OAG - Medicaid Fraud Control Unit | Criminal Intelligence Analyst I - II | Job at CAPPS, Inc., Austin, TX

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  • CAPPS, Inc.
  • Austin, TX

Job Description

Job Description

GENERAL DESCRIPTION

The Medicaid Fraud Control Unit of the Office of the Attorney General (OAG) is seeking a Criminal Intelligence Analyst whose work will involve intelligence research and analysis. Work involves complex data analysis, report writing, and identification of patterns of criminal activity to support the investigation and prosecution of Medicaid fraud violations and physical and financial abuse in Medicaid-funded facilities.

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.

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 ( 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

  • Researches, analyzes, evaluates, and correlates criminal intelligence information and healthcare data from a variety of sources to determine source reliability, accuracy, and integrity; develops investigative leads and links; and distinguishes patterns and trends.
  • Produces and analyzes intelligence reports on criminal activity, threats, and vulnerabilities to the Texas Medicaid Program.
  • Reviews, evaluates, and makes referral recommendations based on investigative findings by preparing detailed written analysis and reports in a professional, correct, and timely manner, consistent with MFCU guidelines.
  • Uses teletype and/or computer terminals to access driver's licenses, criminal records, files from various agencies, the National Crime Information Center/Texas Crime Information Center (NCIC/TCIC), and vehicle registration databases to identify subjects for law enforcement agencies. (Must be able to pass a criminal background check).
  • Applicant must possess a valid Texas Driver License.
  • 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
Qualifications:

MINIMUM QUALIFICATIONS

Criminal Intelligence Analyst I:
  • Education: Bachelor's degree from an accredited college or university with major coursework in criminal justice, healthcare administration, or related fields of study; experience in the following (or closely related) fields may be substituted for the required education on a year-for-year basis: full-time researching and compiling data, data extraction/query and analysis, using statistical methods and relational databases to analyze data sets, Medicaid, Medicare, healthcare insurance, white-collar crime investigations
  • Knowledge of intelligence gathering; intelligence and crime analysis processes, methodologies, and principles; statistical and link analysis and probability modeling; human behavior and group dynamics; law enforcement operations, procedures, and regulations; and report writing and presentation.
  • Skill in collecting, organizing, creating, and communicating documents, presentations, recommendations, and trends as relevant to criminal allegations for healthcare fraud.
  • 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
  • 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 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 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 20%
Criminal Intelligence Analyst II: All of the above qualifications for a Criminal Intelligence Analyst I, PLUS:
  • Experience: One additional year of full-time experience working in the following (or closely related) fields: full-time researching and compiling data, data extraction/query and analysis, using statistical methods and relational databases to analyze data sets, Medicaid, Medicare, healthcare insurance, white-collar crime investigations.
PREFERRED QUALIFICATIONS
  • Experience: Conducting historical research, reviewing and analyzing records
  • Knowledge: Texas Penal Code, Code of Criminal Procedure, Rules of Evidence, CDT or CPT coding, familiarity with multiple OSINT, Texas Administrative Code
  • Skills: Managing multiple large data sets, clear communication, identify trends
  • Abilities: Clear and concise written intelligence reports; to use charts, graphs, documentary and statistical analysis, and geospatial mapping to provide information, patterns, and trends;
  • Certifications: Certified Crime Analyst, Certified Fraud Examiner

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

THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER CAPPS, Inc.

Job Tags

Full time, Relocation, Night shift,

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