisions that take into account objectives, risks, implications, and agency and governmental regulations.
Conflict Resolution: Uses a variety of approaches to manage and resolve concerns, disagreement, and conflict.
Planning & prioritization: Plans and organizes work activities; manages several tasks at once.
Adaptability: Adapts quickly to change and easily considers new approaches.
Results orientation: Focuses on desired results and sets and achieves challenging goals
External & Organizational Awareness: Identifies and understands how internal and external issues (e.g., economic, political, social trends) impact the work of the organization.
Risk Analysis: Identifies and manages the risks of failing to detect a misstatement, caused by inadvertent error or fraud that is material to financial statements.
Quality/Compliance: Achieving a standard of excellence with our work processes and outcomes, honoring the organization's policies and all regulatory requirements.
Customer focus: Striving for high customer satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the customer rather than our department or the organization.
Communication: Balancing listening and talking, speaking, and writing clearly and accurately, influencing others, and keeping others informed.
Collegiality/Collaboration: Being helpful, respectful, approachable and team oriented, cooperating with others, inside and outside the organization, to accomplish objectives to build and maintain mutually beneficial partnerships, leverage information, and achieve results.
Initiative: Taking ownership of our work, doing what is needed without being asked, following through
Efficiency: Planning, managing time well, being on time, being cost conscious, thinking of better ways to do things.
Continuous Learning & Self Development: Being receptive to feedback, willing to learn, embracing continuous improvement, proactively investigating new perspectives, approaches, and behaviors.
Integrity/Transparency: Upholds social, ethical, and organizational norms and values; firmly adheres to codes of conduct and ethical principles; behaves consistently, and is open, honest, and trustworthy; acts without consideration of personal gain.

Nice To Haves

Bachelor’s degree from an accredited four-year college or university in Criminal Justice, Public Administration, Social Services, Accounting, or a related field is preferred.

Responsibilities

Conduct investigations into allegations of fraud, waste, abuse, and non-compliance involving CCS participants and childcare providers
Review eligibility documentation, income verification, employment records, residency documentation, attendance records, and provider billing submissions
Conduct interviews with parents, providers, employers, staff, and third-party contacts as necessary
Analyze documentation, records, and data to identify inconsistencies, trends, or potential fraudulent activity
Prepare detailed investigative reports, summaries of findings, and recommendations for corrective action
Support overpayment identification, calculation, and recovery documentation processes
Coordinate with CCS eligibility staff, monitoring teams, legal counsel, and Texas Workforce Commission staff
Assist with documentation required for appeals, hearings, audits, and compliance reviews
Maintain secure and confidential handling of sensitive records and personally identifiable information
Identify process gaps, internal control weaknesses, and opportunities for fraud prevention improvements
Assist in developing procedures, workflows, and guidance related to fraud investigations and program integrity
Conduct field visits and on-site investigations as needed
Perform related work as assigned