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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

Vacancy posted 4 days ago
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