OAG -Medicaid Fraud Control Unit | Sergeant OAG |

About the Role

The Medicaid Fraud Control Unit (MFCU) is seeking a Sergeant to conduct advanced criminal investigations of Medicaid provider fraud and nursing‑home‑related fraud for the Office of the Attorney General. The position involves investigating violations of state and federal statutes and providing prosecution assistance as needed. Applicants must be prepared to pass a background investigation, a motor‑vehicle registration check, and full criminal and credit checks. The MFCU collaborates with agencies such as the FBI, the U.S. Department of Health and Human Services – Inspector General, and the IRS. In some cases a Top Secret security clearance may be required after hire.

Essential Position Functions

• Conduct complex criminal investigations of Medicaid provider fraud and nursing‑home‑related investigations, utilizing a wide range of investigative techniques.
• Plan, participate in, and conduct undercover investigations, surveillance operations, raids, and searches; gather, examine, and preserve evidence, including complex provider records.
• Execute court orders, warrants, and subpoenas; prepare and submit investigative findings.
• Establish and maintain liaison with outside agencies, associations, and groups to enhance MFCU’s mission, including proactive target generation and inter‑agency collaboration.
• Train, lead, and assist other staff members as needed.
• Perform related duties as assigned.
• Respond to emergency situations by serving on‑call 24 hours per day, 7 days per week.
• Maintain relevant knowledge necessary to perform essential job functions.
• Attend work regularly in compliance with the agreed‑upon schedule.
• Ensure security and confidentiality of sensitive and protected information.
• Comply with all agency policies and procedures, including ethics and integrity standards.

Minimum Qualifications

Education: Graduation from high school or equivalent plus sixty (60) credit hours from an accredited college or university (may substitute an associate’s or bachelor’s degree), or equivalent full‑time investigative, law‑enforcement, auditing, accounting, or compliance experience on a year‑for‑year basis.

Experience: Four (4) years of full‑time criminal investigative experience as a licensed peace officer or comparable federal law‑enforcement officer.

Certification: Valid Texas Commission on Law Enforcement (TCOLE) certification.

• Knowledge of TCOLE training requirements and healthcare‑fraud investigation training needs.
• Knowledge of Microsoft Office applications (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 required at interview).
• 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, intermediate‑impact weapons, and Oleoresin Capsicum spray.
• Ability to employ physical tactics and conduct complex criminal investigations of Medicaid provider fraud and nursing‑home investigations.
• Ability to interpret and apply provisions of the Texas Penal Code, the Texas Code of Criminal Procedure, and relevant federal statutes.
• Ability to interpret and apply department policies and procedures.
• Ability to plan, assign, and supervise the work of others.
• Ability to handle stressful situations and respond positively to constructive feedback.
• Ability to work cooperatively in a professional office environment and provide excellent customer service.
• Ability to work in person at the assigned OAG location for the entirety of each work week, collaborating, training, and mentoring coworkers on site.