Texas Attorney General
OAG - Medicaid Fraud Control Unit | Auditor III - IV | 25-0773
Texas Attorney General, Corpus Christi, Texas, United States, 78417
Overview
Join to apply for the OAG - Medicaid Fraud Control Unit | Auditor III - IV | 25-0773 role at Texas Attorney General. You may view the full job posting in the CAPPS Career Section and apply through CAPPS Career Section. GENERAL DESCRIPTION The Medicaid Fraud Control Unit of the Office of Attorney General is seeking an Auditor whose work will involve conducting financial investigative work for the division. Work involves planning, organizing, and conducting advanced investigations and preparing reports on findings and recommendations. May lead an investigative team. Works under limited to minimal supervision with considerable to extensive latitude for the use of initiative and independent judgment. OAG employees enjoy excellent benefits 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 Functions – Auditor III
Conducts highly complex or assists with advanced audits/criminal investigations and examinations of alleged Medicaid provider fraud Queries, examines and analyzes Medicaid claims data to contribute to an efficient, team-oriented investigation; applies statistical sampling techniques to claims data as necessary; obtains information and data from a variety of systems to contribute to investigations; and collects and analyzes case evidence, including business records, financial records, banking records, and medical records Documents audits/investigations by preparing detailed audit/criminal investigative reports, opening memos, and closing memos in a professional, correct and timely manner, consistent with MFCU guidelines Assists with outreach presentations to outside agencies, associations, or groups, whose assistance and cooperation can enhance the mission of MFCU Represents the Office of the Attorney General by testifying before state and federal grand juries, in court settings, and at administrative hearings Essential Position Functions – Auditor IV
All Auditor III functions, PLUS: Conducts advanced (senior-level) audits/criminal investigations and examinations of alleged Medicaid provider fraud, including the development of audit/investigation objectives and plans; identifies violations of state law, federal law and Medicaid rules and regulations by Medicaid providers and their employees and obtains evidence to support these violations, including via witness and subject interviews; identifies the corresponding Medicaid overpayments associated with these violations Performs related work as assigned Maintains Relevant Knowledge Necessary To Perform Essential Job Functions Additional Requirements
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
Auditor III: Education – Graduation from high school or equivalent; Education: Bachelor’s degree from an accredited college or university; experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare (may substitute a masters degree for two years of required experience); Experience: Four years of full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare (master’s degree may substitute for two years); Knowledge of word processing and electronic spreadsheet applications; Skill in handling multiple tasks, prioritizing, and meeting deadlines; Skill in effective oral and written communication; Skill in exercising sound judgment and effective decision making; Additional attributes including ability to work cooperatively with others, provide excellent customer service, and in-person work requirements. Auditor IV: All Auditor III qualifications, PLUS: Two additional years of full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare; May substitute a master’s degree for two years of the required experience; Ability to speak before varied audiences. To Apply
To apply for a job with the OAG, electronic applications can be submitted through CAPPS Recruit. 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_AccountingAuditingandFinance.pdf. THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER
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Join to apply for the OAG - Medicaid Fraud Control Unit | Auditor III - IV | 25-0773 role at Texas Attorney General. You may view the full job posting in the CAPPS Career Section and apply through CAPPS Career Section. GENERAL DESCRIPTION The Medicaid Fraud Control Unit of the Office of Attorney General is seeking an Auditor whose work will involve conducting financial investigative work for the division. Work involves planning, organizing, and conducting advanced investigations and preparing reports on findings and recommendations. May lead an investigative team. Works under limited to minimal supervision with considerable to extensive latitude for the use of initiative and independent judgment. OAG employees enjoy excellent benefits 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 Functions – Auditor III
Conducts highly complex or assists with advanced audits/criminal investigations and examinations of alleged Medicaid provider fraud Queries, examines and analyzes Medicaid claims data to contribute to an efficient, team-oriented investigation; applies statistical sampling techniques to claims data as necessary; obtains information and data from a variety of systems to contribute to investigations; and collects and analyzes case evidence, including business records, financial records, banking records, and medical records Documents audits/investigations by preparing detailed audit/criminal investigative reports, opening memos, and closing memos in a professional, correct and timely manner, consistent with MFCU guidelines Assists with outreach presentations to outside agencies, associations, or groups, whose assistance and cooperation can enhance the mission of MFCU Represents the Office of the Attorney General by testifying before state and federal grand juries, in court settings, and at administrative hearings Essential Position Functions – Auditor IV
All Auditor III functions, PLUS: Conducts advanced (senior-level) audits/criminal investigations and examinations of alleged Medicaid provider fraud, including the development of audit/investigation objectives and plans; identifies violations of state law, federal law and Medicaid rules and regulations by Medicaid providers and their employees and obtains evidence to support these violations, including via witness and subject interviews; identifies the corresponding Medicaid overpayments associated with these violations Performs related work as assigned Maintains Relevant Knowledge Necessary To Perform Essential Job Functions Additional Requirements
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
Auditor III: Education – Graduation from high school or equivalent; Education: Bachelor’s degree from an accredited college or university; experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare (may substitute a masters degree for two years of required experience); Experience: Four years of full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare (master’s degree may substitute for two years); Knowledge of word processing and electronic spreadsheet applications; Skill in handling multiple tasks, prioritizing, and meeting deadlines; Skill in effective oral and written communication; Skill in exercising sound judgment and effective decision making; Additional attributes including ability to work cooperatively with others, provide excellent customer service, and in-person work requirements. Auditor IV: All Auditor III qualifications, PLUS: Two additional years of full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare; May substitute a master’s degree for two years of the required experience; Ability to speak before varied audiences. To Apply
To apply for a job with the OAG, electronic applications can be submitted through CAPPS Recruit. 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_AccountingAuditingandFinance.pdf. THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER
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