Case Analyst

Date:
Aug 5, 2026

Location:

AUSTIN, TX

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.

Functional

Title:

Case Analyst

Job Title: Program Specialist V

Agency: Health & Human Services Comm

Department: Chief Counsel

Posting Number: 19555

Closing Date: 08/19/2026

Posting Audience: Internal and External

Occupational Category: Business and Financial Operations

Salary Range: $4,523.16 - $5,600.00

Pay Frequency: Monthly

Salary Group: TEXAS-B-21

Shift: Day

Telework: Eligible for Telework

Travel: Up to 15%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non‑Exempt: Nonexempt

Job Location City: AUSTIN

Job Location Address: 4601 W GUADALUPE ST

MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

The Program Specialist V – Case Analyst (CA) is part of the Texas Health and Human Services (HHS) Office of Inspector General (OIG) Chief Counsel Division. The CA performs highly advanced (senior‑level) consultative and technical work. Under the guidance of the Director of Financial Analysis and Case Management, the CA assists with case management and referral activities, the enforcement of assessed final debt amounts, and any associated collection activities.

The duties of this position involve reviewing, researching, analyzing, and evaluating case results, investigative findings and payments related to complex cases involving health care provider fraud, waste and/or abuse in the Medicaid system as well as other Texas Health and Human Service programs. Responsibilities include making recommendations and assisting in processing contract cancellations, exclusions and terminations. The CA interprets policies, procedures, rules, regulations, and standards related to Texas health and human services programs and must ensure compliance with federal and state laws and regulations.

The CA works under general supervision of the Director of Financial Analysis and Case Management or his/her designee. The CA works under limited supervision, with considerable latitude for the use of initiative and independent judgment.

• Assists in case management activities related to referrals to the OIG Chief Counsel Division by licensing boards, federal agencies, other OIG areas, or other sources as appropriate. Conducts research pertaining to case results, investigative findings, and payments to make determinations and recommendations. 30%
• Conducts research pertaining to case results, investigative findings, and payments to make determinations and recommendations concerning contract cancellations, exclusions, terminations and or impacted program areas. 30%
• Assists with the enforcement of assessed final debt amounts, and any associated collection activities. Handles case closing processes to include scanning and uploading relevant documents into the case management system and case library. 30%
• Prepares reports with supporting tables and documentation for use by internal and external stakeholders. 5%
• Performs other duties as assigned. Keeps manager informed as required or as necessary. 5%

• Knowledge of state and federal laws related to the public health care programs such as Medicaid and Medicare.
• Knowledge of collection processes.
• Skill in use of personal computer, computer software, includes spreadsheet, database, and word processing applications.
• Skill in communicating effectively in writing and orally.
• Ability to research facts and law from a variety of databases.
• Ability to review legal and medical files and distill salient information.
• Ability to interpret policies, procedures, rules, regulations, and standards.
• Ability to utilize computers and applicable software programs.
• Ability to…