OAG - Medicaid Fraud Control Unit | Auditor III - IV

Job Description

OAG - Medicaid Fraud Control Unit | Auditor III - IV | 26-0050

Texas-Grand Prairie, MFCU - Dallas Regional Office

Business and Financial Operations

Regular

$6,006.67 - $6,625.00 (Monthly)

1

GENERAL DESCRIPTION

The Medicaid Fraud Control Unit division of the Office of the Attorney General is seeking an auditor whose work will involve financial investigative work. Work involves planning, organizing, and conducting advanced investigations and preparing reports on findings and recommendations. May lead an investigative team.

The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the State’s law firm, the OAG provides exemplary legal representation in diverse areas of law. OAG employees enjoy excellent benefits along with tremendous opportunities to do important work at a large, dynamic state agency making a positive difference in the lives of Texans.

Auditor III:

• Conducts highly complex or assists with advanced audits/criminal investigations and examinations of alleged Medicaid provider fraud
• Queries, examines and analyzes Medicaid claims data to contribute to an efficient, team-oriented investigation
• Documents audits/investigations by preparing detailed audit/criminal investigative reports, opening memos, and closing memos in a professional, correct and timely manner
• Assists with outreach presentations to outside agencies, associations, or groups, whose assistance and cooperation can enhance the mission of MFCU
• Represents the Office of the Attorney General by testifying before state and federal grand juries, in court settings, and at administrative hearings

Auditor IV:
All of the above functions for an Auditor III PLUS:

• Conducts advanced (senior-level) audits/criminal investigations and examinations of alleged Medicaid provider fraud, including the development of audit/investigation objectives and plans
• Performs related work as assigned
• Maintains relevant knowledge necessary to perform essential job functions
• Attends work regularly in compliance with agreed-upon work schedule
• Ensures security and confidentiality of sensitive and/or protected information
• Complies with all agency policies and procedures, including those pertaining to ethics and integrity

Auditor III:

• Graduation from high school or equivalent
• Bachelor's degree from an accredited college or university; experience in the following (or closely related) fields may be substituted for the required education on a year-for-year basis: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare
• Four years of full-time experience working in the following (or closely related) fields: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare
• Knowledge of word processing and electronic spreadsheet applications
• Skill in handling multiple tasks, prioritizing, and meeting deadlines
• Skill in effective oral and written communication
• Skill in exercising sound judgment and effective decision making
• Ability to receive and respond positively to constructive feedback
• Ability to work cooperatively with others in a professional office environment
• Ability to provide excellent customer service

Auditor IV - All of the above qualifications for an Auditor III, PLUS:

• Two additional years’ full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare or closely related field
• Ability to speak before a variety of audiences in varied settings or formats

TO 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.

THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER