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GENERAL DESCRIPTIONThe Medicaid Fraud Control Unit division of the Office of the Attorney General is seeking a Lieutenant 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. Coordinates and conducts as assigned training of new employees. Work will also involve managerial work overseeing the daily operations and activities of field office investigative team in the absence of the Captain.JOB POSTING NOTICEApplicants 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.The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the Stateand#8217;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.ESSENTIAL POSITION FUNCTIONSConducts 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
Qualifications: MINIMUM QUALIFICATIONSEducation: 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 law enforcement experience or work in a following (or closely related) fields: full-time investigations, auditing; accounting; compliance monitoring in Medicaid, Medicare, or 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%
