OAG - Medicaid Fraud Control Unit | Sergeant | 26-0296

State of Texas; Texas; On-site; USD 70,000 - 95,000; Full time

Job summary

The State of Texas Office of the Attorney General, Medicaid Fraud Control Unit, seeks a Sergeant for advanced criminal investigations into Medicaid provider fraud and nursing facility cases. The role involves handling complex investigations, coordinating with other law enforcement agencies, and assisting prosecutors as needed.

Qualified applicants will undergo background and motor vehicle checks; Top Secret clearance may be required for some task forces.

Qualifications

• Four years full-time criminal investigative experience as a licensed peace officer
• TCOLE certification
• Knowledge of healthcare fraud investigation training needs
• Knowledge of state and federal statutes, rules, and regulations pertaining to law enforcement activities

Responsibilities

• Conduct advanced criminal investigations of Medicaid provider fraud and nursing home related investigations.
• Investigate violations of state and federal statutes with prosecution as needed.
• Collaborate with federal and state partners (FBI, HHS-OIG, IRS) on joint investigations.
• Assist in task forces and ensure adherence to Texas Penal Code and Code of Criminal Procedure.

Skills

Oral communication

Written communication

Investigative skills

Decision making

Budget planning

Public safety

Customer service

Team supervision

Travel readiness

Physical fitness

Problem solving

Education

Sixty college credits or higher

Associate or Bachelor’s degree substitution allowed

Law enforcement education substitution for required education

Tools

Microsoft Office

Job description

The Office of the Attorney General's Medicaid Fraud Control Unit (MFCU) is seeking a Sergeant a whose work will involve advanced criminal investigations of Medicaid provider fraud and nursing home related investigations for the Office of the Attorney General's Medicaid Fraud Control Unit (MFCU). Work involves conducting criminal investigations of violations of various state and federal statutes and prosecution assistance as needed. OAG employees enjoy excellent benefits along with tremendous opportunities to do important work and make a positive difference in the lives of all Texans. JOB POSTING NOTICE Applicants for this position should be prepared to pass a background investigation. Applicants will also be subject to a motor vehicle registration check. The MFCU works cases jointly with other law enforcement agencies including the FBI, U.S. Department of Health and Human Services - Inspector General and IRS. In certain cases, it is necessary for our staff to have a Top Secret security clearance in order to fully participate in joint investigations or in task force activities. Top Secret clearances are not required prior to employment but in certain cases may be required at a later date. Since most security clearance problems arise from criminal records or unresolved bad credit issues, full criminal and credit checks will be run on all applicants prior to employment.

Education

• Graduation from high school or equivalent Education: Sixty credit hours from an accredited college or university; may substitute an associate or bachelor's degree from an accredited college or university; or full-time investigations; law enforcement; auditing; accounting; compliance monitoring in Medicaid, Medicare, health care insurance, or closely related experience for the required education on a year-for-year basis

Experience

• Four years full-time criminal investigative experience as a licensed peace officer or comparable federal law enforcement officer
• TCOLE certification
• Knowledge of TCOLE training requirements and healthcare fraud investigation training needs
• Knowledge of Microsoft Office products (i.e. Word, Excel, PowerPoint, Outlook)
• Knowledge of criminal investigative principles, techniques, and methodologies
• Knowledge of management and administrative principles, techniques, and methodologies
• Knowledge of agency goals, objectives, rules, regulations, policies, and procedures
• Knowledge of state and federal statutes, rules, and regulations pertaining to law enforcement activities
• Knowledge of criminal and civil court proceedings and rules of evidence
• Skill in effective oral and written communication (Writing sample will be required at time of interview, if selected)
• Skill in researching and interpreting complex rules and regulations
• Skill in applying investigative techniques and procedures
• Skill in handling multiple tasks, prioritizing, and meeting deadlines
• Skill in exercising sound judgment and effective decision making
• Ability to develop and implement strategic plans and budgets
• Ability to use and care for firearms
• Ability to use intermediate impact weapons and Oleoresin Capsicum spray
• Ability to use physical tactics
• Ability to conduct complex criminal investigations of Medicaid provider fraud and nursing home related investigations
• Ability to interpret and apply applicable provisions of the Texas Penal Code, the Texas Code of Criminal Procedure, and federal statutes pertaining to investigations
• Ability to interpret and apply department policies and procedures
• Ability to plan, assign, and supervise the work of others
• Ability to handle stressful situations
• Ability to receive and respond positively to constructive feedback
• Ability to work cooperatively in a professional office environment
• Ability to provide excellent customer service
• Ability to work in person at assigned OAG work location, perform all assigned tasks at designated OAG workspace within OAG work location, and perform in-person work with coworkers (e.g., collaborating, training, mentoring) for the entirety of every work week (unless on approved leave)
• Ability to arrange for personal transportation for business-related travel, with reimbursement
• Ability to work more than 40 hours as needed and in compliance with FLSA
• Ability to lift and relocate 30 lbs.
• Ability to travel (including overnight travel) up to 20%
• Ability to achieve 64% or better of VO2 max on the 2000-meter row, or meet a minimum score of 64% on the 500-meter row test or 4-minute row test, utilizing a Concept 2 Rower
• Experience conducting white collar/economic crime investigations
• Experience investigating healthcare provider fraud and working with state and federal prosecutors in criminal matters
• Accomplished practitioner of the MFCU documentation and report writing system or a like system
• Knowledge of healthcare fraud statutes (state and federal)