The Texas Health and Human Services Commission (HHSC) seeks
highly qualified candidates to fill the Texas Works Advisor IV
position within Access and Eligibility Services (AES) Integrity
Support Services (ISS). AES is driven by its mission to connect
people, services, and supports by helping individuals and families
in need of food, medical care, cash assistance and other social
services. The ideal candidate will thrive in an environment that
emphasizes: innovation through new ideas, striving for excellence
by taking pride in your work, embracing our differences as a source
of strength, accomplishing more through partnership, leading by
example, and learning for continuous improvement. Texas Works
Advisor IV. The Texas Health and Human Services (HHS) seeks highly
qualified candidates to fill the Advisor IV within the Access &
Eligibility Services (AES) Department Eligibility Operations
Integrity Support Services (ISS). as an analyst that performs
(senior-level) eligibility determination reviews for social service
programs. Reviews and analyzes cases to prevent potential fraud
prior to certification. Under the direction of management, reviews
cases for compliance of public assistance laws and regulations.
Applies regulations and procedures to determine accurate
eligibility for public assistance programs. The TWA IV evaluates,
summarizes, documents findings, and prepares detailed case reports.
Collects information and prepares records for referral to analysts
to conduct hearings and appeals and responds to client complaints.
Reviews suspected fraud cases; identifies and contacts potential
witnesses and clients. Makes collateral calls to verify recipient
case information. Reviews and analyzes documents and reports from
multiple agency, state, and federal databases to collect data and
to determine, or verify, new and continued program eligibility.
Assists with development and delivery of training presentations to
HHS staff. Work involves coordinating the review of eligibility
cases, verifying information with clients, collateral sources,
residential facilities and employers. Verifies case data and
resolves problems and complaints. Works under limited supervision,
with considerable latitude for the use of initiative and
independent judgment. Monitor, reviews, and communicates case
status and changes to clients and/ or authorized
Communicates all case changes and provides status updates to the
management team and/or Director of the Eligibility
Operations-Integrity Support Services (ISS). Essential Job
Attends work on a regular and predictable schedule in accordance
with agency leave policy and performs other duties as assigned.
Reviews suspected fraud cases and makes referrals to Office of
Inspector General investigators as needed. Reviews case records to
determine validity and accuracy of eligibility determinations made
by other staff. Conducts effective reviews and obtains information
by observing and recording examinations. Performs fact-finding
Analyzes and evaluates the client's statements. Interprets,
understands, and applies provisions of public assistance laws.
Prepares clear and concise written and oral reports while dealing
effectively with the public and departmental staff. Documents case
files using automated equipment to form a case record for each
client. Initiates, monitors, and manages service improvement
projects and reports on activities Performs other duties as
assigned. Analyzes situations accurately and adopts an effective
course of action to resolve discrepancies.
Responsible for explaining program benefits and requirements to
clients and/or advisor staff as necessary. Resolves problems and
complaints. Presents findings and provides status updates to the
management team and/or Director of the ISS. Assists in the
oversight and development of eligibility functions which includes
recommendations for development of training, operational policies
and procedures. Monitors completion of referred precertification
cases by field Advisors. Provides quality improvement opportunities
to the Eligibility Operations-Field Operations (EO-Field Ops) to
ensure eligibility determination and benefit issuance are timely
and accurate according to state and federal regulations. Assists in
the oversight, review and evaluation of information regionally as
it relates to service delivery systems. Evaluates output activities
and findings to identify gaps in resources, improvements or trends
that impact business flow, agency goals, objectives, and the
overall strategic plan for the program area. Provides consultative
services and technical assistance to plan, implement and monitor
effective programs and services. Provides information and may serve
as a liaison with local, state, and federal agencies for the
prevention and suppression of fraudulent benefit activities.
Compiles data, conducts analysis, prepares correspondence, and
reports on the validity and accuracy of eligibility determinations.
Attends meetings, trainings, and workshops related to program
benefits, requirements, rights to appeal and fair hearings to
clients. Compiles information to be used in bulletins, articles,
and publications for the benefit of eligibility determination staff
and/or clients and their authorized representatives.
Assists in the oversight of the preparation and development of
legislative initiatives, analysis, and other complex documents that
support the agency and the determination of eligibility for EO
services and programs. Prepares responses for request for
information within EO. May initiate and monitor special projects.
Knowledge Skills Abilities:
Knowledge of local, state and federal laws and regulations
relevant to program areas. Comprehension of fraud prevention and
fraud detection for SNAP, TANF, CHIP and Medicaid Programs. Skill
in communicating effectively both orally and in writing. Ability to
exercise judgment and work independently with minimal supervision.
Ability to work cooperatively in a team environment. Ability to use
word processing and spreadsheet applications in a Windows
environment. Knowledge of SNAP, TANF, Medicaid and CHIP Programs.
Awareness of HHS Enterprise agencies and programs. Knowledge of
strategic planning and program evaluations. Skill In developing and
evaluating policies and procedures; to assess risk and develop
contingency plans: and to make recommendations and decisions.
Aptitude in problem solving and independent decision-making. Skill
in establishing and maintaining effective working relationships
with co- workers, subordinates, and supervisors. Skilled in
communicating ideas and instructions dearly and concisely. Skill in
project management and the ability to identify problems, evaluate
alternatives and implement effective solutions. Ability to serve as
agency spokesperson in matters related to program management and
operations. Ability to exercise creative problem-solving techniques
in a highly complex environment. Ability to analyze and solve
problems and make decisions affecting overall operations.
Proficiency to set and manage priorities judiciously. Ability to
organize and develop work plans, coordinate administrative
assignments, and adhere to strict deadlines. Ability to plan,
assign and supervise the work of others. Registration or Licensure
N/A Initial Selection Criteria:
High School diploma or GED equivalent is required. Sixty (60)
semester hours from an accredited college or university is required
OR relevant customer service experience may be substituted for
education. Degree from an accredited college or university is
Two years' experience determining eligibility for SNAP,
Medicaid, and/or cash assistance required. Experience conducting
fraud analysis related to human services programs preferred.
Experience which indicates skill in data review and analysis
required. Experience evaluating eligibility cases for accuracy and
fraud detection preferred. Training or experience in fact-finding
principles preferred. Experience working in a professional customer
service environment required. Experience which demonstrates skill
in communicating verbally and in writing required.
Application indicates willingness to work beyond normal work
hours of 8AM-5PM as needed/required.
Application indicates the willingness to travel 20% of the time
Requisition # 481148
Note: Current employee applicants should list each position held
separately. For example, Texas Works Advisor I job experience must
be listed separately from Texas Works Advisor II job
Open internal and external
Number of positions to be filled: TBD.
The location of the positions will be determined after selection
of the candidates.
Applicants may not have a history of substantiated fraudulent
activity against HHSC or any programs it administers. Applicants
who have a non-fraud overpayment with an outstanding balance must
agree to repay the overpayment balance as a condition of
HHS agencies use E-Verify.
You must bring your I-9 documentation with you on your first day
of work. I-9 Form - Click here to download the I-9 form. 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:
Note: There may be no military occupation(s) that relate to the
initial selection criteria and registration or licensure
requirements for this position. All active duty military,
reservists, guardsmen, and veterans are encouraged to apply if
qualified to fill this position. For more information see the Texas
State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx
HHS agencies use E-Verify. You must bring your I-9 documentation
with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
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.