Address
Form of workGENERAL DESCRIPTION
Performs advanced 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. Coordinates and conducts as assigned training of new employees. Performs advanced managerial work overseeing the daily operations and activities of field office investigative team in the absence of the Captain. Works under limited supervision with considerable latitude for the use of initiative and independent judgment.
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 (https://ers.texas.gov/Benefits-at-a-Glance) along with tremendous opportunities to do important work at a large, dynamic state agency making a positive difference in the lives of 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.
ESSENTIAL POSITION FUNCTIONS
- Conducts 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
- 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
- In the absence of the Captain: Provides guidance and direction to staff on policies, procedures, rules and regulations; plans, assigns, and supervises complex criminal investigations of Medicaid provider fraud, and/or assures that nursing home related investigations are addressed professionally and in a timely manner, 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; and assures that documentation of investigation and criminal investigative reports are professionally and correctly prepared by assigned staff, consistent with MFCU guidelines
- Establishes 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
- Assists in the preparation of the annual budget as assigned
- Maintains a standard of ethical conduct consistent with state law and the code of professional responsibility
- 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 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
REVISED 11/29/2023
MINIMUM QUALIFICATIONS
- Education: Graduation from high school or equivalent
- Education: Bachelor's degree from an accredited college or university; may substitute 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: Seven years of full-time experience working in the following (or closely related) fields: full-time investigations; law enforcement; auditing; accounting; compliance monitoring in Medicaid, Medicare, health care insurance
- 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; of management and administrative principles, techniques, and methodologies; of agency goals, objectives, rules, regulations, policies, and procedures; of state and federal statutes, rules, and regulations pertaining to law enforcement activities; and of criminal and civil court proceedings and rules of evidence.
- Skill in interviewing, mentoring, and coaching techniques
- Skill in effective oral and written communication. (Writing sample will be required)
- 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; to use intermediate impact weapons and Oleoresin Capsicum spray; and to use physical tactics
- Ability to conduct and assist in oversight of 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 with others 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
- Ability to work more than 40 hours as needed and in compliance with the 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
PREFERRED QUALIFICATIONS
- Three years full-time law enforcement managerial or supervisory experience
- 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)
- Advanced TCOLE certification
TO APPLY
To apply for a job with the OAG, electronic applications can be submitted through either CAPPS Recruit or Work in Texas. 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:
https://hr.sao.texas.gov/Compensation/MilitaryCrosswalk/MOSC_LawEnforcement.pdf
THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER
