Current jobs related to OAG - Medicaid Fraud Control Unit | Investigative Sergeant | - Grandview - CAPPS, Inc.

  • Sergeant - Medicaid Fraud Control Unit

    1 month ago

    Grandview, United States CAPPS, Inc. Full time

    Job DescriptionThe Medicaid Fraud Control Unit (MFCU) Division of the Office of the Attorney General (OAG) is seeking a Sergeant to perform advanced criminal investigations of Medicaid provider fraud and nursing home related investigations. The successful candidate will conduct complex investigations, gather and examine evidence, and execute court orders,...

  • Unit President

    1 month ago

    Grandview, United States Civic Elite Contracting Inc. Full time

    Civic Elite Contracting Building Relationships. Delivering Excellence.At Civic Elite, we are more than just a contracting company—we are partners in our clients’ success. Driven by a commitment to integrity, communication, and top-tier workmanship, we bring our clients’ vision to life with precision and care. From concept to completion, our team is...

  • Unit President

    1 month ago

    Grandview, United States Civic Elite Contracting Inc. Full time

    Civic Elite Contracting Building Relationships. Delivering Excellence.At Civic Elite, we are more than just a contracting company—we are partners in our clients’ success. Driven by a commitment to integrity, communication, and top-tier workmanship, we bring our clients’ vision to life with precision and care. From concept to completion, our team is...

  • Unit President

    3 weeks ago

    Grandview, United States Civic Elite Contracting Inc. Full time

    Civic Elite Contracting Building Relationships. Delivering Excellence.At Civic Elite, we are more than just a contracting company—we are partners in our clients’ success. Driven by a commitment to integrity, communication, and top-tier workmanship, we bring our clients’ vision to life with precision and care. From concept to completion, our team is...

  • Unit Director

    4 weeks ago

    Grandview, Missouri, United States Civic Elite Contracting Inc. Full time

    Unit PresidentCivic Elite Contracting Inc. is seeking a seasoned leader to serve as Unit President, driving the company's success, growth, and profitability.Key Responsibilities:Leadership and Team Management: Lead and motivate the team, ensuring alignment with the unit's objectives and company values.Safety & Compliance: Foster a strong commitment to safety...

  • Director of Finance

    2 months ago

    Grandview, United States Ridge Creek Recruiting & Consulting Full time

    Position:  Director of Finance & Compliance                                                                                    Location: Grandview, WABase Salary Range:  $135K - $185K                       Bonus: 20%About the job The Director of...

  • Quality Assurance Specialist

    6 days ago

    Grandview, Missouri, United States National Guard Employment Network Full time

    Quality Engineer Job DescriptionAbout the Role:We are seeking a highly skilled Quality Engineer to join our team at National Guard Employment Network. As a Quality Engineer, you will play a critical role in ensuring the quality of our products and processes.Key Responsibilities:Develop and implement quality control processes to ensure compliance with...

  • Sustaining Technical Expert for Louver Solutions

    5 days ago

    Grandview, Missouri, United States Johnson Controls Full time

    Johnson Controls is driving innovation in building performance with cutting-edge Louvers, Dampers, and Air Measurement controllers. Our Kansas City-based test lab validates designs before submission for 3rd party validation. This position is responsible for sustaining engineering efforts to maintain the company's louver portfolio, including high-velocity...

  • Quality Assurance Specialist

    7 days ago

    Grandview, Missouri, United States VetJobs Full time

    Job SummaryThis is a hands-on position that works in partnership with other departments to provide statistical data analysis and information for quality improvement. The Quality Engineer (QE) coordinates and assists in all areas of manufacturing related to quality, including assembly/molding process, component quality, purchased materials, and continuous...

  • Maintenance Technician

    3 weeks ago

    Grandview, United States Olde Oak Tree Apartments Full time

    Founded in 1923, The Yarco Companies, is a full-service, multi-family real estate firm that delivers highly specialized Property Management Services, and focuses primarily on Affordable Housing. To learn more about our company visit www.yarco.com.Yarco is an equal opportunity employer and does not discriminate on the basis of age, race, religion, color, sex,...

  • Louver Sustaining Engineer I

    5 months ago

    Grandview, United States Johnson Controls Full time

    At Johnson Controls, we're shaping the future to create a world that's safe, comfortable, and sustainable. Our US and global teams create innovations, integrate solutions to make cities more connected, and buildings more intelligent/efficient than ever before. We are passionate about improving the way the world lives, works, and plays. The future requires...

  • Operations Manager

    3 weeks ago

    Grandview, Missouri, United States Dayton Freight Full time

    {"Overview": "At Dayton Freight, we are seeking an experienced Operations Supervisor to join our team. As an Operations Supervisor, you will play a critical role in ensuring the efficient and economical routing and movement of customers' freight. Responsibilities: * Plan, schedule, coordinate, and implement methods and procedures to ensure error-free...

