Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Senior Investigator, Medicaid Fraud & Health Care

State of Texas

The Sergeant position will perform 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). 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 NOTICE Applicants 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. Education: Graduation from high school or equivalent Education: Sixty credit hours from an accredited college or university; may substitute an associate 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 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 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) #J-18808-Ljbffr State of Texas

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Senior Investigator, Medicaid Fraud & Health Care in Austin, TX vacancy
  • $46.99k - $112.2k

     ...Dental Fraud Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience...  ..., you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves... 
    Senior
    Fraud
    Hourly pay
    Full time
    Temporary work
    Local area

    Oak St. Health

    Austin, TX
    4 days ago
  •  ...Authority of Harris County in Texas is seeking a seasoned Claims Adjuster in the Special Investigations Unit to investigate liability and workers’ compensation claims with potential fraud elements. Use public records, statements, and reports to establish liability and... 
    Senior
    Fraud

    Metropolitan Transit Authority of Harris County

    Austin, TX
    1 day ago
  • $85k - $105k

     ...Healthcare Fraud Investigator CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in...  ...to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data). - Communication skills: Ability to interact... 
    Fraud
    Work experience placement
    Work at office
    Local area

    Contact Government Services LLC

    Austin, TX
    2 days ago
  • $135k - $185k

     ...billions in annual payment volume. As a Senior Fraud Analyst , you will help shape Mudflap’...  ...for someone who wants to move beyond investigating individual cases and build the systems,...  ...in a high-growth startup ~ Multiple health benefit options ~ Responsible Time Off... 
    Senior
    Fraud
    Remote work

    Mudflap

    Austin, TX
    5 days ago
  • $95.6k - $188.4k

     ...accelerate their path to value creation.Work You’ll DoAs a Senior Consultant, Financial Crime and Fraud, you will work with a cross disciplinary team to deploy a fraud detection accelerator for a large federal health care program.Key Responsibilities:Analyze health insurance... 
    Senior
    Fraud
    Local area

    Deloitte

    Austin, TX
    1 day ago
  •  ...Texas Office of the Attorney Generals Medicaid Fraud Control Unit (MFCU) is seeking an experienced...  ...an extensive state background investigation, including criminal history, employment...  ...SAUSA). The attorney will handle criminal health care fraud prosecutions and will:... 
    Fraud
    Full time
    Work at office
    Local area
    Remote work
    Relocation
    Night shift

    State of Texas

    Austin, TX
    3 days ago
  • $85k - $113.3k

     ...What We Do Provide a central resource for fraud-tool escalations, identity-review...  ...closely with other teams to complete in-depth investigations and support, wire and defalcation...  ...reviewing work, coordinating workflow, or senior fraud support. Real estate, title, escrow... 
    Senior
    Fraud
    Local area

    First American

    Austin, TX
    15 hours ago
  • $61k - $101k

     ...with the ability to advise senior leaders on safe adoption, portfolio...  ...production systems for fraud prevention. Oversee cross...  ...you will help advance fraud investigation capabilities and protect...  ...along with benefits such as health care, wellness resources, retirement... 
    Senior
    Fraud
    Full time

    J.P. Morgan

    Austin, TX
    4 days ago
  • $32.03 - $45.7 per hour

     ...available Overview: Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (...  ...(CFE) OR Accredited Health Care Fraud Investigator (AHFI) preferred...  ...plans serving Medicare and Medicaid enrollees. Our quality... 
    Fraud
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Live in
    Currently hiring
    Work at office
    Remote work
    Shift work

    Sentara Health

    Austin, TX
    3 days ago
  •  ...detail-oriented CSO to locate absent parents, establish paternity, and enforce child support orders. You will conduct in-office investigations, prepare legal and administrative documents, and respond to customer inquiries. As a team leader at times, you may supervise... 
    Senior
    Work at office

    State of Texas

    Austin, TX
    3 days ago
  •  ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time, Experienced...  ...skills in investigative techniques and fraud detection to provide assistance for a large...  ...hard-copy and electronic data, such as health care claims data, financial transaction data... 
    Fraud
    Full time
    Work at office
    Local area
    Remote work
    Flexible hours

    Contact Government Services LLC

    Austin, TX
    3 days ago
  • $86.8k - $217.1k

    IQVIA is growing! Hiring multiple Senior Data Team Leads across our FSP (Functional Service...  .......Bachelor’s degree in life sciences, health, clinical, biological, or mathematical...  ...maintains a zero tolerance policy for candidate fraud. All information and credentials... 
    Senior
    Fraud
    Full time
    Part time
    Immediate start
    Remote work
    Work from home
    Worldwide

    IQVIA

    Austin, TX
    4 days ago
  • $6,083.33 - $6,666.67 per month

     ...business need. General Description Join Criminal Investigation as an Investigator. This position under minimal supervision,...  ...financial or business records to assist investigations involving tax fraud, government fraud, public corruption, and other financial... 
    Fraud
    Full time
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Afternoon shift

    CAPPS, Inc.

