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OAG - Medicaid Fraud Control Unit | Compliance Analyst I-II | 26-0227

at Texas Department of Information Resources (DIR)


GENERAL DESCRIPTION
The Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney General (OAG) is seeking a Compliance Analyst.
Work will involve conducting compliance analysis in-house work by researching and analyzing data-intensive information, reports, and records to identify evidence to support investigations of Medicaid violations.

Applicants for this position should be prepared to pass a background investigation. Applicants will also be subject to a motor vehicle registration check and social media check. 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. Must possess a valid driver’s license.

The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the State’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 FUNCTIONS
Compliance Analyst I:

  • Performs in-house investigative work by obtaining and analyzing information, data, and evidence from a variety of sources associated with allegations of fraud in the administration of the Medicaid program, fraud committed by Medicaid providers, and abuse, neglect and exploitation occurring in facilities that receive Medicaid funds
  • Makes recommendations on the disposition of investigative findings by preparing detailed written analysis and reports in a professional, correct, and timely manner, 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 the MFCU
  • Provides support and collaborates in the planning, development, implementation, analysis, and documentation of preliminary investigations
  • Skill in effective oral and written communication [Writing sample may be required at time of interview, if selected]
  • 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

Compliance Analyst II – All of the above functions for a Compliance Analyst I, PLUS:

  • Makes presentations to staff.