OAG - Medicaid Fraud Control Unit | Sergeant OAG |

General Description

The Medicaid Fraud Control Unit is seeking a sergeant whose work will involve advanced criminal investigations of Medicaid provider fraud and nursing‑home‑related investigations for the Office of the Attorney General’s Medicaid Fraud Control Unit (MFCU). The position conducts criminal investigations of violations of various state and federal statutes and provides prosecution assistance as needed. OAG employees enjoy excellent benefits and have opportunities to do important work that makes a positive difference in the lives of all Texans.

Job Posting Notice

Applicants must be prepared to pass a background investigation and 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 the IRS. In certain cases, staff may need a Top Secret security clearance to fully participate in joint investigations or task‑force activities; clearances are not required prior to employment but may be required later. Full criminal and credit checks will be run on all applicants prior to employment.

Essential Position Functions

• Conduct complex criminal investigations of Medicaid provider fraud and ensure nursing‑home‑related investigations are addressed professionally and timely, using a wide range of techniques to bring violators to justice and identify overpayments.
• Plan, participate in, and conduct undercover investigations, surveillance operations, raids, and searches; identify, gather, and examine evidence, including complex Medicaid provider records; execute court orders, warrants, and subpoenas; and report investigative findings.
• Establish and maintain liaison with outside agencies, associations, and groups to enhance the mission of MFCU, proactively generate investigative targets, and participate in intra‑team, inter‑team, inter‑city, and inter‑agency investigations.
• Train, lead, and/or assist with the work of others and perform related work as assigned.
• Respond to emergency situations by serving on‑call twenty‑four hours per day, seven days per week.
• Maintain relevant knowledge necessary to perform essential job functions and attend work regularly in compliance with the agreed‑upon schedule.
• Ensure security and confidentiality of sensitive and/or protected information.
• Comply with all agency policies and procedures, including those pertaining to ethics and integrity.

Minimum Qualifications

Education: Graduation from high school or equivalent and sixty credit hours from an accredited college or university (may substitute an associate’s or bachelor’s degree, 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).

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

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

Knowledge

• TCOLE training requirements and healthcare fraud investigation training needs.
• Microsoft Office products (Word, Excel, PowerPoint, Outlook).
• Criminal investigative principles, techniques, and methodologies.
• Management and administrative principles, techniques, and methodologies.
• Agency goals, objectives, rules, regulations, policies, and procedures.
• State and federal statutes, rules, and regulations pertaining to law‑enforcement activities.
• Criminal and civil court proceedings and rules of evidence.

Skills

• Effective oral and written communication (writing sample required at interview).
• 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.
• Developing and implementing strategic plans and budgets.
• Use and care for firearms, intermediate‑impact weapons, and Oleoresin Capsicum spray.
• Physical tactics and use of force appropriate to investigations.

Abilities

• Conduct complex criminal investigations of Medicaid provider fraud and nursing‑home investigations.
• Interpret and apply provisions of the Texas Penal Code, Texas Code of Criminal Procedure, and relevant federal statutes.
• Interpret and apply department policies and procedures.
• Plan, assign, and supervise the work of others.
• Handle stressful situations and respond positively to constructive feedback.
• Work cooperatively in a professional office environment and provide excellent customer service.
• Perform in‑person work at the assigned OAG location, collaborating, training, and mentoring coworkers for the entirety of each workday.