OAG - Medicaid Fraud Control Unit | Auditor III-IV | 25-0336
Texas Attorney General
Date: 3 weeks ago
City: Tyler, Texas
Contract type: Full time
Please paste the following URL into a browser to view the entire job posting in the CAPPS Career Section: https://capps.taleo.net/careersection/ex/jobdetail.ftl?job=00048116
You may apply to the job directly through the CAPPS Career Section. It is not necessary to apply both through Work In Texas and CAPPS Career Section
GENERAL DESCRIPTIONThe Medicaid Fraud Control Unit of the Office of Attorney General is seeking an Auditor whose work will involve conducting financial investigative work for the division. Work involves planning, organizing, and conducting advanced investigations and preparing reports on findings and recommendations. May lead an investigative team. Works under limited to minimal supervision with considerable to extensive latitude for the use of initiative and independent judgment. OAG employees enjoy excellent benefits along with tremendous opportunities to do important work and make a positive difference in the lives of all Texans.
The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the States law firm, the OAG provides exemplary legal representation in diverse areas of law. OAG employees enjoy excellent benefits (https://ers.texas.gov/Benefits-at-a-Glance) along with tremendous opportunities to do important work at a large, dynamic state agency making a positive difference in the lives of Texans.
ESSENTIAL POSITION FUNCTIONSAuditor III
Conducts highly complex or assists with advanced audits/criminal investigations and examinations of alleged Medicaid provider fraudQueries, examines and analyzes Medicaid claims data to contribute to an efficient, team-oriented investigation; applies statistical sampling techniques to claims data as necessary; obtains information and data from a variety of systems to contribute to investigations; and collects and analyzes case evidence, including business records, financial records, banking records, and medical records
Documents audits/investigations by preparing detailed audit/criminal investigative reports, opening memos, and closing memos in a professional, correct and timely manner, consistent with MFCU guidelinesAssists with outreach presentations to outside agencies, associations, or groups, whose assistance and cooperation can enhance the mission of MFCU
Represents the Office of the Attorney General by testifying before state and federal grand juries, in court settings, and at administrative hearings
Auditor IV: All of the above functions for an Auditor III PLUS:
Conducts advanced (senior-level) audits/criminal investigations and examinations of alleged Medicaid provider fraud, including the development of audit/investigation objectives and plans; identifies violations of state law, federal law and Medicaid rules and regulations by Medicaid providers and their employees and obtains evidence to support these violations, including via witness and subject interviews; identifies the corresponding Medicaid overpayments associated with these violations
Performs related work as assigned
Maintains Relevant Knowledge Necessary To Perform Essential Job Functions
Attends work regularly in compliance with agreed-upon work schedule
Ensures security and confidentiality of sensitive and/or protected information
Complies with all agency policies and procedures, including those pertaining to ethics and integrity
Qualifications: MINIMUM QUALIFICATIONS
Auditor III
Education: Graduation from high school or equivalent
Education: Bachelor's degree from an accredited college or university; experience in the following (or closely related) fields may be substituted for the required education on a year-for-year basis: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare
Experience: Four years of full-time experience working in the following (or closely related) fields: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare; may s bstitute a masters degree from an accredited college or university for two years of the required experience
Knowledge of word processing and electronic spreadsheet applications
Skill in handling multiple tasks, prioritizing, and meeting deadlines
Skill in effective oral and written communication
Skill in exercising sound judgment and effective decision making
Ability to receive and respond positively to constructive feedback
Ability to work cooperatively with others 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
Ability to work more than 40 hours as needed and in compliance with the FLSA
Ability to lift and relocate 30 lbs.
