Sergeant, Medicaid Fraud Investigations — Protect Patients

State of Texas; Texas; On-site; USD 75,000 - 110,000; Full time

Job summary

The Office of the Texas Attorney General’s Medicaid Fraud Control Unit seeks a Sergeant to lead advanced criminal investigations of Medicaid provider fraud and nursing home cases. You will work with state and federal prosecutors and support joint operations with agencies like the FBI and IRS.

Candidates should have four years of licensed peace-officer experience, knowledge of healthcare fraud statutes, and strong investigative writing skills. A Top Secret clearance may be required for some cases.

Qualifications

• Four years full-time criminal investigative experience as a licensed peace officer or comparable federal law enforcement officer.
• Experience conducting white collar/economic crime investigations.
• Experience investigating healthcare provider fraud and coordinating with state and federal prosecutors.
• Proficient with MFCU documentation and reporting systems.

Responsibilities

• Conduct advanced criminal investigations of Medicaid provider fraud and nursing home related investigations.
• Assist with prosecutions as needed.
• Coordinate with FBI, HHS-IG, IRS and other agencies in joint investigations.
• Prepare comprehensive reports and participate in joint investigations or task forces.

Skills

Oral & written communication

Investigative techniques

Multi-tasking & prioritization

Decision making

Education

High school diploma

60 college credits

Associate/Bachelor's degree substitute

Investigations experience

Law enforcement

Auditing

Accounting

Healthcare compliance experience

Job description

The Medicaid Fraud Control Unit is seeking a Sergeant whose work will involve performing 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. 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¿s 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 work space 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)