OAG - Medicaid Fraud Control Unit | Sergeant

Join to apply for the OAG - Medicaid Fraud Control Unit | Sergeant | 26-0102 role at Texas Attorney General

3 days ago Be among the first 25 applicants

The Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General (OAG) is seeking a Sergeant whose work will involve criminal investigations of Medicaid provider fraud and nursing home related investigations. Work involves conducting criminal investigations of violations of various state and federal statutes and prosecution assistance as needed. 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.

Top Secret security clearances may be required at a later date.

• Conducts complex criminal investigations of Medicaid provider fraud and ensures nursing home related investigations are addressed professionally and in a timely manner, utilizing a wide range of techniques to bring violators of state and federal law to justice and identify Medicaid over payments.
• Plans, 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.
• Establishes and maintains liaison with outside agencies, associations, groups, and the like to enhance the mission of MFCU, including 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.
• May train, lead, and/or assist with the work of others.
• Performs related work as assigned.
• Responds to emergency situations by serving on‑call twenty‑four hours per day, seven days per week.
• Maintains relevant knowledge necessary to perform essential job functions, attends work regularly in compliance with an agreed‑upon schedule, ensures security and confidentiality of sensitive information, and complies with all agency policies and procedures, including ethics and integrity.

• Graduation from high school or equivalent.
• Sixty credit hours from an accredited college or university; may substitute an associate’s 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.
• 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 (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; 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.
• Ability to develop and implement strategic plans and budgets.
• Ability to use and care for firearms, intermediate‑impact weapons, and Oleoresin Capsicum spray.
• Ability to conduct complex criminal investigations of Medicaid provider fraud and nursing home related investigations.
• Ability to interpret and apply 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…