Ability to travel (including overnight travel) up to 20%
Auditor IV - All of the above qualifications for an Auditor III, PLUS:
Experience: Two additional years full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare or closely related field; may substitute a masters degree from an accredited college or university for two years of the required experience
Ability to speak before a variety of audiences in varied settings or formats
TO APPLYTo apply for a job with the OAG, electronic applications can be submitted through CAPPS Recruit. A State of Texas application must be completed to be considered, and paper applications are not accepted. Your application for this position may subject you to a criminal background check pursuant to the Texas Government Code. Military Crosswalk information can be accessed at
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_AccountingAuditingandFinance.pdfTHE OAG IS AN EQUAL OPPORTUNITY EMPLOYER
You may apply to the job directly through the CAPPS Career Section. It is not necessary to apply both through Work In Texas and CAPPS Career Section
GENERAL DESCRIPTIONThe Medicaid Fraud Control Unit of the Office of Attorney General is seeking an Auditor whose work will involve conducting financial investigative work for the division. Work involves planning, organizing, and conducting advanced investigations and preparing reports on findings and recommendations. May lead an investigative team. Works under limited to minimal supervision with considerable to extensive latitude for the use of initiative and independent judgment. OAG employees enjoy excellent benefits along with tremendous opportunities to do important work and make a positive difference in the lives of all Texans.
The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the States law firm, the OAG provides exemplary legal representation in diverse areas of law. OAG employees enjoy excellent benefits (https://ers.texas.gov/Benefits-at-a-Glance) along with tremendous opportunities to do important work at a large, dynamic state agency making a positive difference in the lives of Texans.
ESSENTIAL POSITION FUNCTIONSAuditor III
Conducts highly complex or assists with advanced audits/criminal investigations and examinations of alleged Medicaid provider fraudQueries, examines and analyzes Medicaid claims data to contribute to an efficient, team-oriented investigation; applies statistical sampling techniques to claims data as necessary; obtains information and data from a variety of systems to contribute to investigations; and collects and analyzes case evidence, including business records, financial records, banking records, and medical records
Documents audits/investigations by preparing detailed audit/criminal investigative reports, opening memos, and closing memos in a professional, correct and timely manner, consistent with MFCU guidelinesAssists with outreach presentations to outside agencies, associations, or groups, whose assistance and cooperation can enhance the mission of MFCU
Represents the Office of the Attorney General by testifying before state and federal grand juries, in court settings, and at administrative hearings
Auditor IV: All of the above functions for an Auditor III PLUS:
Conducts advanced (senior-level) audits/criminal investigations and examinations of alleged Medicaid provider fraud, including the development of audit/investigation objectives and plans; identifies violations of state law, federal law and Medicaid rules and regulations by Medicaid providers and their employees and obtains evidence to support these violations, including via witness and subject interviews; identifies the corresponding Medicaid overpayments associated with these violations
Performs related work as assigned
Maintains Relevant Knowledge Necessary To Perform Essential Job Functions
Attends work regularly in compliance with agreed-upon work schedule
Ensures security and confidentiality of sensitive and/or protected information
Complies with all agency policies and procedures, including those pertaining to ethics and integrity
Qualifications: MINIMUM QUALIFICATIONS
Auditor III
Education: Graduation from high school or equivalent
Education: Bachelor's degree from an accredited college or university; experience in the following (or closely related) fields may be substituted for the required education on a year-for-year basis: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare
Experience: Four years of full-time experience working in the following (or closely related) fields: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare; may s bstitute a masters degree from an accredited college or university for two years of the required experience
Knowledge of word processing and electronic spreadsheet applications
Skill in handling multiple tasks, prioritizing, and meeting deadlines
Skill in effective oral and written communication
Skill in exercising sound judgment and effective decision making
Ability to receive and respond positively to constructive feedback
Ability to work cooperatively with others 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
Ability to work more than 40 hours as needed and in compliance with the FLSA
Ability to lift and relocate 30 lbs.
Ability to travel (including overnight travel) up to 20%
Auditor IV - All of the above qualifications for an Auditor III, PLUS:
Experience: Two additional years full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare or closely related field; may substitute a masters degree from an accredited college or university for two years of the required experience
Ability to speak before a variety of audiences in varied settings or formats
TO APPLYTo apply for a job with the OAG, electronic applications can be submitted through CAPPS Recruit. A State of Texas application must be completed to be considered, and paper applications are not accepted. Your application for this position may subject you to a criminal background check pursuant to the Texas Government Code. Military Crosswalk information can be accessed at
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_AccountingAuditingandFinance.pdfTHE OAG IS AN EQUAL OPPORTUNITY EMPLOYER
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