  • Store Operations Manager

    1 week ago

    Grandview, Missouri, United States Five Below Full time

    Job SummaryAs a Store Operations Manager at Five Below, you will be responsible for leading a team of associates to deliver exceptional customer experiences and drive business results. This role requires a strong leader who can analyze daily, weekly, and monthly business results, and make data-driven decisions to drive performance.Key ResponsibilitiesAnalyze...

  • QC Inspector

    4 weeks ago

    Grandview, United States Dwyer Instruments, Inc. Full time

    QC InspectorGrade Level: 5The QC Inspector located in Grandview, MO reports to our Plant Manager and is responsible for inspecting incoming parts from vendors, parts in process and finished goods to assure conformance to quality control requirements.Essential Duties and Responsibilities: Inspect incoming parts to print and specification using a variety of...

  • QC Inspector

    1 week ago

    Grandview, United States Dwyer Instruments Full time

    QC InspectorGrade Level: 5The QC Inspector located in Grandview, MO reports to our Plant Manager and is responsible for inspecting incoming parts from vendors, parts in process and finished goods to assure conformance to quality control requirements.Essential Duties and Responsibilities: Inspect incoming parts to print and specification using a variety of...

  • QC Inspector

    1 month ago

    Grandview, United States Dwyer Instruments Full time

    QC Inspector Grade Level: 5 The QC Inspector located in Grandview, MO reports to our Plant Manager and is responsible for inspecting incoming parts from vendors, parts in process and finished goods to assure conformance to quality control requirements. Essential Duties and Responsibilities: Inspect incoming parts to print and specification using a variety of...

  • QC Inspector

    1 month ago

    Grandview, United States Dwyer Instruments Full time

    QC Inspector Grade Level: 5 The QC Inspector located in Grandview, MO reports to our Plant Manager and is responsible for inspecting incoming parts from vendors, parts in process and finished goods to assure conformance to quality control requirements. Essential Duties and Responsibilities: Inspect incoming parts to print and specification using a variety of...

  • Junior Staff Accountant

    2 months ago

    Grandview, Missouri, United States Silgan Dispensing Systems Full time

    About Silgan Dispensing Systems:Silgan Dispensing Systems is a leading global manufacturer of packaging solutions that help brands enhance lives. Our diverse portfolio of triggers, pumps, sprayers, and closures are used by iconic brands across various industries, including personal care, beauty, fragrance, home, garden, healthcare, and beyond.Headquartered...

  • Radiology Technologist

    2 weeks ago

    Grandview, Missouri, United States Care Now Full time

    About CareNowCareNow is a leading provider of urgent care services, delivering quality, convenient, and patient-centered care with unparalleled service. Our physician-driven focus is centered on providing extensive resources and support to our dedicated clinical teams.Job SummaryWe are seeking a skilled Radiology Technologist to join our team. As a Radiology...

  • Maintenance Technician

    1 month ago

    Grandview, United States Aerotek Full time

    Job DescriptionJob DescriptionJob Title: Maintenance TechnicianJob DescriptionAn automotive manufacturing facility is looking for experienced maintenance technicians on a contract to possible hire basis. The facility needs additional maintenance assistance to help reduce overtime. Responsibilities include making repairs involving disassembling units and...

OAG - Medicaid Fraud Control Unit | Investigative Sergeant |

2 months ago

Grandview, United States CAPPS, Inc. Full time
Job Overview

GENERAL SUMMARY

The Medicaid Fraud Control Unit (MFCU) within the Office of the Attorney General (OAG) is in search of an Investigative Sergeant to lead advanced criminal inquiries into Medicaid provider fraud and nursing home-related matters. This role encompasses the execution of criminal investigations concerning breaches of various state and federal laws, along with providing assistance in prosecutorial efforts as necessary.

POSITION DETAILS

Candidates for this role should be ready to undergo a thorough background examination. A motor vehicle registration review will also be conducted. The MFCU collaborates closely with various law enforcement entities, including federal agencies. In specific instances, a Top Secret security clearance may be essential for full participation in joint operations or task force activities. While such clearances are not a prerequisite for employment, they may be required subsequently. Given that most security clearance issues stem from criminal records or unresolved credit concerns, comprehensive criminal and credit evaluations will be performed on all candidates prior to hiring.

The OAG is a vibrant state agency employing over 4,000 individuals across Texas. As the state's legal representative, the OAG offers exceptional legal services across diverse legal domains. Employees of the OAG benefit from outstanding perks and have significant opportunities to engage in meaningful work within a large, dynamic agency that positively impacts the lives of Texans.

