OAG - Medicaid Fraud Control Unit | Sergeant | 26-0329

About the role

The Medicaid Fraud Control Unit is seeking a Sergeant to conduct advanced criminal investigations of Medicaid provider fraud and nursing home related investigations. This role involves working with other law enforcement agencies such as the FBI, U.S. Department of Health and Human Services - Inspector General, and IRS. The position requires a Top Secret security clearance for some joint investigations.

Responsibilities

• Conducts complex criminal investigations of Medicaid provider fraud and nursing home related investigations.
• Executes court orders, warrants, and subpoenas; reports investigative findings.
• Establishes and maintains liaison with outside agencies and groups to enhance MFCU’s mission.
• Trains, leads, and assists with the work of others.
• Responds to emergency situations.
• Maintains security and confidentiality of sensitive information.

Requirements

• Four years full-time criminal investigative experience as a licensed peace officer or comparable federal law enforcement officer.
• TCOLE certification.
• Knowledge of healthcare fraud investigation training needs and Microsoft Office products.
• Knowledge of criminal investigative principles, techniques, and methodologies.
• Knowledge of management and administrative principles, techniques, and methodologies.
• Knowledge of state and federal statutes, rules, and regulations pertaining to law enforcement activities.
• Ability to exercise sound judgment and effective decision making.
• Ability to plan, assign, and supervise the work of others.
• 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 in-person work with coworkers, and arrange for personal transportation for business-related travel.

Qualifications

• Education: Sixty credit hours 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 on a year-for-year basis.
• TCOLE certification.
• Knowledge of healthcare fraud statutes (state and federal).
• 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 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.

Skills

• Effective oral and written communication.
• Researching and interpreting complex rules and regulations.
• Applying investigative techniques and procedures.
• Handling multiple tasks, prioritizing, and meeting deadlines.
• Exercising sound judgment and effective decision making.

Benefits

The OAG offers excellent benefits, including a positive work environment and opportunities to make a difference in the lives of Texans.

Pay

Salary is commensurate with experience.

Schedule

Work involves conducting criminal investigations of violations of various state and federal statutes and prosecution assistance as needed. OAG employees enjoy excellent benefits.