TF Investigation Lead

Texas Health and Human Services Commission

$61K — $99K *
Education, Government & Non-Profit
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • 3 years of experience as a Trust Fund Monitor.
  • Bachelor's degree in business, accounting, or related field preferred.
  • Experience with accounting practices and systems.
  • Experience with Medicaid for the Elderly and Persons with Disabilities (MEPD).
  • Experience in financial investigations.

Responsibilities

  • Triage and assign priority levels to incoming complaint intakes.
  • Distribute intakes among investigators fairly.
  • Assist investigators during their investigations.
  • Train team members on investigation tools.
  • Monitor ongoing investigations to ensure deadlines are met.
  • Review and approve final investigation reports.
  • Travel statewide to observe and assist with investigations.

Benefits

  • Eligibility for telework arrangements.
  • Opportunity for professional development and training.
  • Supportive work environment fostering team collaboration.
  • Flexibility in work hours to accommodate travel needs.
  • Regular schedule and predictable hours.
Full Job Description
Functional Title: TF Investigation Lead Job Title: Auditor III Agency: Health & Human Services Comm Department: NF Trust Fund Monitoring-audit Posting Number: 20217 Closing Date: 09/20/2026 Posting Audience: Internal Occupational Category: Business and Financial Operations Salary Range: $5,098.67- $8,304.83 Pay Frequency: MonthlySalary Group: TEXAS-B-23 Shift: Day Additional Shift: Days (First) Telework: Eligible for Telework Travel: Up to 50% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location:Job Location City: WAXAHACHIE Job Location Address: 121 WESTGATE DR Other Locations: MOS Codes: 3402,3404,3408,3451,8844,310X,36A,36B,651X,65FX,6F0X1,70C,751X,87Q0,8I200,FIN10,F&S,SK

LTCR Trust Fund Auditor III - Starting Market Rate Salary $71,372.57.

The HHSC Long Term Care Regulation Trust Fund Auditor III (TFA III) serves as Investigation Lead (IL) for the LTCR Trust Fund Monitoring Unit. The Investigation Lead is primarily responsible for the oversight of the financial complaint investigation function of the unit. The IL is responsible for implementing goals and objectives, developing team priorities and achieving established team performance measures. The Investigation Lead works under limited supervision of the Trust Fund Unit Manager, with considerable latitude for the use of initiative and independent judgment. The TFA III also works in conjunction with the Trust Fund Field Coordinator, providing leadership and support to the TFMU. This is a mobile worker position and requires travel throughout the State to perform or assist with investigations.

Financial investigations involve examining financial records, transactions, statements and business practices to ensure compliance with state and federal statutes and regulations. The process identifies any deficient practices, determines appropriate corrective actions, and provides follow-up to assure corrective actions are implemented. The process may also recommend punitive measures if corrective actions are not completed by the contractor. It may also result in the need to provide testimony at formal or informal hearings.
Results of the investigation process may also advise contractors on the requirements, liabilities, and penalties of compliance and noncompliance; provide technical assistance; and recommend improved accounting and/or management practices. The TFA III may coordinate work with the Texas Attorney General's office, (OAG) the Texas Inspector General's office (IG)as well as other HHSC Regulatory Services units.

The TFA III Investigation Lead must provide high quality customer service to external and internal customers by providing prompt responses to inquiries, taking the initiative to solve problems, exercising flexibility, and continuing to seek improvements within the unit.

May travel up to 50% with some overnight trips.

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Essential Job Functions (EJFs):

  • Triage incoming complaint intakes and assign priority level

  • Assign intakes to investigators in a fair and equitable way

  • Provide assistance to investigators during the investigation process

  • Train and support team members on use of the investigation tools

  • Monitor progress of open investigations

  • Assure that deadlines are met

  • Review and approve final investigation reports

  • Travel to perform, assist with/observe investigation process


Knowledge, Skills and Abilities (KSAs):

  • Knowledge of HHS Trust Fund Monitor (TFM);

  • Knowledge of Accounting practices and principals

  • Knowledge of the investigation process

  • Eligibility requirements for Medicaid for the Elderly and Persons with Disabilities (MEPD);

  • Knowledge and understanding of applied income calculations and guidelines

  • Knowledge of Medicaid, Medicare, and private insurance reimbursement methodologies;

  • Ability to access and interpret data in state systems: Provider; TIERS; SharePoint; NeuDocs; HHS Portal and PS Win.

  • Ability to work independently and solve problems
  • Ability to present information both oral and in writing.
  • Ability to travel up to 50%.


  • Ability to multi-task; set priorities and goals;

  • Ability to maintain a rigorous work/travel schedule
  • Ability to use Word and Excel.


Registrations, Licensure Requirements or Certifications:

Valid Texas driver's license

Initial Screening Criteria:

  • 3 years' experience as a Trust Fund Monitor;

  • Graduation from an accredited four-year college or university with major course work in business, accounting or a related field is generally preferred. Experience and education may be substituted for another on a year for year basis.

  • Experience with accounting practices and systems.

  • Experience with Medicaid for the Elderly and Persons with Disabilities (MEPD).

  • Experience in financial investigations.


Additional Information:

Flexibility in work hours is required for this position. The job requires travel, with most travel during the day. Must have reliable transportation. All applicants must pass a fingerprint criminal background check and the SEMARC (Search Engine for Background Checks) check. Additional checks as applicable may include the NAR (Nurse Aide Registry) and LNFA (Licensed Nursing Facility Administrator) check.

If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.

If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.

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