KEY RESPONSIBILITIES
  • Conduct intricate criminal investigations regarding Medicaid provider fraud, ensuring that nursing home-related inquiries are handled with professionalism and efficiency, employing a variety of techniques to fulfill the primary mission of MFCU: to bring violators of applicable laws to justice and identify overpayments to Medicaid providers.
  • Plan, engage in, and execute undercover operations, surveillance activities, raids, and searches; identify, collect, and analyze evidence, including complex records from Medicaid providers; execute court orders, warrants, and subpoenas; and document investigative outcomes.
  • Establish and maintain relationships with external agencies, organizations, and groups that can support the MFCU mission, including the proactive identification of investigative targets; actively participate in collaborative investigative efforts across teams and agencies; and foster a positive workplace atmosphere.
  • May mentor, guide, and assist in the work of colleagues.
  • Respond to urgent situations by being available on-call 24/7.
  • Maintain up-to-date knowledge necessary for fulfilling essential job functions.
  • Attend work consistently in accordance with the agreed-upon schedule.
  • Ensure the security and confidentiality of sensitive information.
  • Adhere to all agency policies and procedures, particularly those related to ethics and integrity.
Qualifications:

MINIMUM REQUIREMENTS
  • Education: High school diploma or equivalent.
  • Education: Completion of sixty credit hours from an accredited institution; alternatively, an associate's or bachelor's degree from an accredited college or university; or relevant full-time experience in investigations, law enforcement, auditing, accounting, or compliance monitoring in Medicaid, Medicare, or health care insurance can substitute for the required education on a year-for-year basis.
  • Experience: A minimum of four years of full-time criminal investigative experience as a licensed peace officer or a comparable federal law enforcement officer.
  • TCOLE certification.
  • Knowledge of TCOLE training requirements and healthcare fraud investigation training needs.
  • Proficiency in Microsoft Office Suite (i.e., Word, Excel, PowerPoint, Outlook).
  • Understanding of criminal investigative principles, techniques, and methodologies.
  • Familiarity with management and administrative principles, techniques, and methodologies.
  • Awareness of agency goals, objectives, rules, regulations, policies, and procedures.
  • Knowledge of relevant state and federal statutes, rules, and regulations governing law enforcement activities.
  • Understanding of criminal and civil court proceedings and rules of evidence.
  • Effective oral and written communication skills (writing sample required during the interview process).
  • Aptitude for researching and interpreting complex regulations.
  • Ability to apply investigative techniques and procedures.
  • Capacity to manage multiple tasks, prioritize effectively, and meet deadlines.
  • Sound judgment and decision-making skills.
  • Ability to develop and implement strategic plans and budgets.
  • Proficiency in the use and maintenance of firearms.
  • Ability to utilize intermediate impact weapons and Oleoresin Capsicum spray.
  • Capability to employ physical tactics.
  • Ability to conduct complex criminal investigations into Medicaid provider fraud and nursing home-related inquiries.
  • Ability to interpret and apply relevant provisions of the Texas Penal Code, the Texas Code of Criminal Procedure, and federal statutes related to investigations.
  • Ability to interpret and apply departmental policies and procedures.
  • Ability to plan, assign, and supervise the work of others.
  • Ability to handle high-pressure situations.
  • Ability to receive and respond constructively to feedback.
  • Ability to collaborate effectively in a professional office setting.
  • Ability to deliver excellent customer service.
  • Ability to work in person at the designated OAG location, completing all assigned tasks within the OAG workspace, and engaging in in-person collaboration with colleagues throughout the workweek (unless on approved leave).
  • Ability to arrange personal transportation for business-related travel, with reimbursement.
  • Ability to work beyond 40 hours as required, in compliance with FLSA.
  • Ability to lift and move 30 lbs.
  • Ability to travel (including overnight travel) up to 20%.
  • Ability to achieve a minimum score of 64% on the 500-meter row test or 4-minute row test, utilizing a Concept 2 Rower.
PREFERRED QUALIFICATIONS
  • Experience in conducting white-collar/economic crime investigations.
  • Experience in investigating healthcare provider fraud and collaborating with state and federal prosecutors in criminal cases.
  • Proficiency in the MFCU documentation and reporting system or a similar system.
  • Knowledge of healthcare fraud statutes (state and federal).
APPLICATION PROCESS

To apply for a position with the OAG, electronic applications must be submitted through CAPPS Recruit. A State of Texas application is required for consideration, and paper applications will not be accepted. Your application may be subject to a criminal background check in accordance with the Texas Government Code. Military Crosswalk information is available for review.

THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER