OAG - Medicaid Fraud Control Unit | Sergeant | 25-0238
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=00047292
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 the Attorney General is seeking a Sergeant whose work will involve criminal investigations of Medicaid provider fraud and nursing home related investigations for the Office of the Attorney Generals 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 NOTICEApplicants 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.
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 Functions
Conducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner, utilizing a wide range of techniques, with the goal of accomplishing the primary mission of MFCU, bringing violators of state and federal law, over which MFCU has jurisdiction, to justice, and identifying Medicaid and Medicaid related overpayments to Medicaid providers
Plans, participates in and conducts undercover investigations, surveillance operations, raids, and searches; identifies, gathers, and examines evidence, including complex records of Medicaid providers; executes court orders, warrants, and subpoenas; and reports investigative findings
Establishes and maintains liaison with outside agencies, associations, groups, and the like whose assistance and cooperation can enhance the mission of MFCU, including but not limited to proactive generation of investigative targets; participates willingly in team investigative endeavors (intra-Team, inter-Team, inter-city, and inter-agency); and contributes to a positive work environment and high morale
May train, lead, and/or assist with the work of others.
Performs related work as assigned
Responds to emergency situations by serving on-call twenty-four hours per day/seven days per week
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
Education: Sixty credit hours from an accredited college or university; may substitute an associates or bachelors degree from an ccredited 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
Preferred Qualifications
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)
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. You
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 the Attorney General is seeking a Sergeant whose work will involve criminal investigations of Medicaid provider fraud and nursing home related investigations for the Office of the Attorney Generals 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 NOTICEApplicants 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.
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 Functions
Conducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner, utilizing a wide range of techniques, with the goal of accomplishing the primary mission of MFCU, bringing violators of state and federal law, over which MFCU has jurisdiction, to justice, and identifying Medicaid and Medicaid related overpayments to Medicaid providers
Plans, participates in and conducts undercover investigations, surveillance operations, raids, and searches; identifies, gathers, and examines evidence, including complex records of Medicaid providers; executes court orders, warrants, and subpoenas; and reports investigative findings
Establishes and maintains liaison with outside agencies, associations, groups, and the like whose assistance and cooperation can enhance the mission of MFCU, including but not limited to proactive generation of investigative targets; participates willingly in team investigative endeavors (intra-Team, inter-Team, inter-city, and inter-agency); and contributes to a positive work environment and high morale
May train, lead, and/or assist with the work of others.
Performs related work as assigned
Responds to emergency situations by serving on-call twenty-four hours per day/seven days per week
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
Education: Sixty credit hours from an accredited college or university; may substitute an associates or bachelors degree from an ccredited 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
Preferred Qualifications
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)
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. You
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