Sergeant - Medicaid Fraud Control Unit

3 weeks ago


San Antonio, Texas, United States CAPPS, Inc. Full time
Job Title: Sergeant - Medicaid Fraud Control Unit

Join the Medicaid Fraud Control Unit as a Sergeant and contribute to the protection of Medicaid resources and the integrity of the healthcare system. As a Sergeant, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home-related investigations.

Key Responsibilities:
  • Conduct thorough investigations of Medicaid provider fraud and nursing home-related cases, utilizing advanced techniques and methodologies.
  • Plan, participate in, and conduct undercover investigations, surveillance operations, raids, and searches.
  • Establish and maintain liaison with outside agencies, associations, and groups to enhance the mission of the Medicaid Fraud Control Unit.
  • Train, lead, and/or assist with the work of others, and perform related work as assigned.
  • Respond to emergency situations by serving on-call 24/7.
Requirements:
  • Graduation from high school or equivalent.
  • Four years of 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.
  • Knowledge of criminal investigative principles, techniques, and methodologies.
  • Ability to develop and implement strategic plans and budgets.
  • Ability to use and care for firearms.
  • Ability to work cooperatively in a professional office environment.
Preferred Qualifications:
  • 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.

The Medicaid Fraud Control Unit is an equal opportunity employer. To apply for this position, please submit your application through CAPPS Recruit. A State of Texas application must be completed to be considered.



  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Investigator to join our Medicaid Fraud Control Unit team. As a Senior Investigator, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Key ResponsibilitiesConduct thorough and detailed investigations of...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Position Overview As a key member of the Medicaid Fraud Control Unit (MFCU) at CAPPS, Inc., you will engage in sophisticated criminal investigations related to Medicaid provider fraud and nursing home issues. Your role will involve collaborating with various law enforcement agencies to ensure compliance with state and federal regulations. CAPPS, Inc. is...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Job DescriptionRevised 7/12/2023General DescriptionThe Medicaid Fraud Control Unit (MFCU) is seeking a highly skilled and experienced investigator to join our team. As a Sergeant Investigator, you will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Work involves conducting...

  • Senior Investigator

    1 week ago


    San Antonio, Texas, United States CAPPS, Inc. Full time

    About the RoleWe are seeking a highly skilled and experienced Senior Investigator to join our Medicaid Fraud Control Unit (MFCU) team. As a key member of the team, you will be responsible for conducting advanced criminal investigations of Medicaid provider fraud and nursing home related investigations.Key ResponsibilitiesConduct complex criminal...


  • San Antonio, Texas, United States CAPPS, Inc. Full time

    Job Title: Medicaid Fraud InvestigatorWe are seeking a highly skilled and experienced Medicaid Fraud Investigator to join our team at CAPPS, Inc. The successful candidate will be responsible for conducting complex criminal investigations of Medicaid provider fraud and nursing home related investigations.Key Responsibilities:Conduct thorough investigations of...


  • San Antonio, Texas, United States Navy Federal Credit Union Full time

    About the RoleWe are seeking a skilled and detail-oriented Fraud Investigator to join our team at Navy Federal Credit Union. As a key member of our organization, you will be responsible for performing and documenting investigations related to possible fraud and suspicious activity monitoring.Key ResponsibilitiesInvestigate various types of transactions,...


  • San Antonio, Texas, United States USAA Full time

    About the RoleWe are seeking a highly skilled and experienced Senior Fraud Investigator to join our team at USAA. As a key member of our Special Investigations Unit (SIU), you will play a critical role in identifying and mitigating fraud risk within our organization.Key Responsibilities:Conduct thorough investigations into suspected fraud cases, utilizing...


  • San Antonio, Texas, United States USAA Full time

    About the RoleWe are seeking a highly skilled Fraud Strategy Analyst to join our team at USAA. As a key member of our fraud prevention team, you will play a critical role in identifying and mitigating financial crime risks.Key ResponsibilitiesDevelop and implement effective fraud prevention strategies to minimize financial losses.Collaborate with...


