OAG - Medicaid Fraud Control Unit | Sergeant |
CAPPS, Inc.
divh2OAG - Medicaid Fraud Control Unit | Sergeant | 26-0466/h2pThe Sergeant position involves advanced criminal investigations of Medicaid provider fraud and nursing home related investigations for the Office of the Attorney Generals 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./ppJOB 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./ppESSENTIAL POSITION FUNCTIONS:/pulliConducts complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner, utilizing a wide range of techniques, with the goal of accomplishing the primary mission of MFCU, bringing violators of state and federal law, over which MFCU has jurisdiction, to justice, and identifying Medicaid and Medicaid related overpayments to Medicaid providers/liliPlans, participates in and conducts undercover investigations, surveillance operations, raids, and searches; identifies, gathers, and examines evidence, including complex records of Medicaid providers; executes court orders, warrants, and subpoenas; and reports investigative findings/liliEstablishes and maintains liaison with outside agencies, associations, groups, and the like whose assistance and cooperation can enhance the mission of MFCU, including but not limited to proactive generation of investigative targets; participates willingly in team investigative endeavors (intra-Team, inter-Team, inter-city, and inter-agency); and contributes to a positive work environment and high morale/liliMay train, lead, and/or assist with the work of others. Performs related work as assigned/liliResponds to emergency situations by serving on-call twenty-four hours per day/seven days per week/liliMaintains relevant knowledge necessary to perform essential job functions/liliAttends work regularly in compliance with agreed-upon work schedule/liliEnsures security and confidentiality of sensitive and/or protected information/liliComplies with all agency policies and procedures, including those pertaining to ethics and integrity/li/ulpMINIMUM QUALIFICATIONS:/pulliEducation: Graduation from high school or equivalent/liliEducation: Sixty credit hours from an accredited college or university; may substitute an associates or bachelors 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/liliExperience: Four years full time criminal investigative experience as a licensed peace officer or comparable federal law enforcement officer/liliTCOLE certification/liliKnowledge of TCOLE training requirements and healthcare fraud investigation training needs/liliKnowledge of Microsoft Office products (i.e. Word, Excel, PowerPoint, Outlook)/liliKnowledge of criminal investigative principles, techniques, and methodologies/liliKnowledge of management and administrative principles, techniques, and methodologies/liliKnowledge of agency goals, objectives, rules, regulations, policies, and procedures/liliKnowledge of state and federal statutes, rules, and regulations pertaining to law enforcement activities/liliKnowledge of criminal and civil court proceedings and rules of evidence/liliSkill in effective oral and written communication (Writing sample will be required at time of interview, if selected)/liliSkill in researching and interpreting complex rules and regulations/liliSkill in applying investigative techniques and procedures/liliSkill in handling multiple tasks, prioritizing, and meeting deadlines/liliSkill in exercising sound judgment and effective decision making/liliAbility to develop and implement strategic plans and budgets/liliAbility to use and care for firearms/liliAbility to use intermediate impact weapons and Oleoresin Capsicum spray/liliAbility to use physical tactics/liliAbility to conduct complex criminal investigations of Medicaid provider fraud and nursing home related investigations/liliAbility to interpret and apply applicable provisions of the Texas Penal Code, the Texas Code of Criminal Procedure, and federal statutes pertaining to investigations/liliAbility to interpret and apply department policies and procedures/liliAbility to plan, assign, and supervise the work of others/liliAbility to handle stressful situations/liliAbility to receive and respond positively to constructive feedback/liliAbility to work cooperatively in a professional office environment/liliAbility to provide excellent customer service/liliAbility 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)/liliAbility to arrange for personal transportation for business-related travel, with reimbursement/liliAbility to work more than 40 hours as needed and in compliance with FLSA/liliAbility to lift and relocate 30 lbs./liliAbility to travel (including overnight travel) up to 20%/liliAbility 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/li/ulpPREFERRED QUALIFICATIONS:/pulliExperience conducting white collar/economic crime investigations/liliExperience investigating healthcare provider fraud and working with state and federal prosecutors in criminal matters/liliAccomplished practitioner of the MFCU documentation and report writing system or a like system/liliKnowledge of healthcare fraud statutes (state and federal)/li/ulpTO APPLY: To apply for a job with the OAG, electronic applications can be submitted through CAPPS Recruit. A State of Texas application must be completed to be considered, and paper applications are not accepted. Your application for this position may subject you to a criminal background check pursuant to the Texas Government Code. Military Crosswalk information can be accessed at THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER/p/div
