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Auditor III-V (22-0383)


Auditor III-V (22-0383)

Auditor III-V (22-0383)

OFFICE OF THE ATTORNEY GENERAL
Houston, TX 77092

Job details

Job Type

- Full-time
Auditor III-V (22-0383) (00021113)
Organization: OFFICE OF THE ATTORNEY GENERAL
Primary Location: Texas-Houston
Work Locations: MFCU - Houston Regional Office 10777 Northwest Freeway Suite 200 Houston 77092
Job: Business and Financial Operations
Employee Status: Regular
Schedule: Full-time
Standard Hours Per Week: 40.00
State Job Code: 1052 1048, 1050
Salary Admin Plan: B
Grade: 25 B21, B23
Salary (Pay Basis): 4,791.66 - 5,750.00 (Monthly)
Number of Openings: 1
Overtime Status: Non-exempt
Job Posting: Feb 8, 2022, 3:35:56 PM
Closing Date: Ongoing
Description


GENERAL DESCRIPTION
Performs highly complex to highly advanced financial investigative work for the Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General. 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 and make a positive difference in the lives of all 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 JOB 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
Performs related work as assigned
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
Auditor IV: All of the above functions for an Auditor III 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
Auditor V: All of the above functions for an Auditor IV PLUS:
Conducts managerial (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.
May supervise the work of others and train less tenured staff


Qualifications


MINIMUM QUALIFICATIONS
Education: Graduation from high school or equivalent
Education: Bachelor's degree from an accredited college or university; experience in the following (or closely related) fields may be substituted for the required education on a year-for-year basis: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare
Experience: Four years of full-time experience working in the following (or closely related) fields: accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare; may substitute a master’s degree from an accredited college or university for two years of the required experience
Knowledge of word processing and electronic spreadsheet applications
Skill researching and interpreting complex rules and regulations
Skill in applying investigative/audit techniques and procedures to assigned cases
Skill in handling multiple tasks, prioritizing, and meeting deadlines
Skill in using a computer for word-processing and data entry/retrieval
Skill in effective oral and written communication [Writing sample maybe required at time of interview]
Skill in exercising sound judgment and effective decision making
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 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 handle stressful situations
Ability to obtain and maintain a valid Texas driver’s license within 30 days from the date of employment
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 15%
Auditor IV - All of the above qualifications for an Auditor III, PLUS:
Experience: Two additional years’ full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare or closely related field; may substitute a master’s degree from an accredited college or university for two years of the required experience
Ability to speak before a variety of audiences in varied settings or formats
Auditor V - All of the above qualifications for an Auditor IV, PLUS:
Experience: Two additional years’ full-time experience in accounting, auditing, compliance monitoring, health care insurance, law enforcement, Medicaid or Medicare or closely related field; may substitute a master’s degree from an accredited college or university for two years of the required experience
Skill in training others by communicating effectively to a diverse audience
PREFERRED QUALIFICATIONS
Education: Graduation from an accredited four-year college or university with a bachelor’s degree in business, finance, or accounting
Nine semester hours in accounting, finance, or a combination thereof [Copy of transcript required at time of interview]
Experience using Microsoft Office software
Experience in applying statistical sampling techniques to data
Knowledge of Texas Medical Assistance Plan under Title XIX of the Social Security Act (Medicaid)
Certification as a Certified Fraud Examiner (CFE), Certified Public Accountant (CPA)
TO APPLY
To apply for a job with the OAG, submit a completed State of Texas job application through the OAG Job Postings Page. In addition, 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. For further instructions on how to apply through the OAG Job Postings Page, see our How to Apply page. 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://www.hr.sao.state.tx.us/Compensation/MilitaryCrosswalk/MOSC_AccountingAuditingandFinance.pdf.
THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER


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• Mobile: NA

• Location: 29.81448:-95.46468

• Post ID: 21879605


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