  • San Antonio, Texas, United States USAA Full time

    About the RoleWe are seeking a highly skilled Fraud Strategy Analyst to join our team at USAA. As a key member of our fraud prevention team, you will play a critical role in identifying and mitigating potential risks to our business.Key ResponsibilitiesAssist in the development of solutions and recommendations for business requirements, business rules,...


  • San Antonio, Texas, United States Vip Staffing - zrtech Full time

    Job Title: Software Engineer III - Fraud System IntegrationsWe are seeking a highly skilled Software Engineer III to join our team as a Fraud System Integrations specialist. As a key member of our team, you will be responsible for designing, developing, and implementing innovative solutions to detect and prevent fraud in our financial systems.Key...


  • San Antonio, Texas, United States Vip Staffing - zrtech Full time

    Job Title: Software Engineer III - Fraud System IntegrationsWe are seeking a highly skilled Software Engineer III to join our team as a Fraud System Integrations expert. As a key member of our software engineering team, you will be responsible for designing, developing, and implementing solutions for assigned programs and applications across the...

  • Fraud Strategy Expert

    2 weeks ago


    San Antonio, Texas, United States USAA Full time

    About USAAUSAA is a leading financial services organization dedicated to serving the needs of U.S. military members and their families. Our mission is to facilitate the financial security of our members, and we're committed to making a real impact in their lives.The OpportunityWe're seeking a highly skilled Fraud Strategy Expert to join our team. As a key...


  • San Marcos, Texas, United States Fort Hays State University Full time

    Job DescriptionJob Summary:The University Police Sergeant is a supervisory role responsible for overseeing the daily operations of University Police Officers and Security Officers. This position requires strong leadership and management skills, as well as the ability to work effectively with diverse groups of people.Key Responsibilities:Supervise and direct...


  • San Antonio, Texas, United States USAA Full time

    About USAAUSAA is a leading financial services organization dedicated to serving the needs of U.S. military members and their families. Our mission is to facilitate the financial security of millions of Americans who have served their country.The OpportunityWe are seeking a highly skilled and experienced Director, Special Investigations Unit to join our...


  • San Antonio, Texas, United States USAA Full time

    About the RoleWe are seeking a highly skilled and experienced professional to lead our Special Investigations Unit (SIU) as a Director. As a key member of our Claims organization, you will be responsible for developing and implementing strategies to prevent and detect fraud in our Property & Casualty Insurance business.Key ResponsibilitiesDevelop and execute...


  • San Antonio, Texas, United States USAA Full time

    About the RoleWe are seeking a highly skilled and experienced professional to lead our Special Investigations Unit (SIU) as a Director. As a key member of our Claims organization, you will be responsible for developing and implementing strategies to prevent and detect fraud in our Property & Casualty Insurance business.Key ResponsibilitiesDevelop and execute...


  • San Antonio, Texas, United States USAA Full time

    About USAAUSAA is a leading financial services provider dedicated to serving the military community. Our mission is to facilitate the financial security of millions of U.S. military members and their families. We're committed to giving back to those who have served, and we're working together to build a great experience and make a real impact for our...


  • San Antonio, Texas, United States Guidehouse Full time

    About the RoleGuidehouse is seeking a highly skilled Financial Crimes Compliance Investigations and Quality Control Analyst to join our team. As a key member of our team, you will play a critical role in ensuring the integrity of our financial systems and processes.Key ResponsibilitiesPerform AML alert/case reviews to mitigate risks associated with financial...


  • San Antonio, Texas, United States Guidehouse Full time

    Job SummaryGuidehouse is seeking a highly skilled Financial Crimes Compliance Investigations and Quality Control Analyst to join our team. As a key member of our team, you will be responsible for performing AML alert/case reviews, applying research and analytic techniques to mitigate risks associated with financial crimes, and conducting end-to-end reviews...


  • San Antonio, Texas, United States Aloden, Inc. Full time

    Job Title: Bank Dispute AnalystOverviewWe are seeking a highly skilled Bank Dispute Analyst to join our team at Aloden, Inc. This role offers the opportunity to thrive in a team-focused environment dedicated to providing world-class service.The primary responsibility of this position is to detect suspicious activity from multiple sources, including detection...