    Austin, TX
    6 days ago
  • $17.05 - $25.58 per hour

     ...the future of luxury retail. YOU WILL BE: As an Asset Protection Investigator, you will work as a member of our Asset Protection team to prevent losses from external and internal theft and fraud. You will work on-site in our Distribution Center and report to the... 
    Fraud
    Hourly pay
    Full time
    Flexible hours

    Saks Fifth Avenue

    Austin, TX
    6 days ago
  • Fort Bend County is seeking a Part-Time Outside Investigator - Title Services to support the Tax Office in motor vehicle title and registration investigations, fraud prevention, and complex case work. The role involves research, fieldwork, interviews, and preparation of... 
    Fraud
    Part time
    Work at office

    Fort Bend County

    Austin, TX
    4 days ago
  • $129.5k - $191.95k

     ...we do - and they push us to ensure we take care of ourselves, each other, and our...  ...about how to identify and avoid recruitment fraud please visit . For the majority of employees...  ...financial security and support your mental health.Who We Are:Click Here to learn more about... 
    Senior
    Fraud
    Full time
    Work at office
    Local area
    Immediate start
    Flexible hours

    PayPal

    Austin, TX
    1 day ago
  •  ...Texans - and people all over the world - through education, health care, and research. The System consists of nine academic institutions...  ...for conducting thorough, impartial, and confidential investigations into allegations of misconduct, policy violations, complaints... 
    Full time
    Work at office
    Local area
    Immediate start
    Afternoon shift

    The University of Texas System

    Austin, TX
    3 days ago
  • $96.8k - $145.2k

     ...Mission to alleviate pain, restore health, and extend life. Our 95,000...  ...of adults.We are hiring a Senior Market Development Specialist...  ...educate and increase access to care for HTN patients by building awareness...  ...of employment. ‌Recruitment Fraud AlertWe are aware of phishing... 
    Senior
    Fraud
    Full time
    H1b
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours

    Medtronic

    Austin, TX
    1 day ago
  • $42.7k - $89k

    Senior Specimen Management AssociateWe are seeking a Senior Specimen...  ...and resources to take care of our employees' physical, mental...  ...patient outcomes and population health worldwide.IQVIA is proud to be...  ...tolerance policy for candidate fraud. All information and credentials... 
    Senior
    Fraud
    Full time
    Part time
    Immediate start
    Work from home
    Worldwide

    MCRA, LLC

    Austin, TX
    3 days ago
  •  ...Senior Counsel, Toxic Tort and Product Liability Defense About the Company Respected law firm Industry Legal Services Type...  ...toxic tort, asbestos, general liability, employment, bad faith/fraud, or insurance defense. While trial experience is a plus, it is... 
    Senior
    Fraud

    Confidential

    Austin, TX
    4 days ago
  • Job Description:Senior Manager, Treasury OperationsFidelity Investments • Westlake, TXNote...  ..., including ACH, wires, checkwriting, investigations, reconciliations, and exception...  ...Risk, Product, Compliance, Technology, and Fraud partners, the team plays a critical role... 
    Senior
    Fraud
    Full time

    Fidelity Investments

    Austin, TX
    5 days ago
  •  ...referral base and the full resources of a robust health system network. How you’ll make an...  ...Center Austin Interdisciplinary spine care with strong surgical collaboration...  ...EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants... 
    Fraud
    Work at office
    Local area
    Monday to Friday

    Ascension Seton Medical Center Austin - Ascension

    Austin, TX
    5 days ago
  •  ...and shape the future of pediatric otology care, with the unique opportunity to join a multidisciplinary...  ..., a national nonprofit faith based health system Why Physicians Choose...  ...EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants... 
    Fraud
    Local area

    Strictly Peds Medical Office Bldg - Ascension

    Austin, TX
    5 days ago
  •  ...join our incredible team of cardiologists caring for our community. This is a...  ...that help you thrive Comprehensive health coverage: medical, dental, vision, prescription...  ...Know Your Rights (Spanish) poster. Fraud prevention notice Prospective... 
    Fraud
    Local area

    Ascension Seton Medical Center Austin - Ascension

    Austin, TX
    5 days ago
  •  ...referral base and the full resources of a robust health system network. How you’ll make an...  ...with local autonomy Mission-centered care rooted in service What minimum requirements...  ...EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective... 
    Fraud
    Local area

    Dell Seton Medical Center at The University of Texas - Ascen...

    Austin, TX
    4 days ago
  •  ...an exceptional opportunity for an Advanced Health Failure Cardiologist to join an employed...  ...Failure program offers the full spectrum of care, including heart transplantation, LVAD,...  ...EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants... 
    Fraud
    Full time
    Local area
    Monday to Friday

    Ascension Seton Medical Center Austin - Ascension

    Austin, TX
    5 days ago
  •  ...of Compliance & Quality, Home Health & Hospice About the Company...  ...Industry Hospital & Health Care Type Privately Held About...  ...regulations, OASIS, PDGM, Medicaid, and HIPAA rules, with a strong...  ...ability to assess risk, and fraud, and ensure legal compliance.... 
    Fraud

    Confidential

    Austin, TX
    5 days ago
  •  ...legal entity. Responsibilities As a senior Machine Learning Systems Engineer on the...  ...ML serving fleets. Maintain production health through rigorous on-call practices, runbook...  ...employment with Atlassian for employment fraud purposes.Job SummaryCategory: Engineering
    Senior
    Fraud
    Work at office
    Local area

    Atlassian

    Austin, TX
    5 days ago
  •  ...referral base and the full resources of a robust health system network. Join an...  ...network with local autonomy Mission-centered care rooted in service What minimum...  ...EEO Know Your Rights (Spanish) poster. Fraud prevention notice Prospective applicants... 
    Fraud
    Local area
    Immediate start

    Ascension Seton Medical Center Austin - Ascension

    Austin, TX
    5 days ago
  •  ...models used across the organization. We are seeking candidates for a Senior Manager individual contributor role focused on model validation...  ...have strong quantitative skills and business experience with fraud and anti-money laundering models. Less experienced candidates... 
    Senior
    Fraud
    Full time
    Work at office
    Work from home
    Relocation

    The Charles Schwab Corporation

    Austin, TX
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Investigator, Medicaid Fraud & Health Care. Be the first to apply!