$10k
...Whether you gained this experience as part of a military police unit or as a member of a state or local law enforcement organization,... ...military law enforcement official. Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or illegal...UnitFraudFull timeLocal areaImmediate startNight shift$10k
...Whether you gained this experience as part of a military police unit or as a member of a state or local law enforcement organization,... ...military law enforcement official. Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or...UnitFraudFull timeLocal areaImmediate startRelocationNight shift$10k
...Whether you gained this experience as part of a military police unit or as a member of a state or local law enforcement organization,... ...military law enforcement official. Leading investigations of fraud, contraband, criminal activity, threats to our nation, and/or...UnitFraudFull timeLocal areaImmediate startRelocationNight shift- ...Retail Inventory Control Specialist (RICS) Our Retail Inventory Control Specialist (RICS) is responsible for establishing and maintaining... .... Ensure a high level of productivity through attainment of units per hour (UPH) targets. Maintain a neat and orderly stock...UnitHourly payWork at officeLocal areaFlexible hoursShift workNight shift
- ...Supervises the activities performed in all work units within the each practice including practice... ...needed o OSHA training/exposure control o HIPAA Training o Hazard Communication Training o Fraud & Abuse Prevention Training o...UnitFraudDaily paidContract workTemporary workWork at officeLocal areaAll shifts
- ...electric power. This is expanding our work in the Instrumentation and Controls Engineering group. Due to this influx of work, Sargent & Lundy... ...Leave Flexible Work Arrangements About This Business Unit Join Sargent & Lundy's Nuclear Power Group and be part of a...UnitWork at officeRemote workWorldwideRelocation packageFlexible hours3 days per week
- ...reactors (SMR). This is expanding work in the Instrumentation and Controls Engineering group. You will work on major process controls... ...Bereavement Leave Flexible Work Arrangements About This Business Unit Join Sargent & Lundy's Nuclear Power Group and be part of a...UnitContract workWork at officeRemote workWorldwideRelocation packageFlexible hours3 days per week
- ...Equivalent Proof of Education No confirmation of Abuse/Neglect/Exploitation of an elderly or disabled person No history of Medicaid fraud. Apply Online at icltexas.com/careers or In-Person at 913 E Esperanza Ave Ste A, McAllen, TX 78501. Or Call us at...FraudWork at officeImmediate startWork from homeRelocation packageMonday to FridayShift work
- ...assists patient care givers to maintain efficiency and ensures unit supply area PAR levels are maintained. Must maintain cleanliness... ...receiving, stocking, distributing, and packing in addition to inventory control. On occasion it will be necessary to work weekends, holidays,...UnitImmediate startNight shiftWeekend workAfternoon shift
- ...Protection Investigator Shrink observes activities to detect theft, fraud, or suspicious activity; collects investigative evidence... ...Safe and Secure Supports a safety culture through impressions of control, coaching, and recognition. Provides support by aiding store leadership...FraudHourly payFor contractorsWork experience placementLocal areaDay shift
- ...other areas of the department and is responsible for quality control on the bone density unit. POSITION EDUCATION/ QUALIFICATIONS :... ...American College of Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission (JC) standards. Complete...Unit16 hours
- ...Equivalent Proof of Education No confirmation of Abuse/Neglect/Exploitation of an elderly or disabled person No history of Medicaid fraud. Experience working with people with intellectual and developmental disabilities (group home experience preferred) Strong...FraudFull timePart timeWork at officeImmediate startRelocation packageMonday to FridayShift work
- ...accuracy in all financial transactions and compliance with internal controls and gaming regulations. Follow all company and safety and... .... Implement security measures to prevent theft, fraud, and other illegal activities within the cage. Monitor surveillance...FraudFixed term contract
$4,523.16 - $7,253.83 per month
