Fraud Examiner Jobs in Spring, TX (NOW HIRING)

About Houston-Galveston Area Council 

The Houston-Galveston Area Council is one of the largest regional planning commissions in the country with a diverse service area of 13 counties and more than7million people. We are the pulse of our region addressing issues that cross city limits and county lines every single day. 

We make decisions that affect our transportation system, ensure the safety and well-being of our seniors, connect people to jobs, help families recover from natural disasters, preserve water quality for our children, and so much more. We work to make the region a great place to live, work, and thrive. 

What will I bedoing?

Workforce Solutions-Gulf Coast is seeking a highly analytical and ethical professional to serve as a Child Care Services (CCS) Investigations Administrator for the Board's CCS program, reporting to the Quality Assurance and Risk Manager. The Investigations Administrator ensures compliance with federal Child Care regulations, Texas Workforce Commission policies, and local board procedures by investigating allegations of fraud, waste, and abuse involving parent participants and providers, while protecting due process rights and maintaining confidentiality.

u Manage day-to-day and oversight to team members handling compliance reviews, fraud investigations, and provider determinations.

u Serve as the Board's designated Fraud, Waste, and Abuse, Point of Contact.

u Review and approve team findings, recommendations, and official determinations prior to release.

u Guide staff in interpreting regulations, policies, and procedures related to fraud, improper payments, and provider compliance.

u Monitor team productivity, quality, and timeliness, identify gaps and implement corrective actions as needed.

u Lead team meetings, case discussions, and training sessions to ensure alignment and continuous development.

u Collaborate with Vendor Services, Compliance, and leadership to ensure proper escalation and tracking of providers requiring additional actions.

u Develop and maintain workflows to track provider status, including post-determination actions and enforcement steps.

u Provide onboarding and training of new staff, ensuring consistent application of processes and standards.

u Identify trends, risks, and process improvement opportunities, and make recommendations to leadership.

u Develop and implement policies, procedures, and internal controls to strengthen fraud prevention and compliance efforts.

u Any other duties relating to compliance and Child Care program integrity as assigned.

KeyQualifications 

u Bachelor's degree in criminal justice, Public Administration, Accounting, Finance, or related field (or equivalent relevant experience).

u 5+ years of investigative, program integrity or compliance experience in public benefits, government programs, fraud detection, auditing, or similar.

u Proven ability to mentor, train, and provide guidance to investigative staff, including quality review of casework and reports.

u Demonstrated experience leading complex investigations, including high-risk, high impact, or sensitive cases.

u Experience reviewing income documentation, employment verification, and financial records.

u Advanced report writing and case documentation skills, including preparation of summaries for leadership or legal review.

u Ability to coordinate with internal and external stakeholders (e.g., program staff, legal, TWC, vendors).

u Advanced knowledge of program policies, regulatory requirements, and compliance standards, with the ability to interpret policy and apply them in complex scenarios.

u Demonstrated ability to manage workload priorities, timelines, and escalation of high-risk cases.

u Valid Texas driver's license, local travel required.

Core Competencies

u Objectivity and impartiality

u Analytical reasoning and attention to detail

u Strong written communication

u Ethical judgment and confidentiality

u Knowledge of regulatory compliance standards

Do you have... 

u Bachelor's degree in an applicable academic discipline orrelatedfield of study 

u 5 years of experienceworking with local government, nonprofit programs, school, or in job-related duties

Preferred qualification... 

u Experience with Texas Child Care subsidies and public benefit programs.

u Familiarity with Texas Workforce Commission policies and Child Care eligibility rules.

u Certified Fraud Examiner (CFE) or similar credential.

u Experience in administrative hearings or compliance monitoring.