OAG - Medicaid Fraud Control Unit | Sergeant | 26-0465

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. The position involves working closely with other law enforcement agencies and prosecuting violators of state and federal laws.

Responsibilities

• Conducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner.
• Utilizes a wide range of techniques to accomplish the primary mission of MFCU, which is to bring violators of state and federal law to justice and identify Medicaid and Medicaid related overpayments to providers.
• Executes court orders, warrants, and subpoenas; reports investigative findings; establishes and maintains liaison with outside agencies; participates in team investigative endeavors; and contributes to a positive work environment and high morale.
• Trains, leads, and assists with the work of others; responds to emergency situations; maintains security and confidentiality of sensitive information; complies with agency policies and procedures; and attends work regularly.

Requirements

• 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 (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.
• Knowledge of investigative techniques and procedures.
• Ability to handle multiple tasks, prioritize, and meet deadlines.
• Ability to exercise 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 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.

Qualifications

• Education: Graduation from high school or equivalent; 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.
• TCOLE certification.
• Knowledge of healthcare fraud statutes (state and federal).
• 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.