...new and existing AES team members. Areas of focus include SNAP, Medicaid for Children and Families, and TANF programs. The... ...HHSC or any programs it administers. Applicants who have a non-fraud overpayment with an outstanding balance must agree to repay the...FraudFull timeTemporary workPart timeWork at officeRemote workShift workDay shift- ...procedures. Performs necessary quality control and maintenance on equipment.... ...Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission standards... ...the patients served in his/her assigned unit. The individual must demonstrate knowledge...UnitWork at office
- ...leading and enhancing the design and execution of key BSA/AML/Fraud program elements for LSNB. This position will assist in ensuring... ...products and services, ensuring the BSA/AML and economic sanctions controls and implementing procedures are adequate to manage risks, and...FraudBank staffTrial period
$103.24k - $133.2k
...our nation. At the FBI, you will have the opportunity to channel your expertise to protect our nation from cyberattacks, terrorism, fraud, and evolving threats. From conducting high-stakes investigations to leveraging your depth of knowledge in cybersecurity to uncover...FraudWork experience placementWork at officeLocal area- ...Special Agent Position Joining the United States Secret Service (USSS) as a Special Agent offers a unique and rewarding career dedicated... ...into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United...Fraud
- Shrink Observes activities to detect theft, fraud, or suspicious activity; collects investigative evidence utilizing CCTV and observations from the sales floor. Follows AP Directives and Company policy when making apprehensions. Executes required ComFraud
- ...development for our teams. GENERAL PURPOSE: This position provides a visible presence at the Store entrances/exits, mitigating theft and fraud and maintaining a safe and secure environment for Associates and Customers. The Specialist makes eye contact, smiles, and greets all...Fraud
- ...Routine cleaning of patient rooms, operating rooms, common areas, and specialized units; executing deep cleaning and disinfection as needed to meet regulatory standards and infection control protocols Safety Compliance: Adhering to health regulations, OSHA...Unit
- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and supporting safety and environmental program compliance in their assigned store/multiple stores. They utilize tools to minimize loss...Fraud
- ...for designated areas or procedures as required; Performs quality control procedures as required by the Federal and State requirements;... ...Able to be trained in Mammography. Able to operate a mammography unit. Able to perform screening and diagnostic mammograms. Familiarized...UnitReliefWeekend workAfternoon shift
- ...producing high quality Magnetic Resonance Images; Must perform quality control checks daily. Selects proper coils for the various procedures... ...; Calls for repairs and reports to supervisor when M.R.I. unit is not working properly; Properly screens all patients prior to...UnitImmediate startWeekend work
- ...members. He/She may also function as a Charge Nurse in the Dialysis Unit and is accountable to the unit supervisor. Essential Duties... .../family learning needs. Ensure that regular quality and control and cleaning is performed on all equipment as appropriate. Adheres...UnitImmediate start
- ...leading the operational success of franchise and/or company-owned units within an assigned territory. This role is highly focused on... ...franchisees and managers. Support pricing strategies, cost control initiatives, labor optimization, and inventory management....UnitCasual work
- ...procedures. ~ Performs necessary quality control and maintenance on equipment. ~... ...Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission standards... ...the patients served in his/her assigned unit. The individual must demonstrate knowledge...Unit
- ...Administers therapeutic amounts of radiopharmaceuticals; Performs quality control procedures as required by the Texas Department of Health;... ...Must have and maintain current CPR certification, according to unit specific needs. Certification must be in accordance with the...UnitImmediate startNight shiftWeekend workAfternoon shift
- ...procedures. Performs necessary quality control and maintenance on equipment.... ...Radiology (ACR), Centers for Medicare & Medicaid Services (CMS), and Joint Commission standards... ...the patients served in his/her assigned unit. The individual must demonstrate knowledge...Unit
- ...performing Diagnostic and interventional procedures; Performs quality control procedures as required by the manufacture; Evaluates all orders,... ...Must have and maintain current BCLS certification, according to unit specific needs. Certification must be in accordance with the...UnitReliefLocal areaImmediate startNight shiftWeekend workAfternoon shift
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