Job Description

INTERNAL

REVISED 07-11-2023

GENERAL DESCRIPTION

• The Office of the Attorney General (OAG) is seeking to hire an experienced, results-driven individual to serve as a Training and Development Specialist in the OAG's Medicaid Fraud Control Unit (MFCU).

• MFCU conducts criminal investigations into and supports prosecution of violations of state and federal laws pertaining to fraud in the administration of the Medicaid program, in the provision of medical assistance, or in the activities of providers under the state Medicaid plan. MFCU also investigates, or refers to the appropriate authority, complaints alleging physical abuse or criminal neglect of patients in health care facilities receiving payments under Medicaid.

• Work involves developing, modifying, administering, and planning Medicaid training to the MFCU division. Training activities will be conducting in-person and remotely. Works collaboratively with law enforcement, other state agencies, and other partners to ensure system testing, development, and rollout; briefs and advises MFCU management on matters concerning Medicaid fraud system development and enhancements.

• The OAG is a dynamic state agency with over 4,000 employees throughout the State of Texas. As the State's law firm, 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. OAG employees experience the challenge and honor of public service while enjoying a healthy work-life balance; hands-on legal experience; and engaging camaraderie in Austin, the scenic and lively capital of Texas.

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 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.

ESSENTIAL POSITION FUNCTIONS

Plans, develops, reviews, revises, and implements training programs, policies, and procedures; and promotes the use of training services.

Conducts training in a classroom, distance learning, or occasionally in an e-Learning environment; and facilitates workshops and meetings.

Develops and/or contributes to others who develop curricula, course outlines, instructional methods, training aids, manuals, and other instructional materials and products.

Serves as a professional resource for employees and managers regarding training programs and initiatives; promotes the use of training services.

Researches, develops, reviews, and evaluates training programs and materials, and recommends modifications as appropriate.

Manages external contact lists and drafts Standard Operational Procedure (SOP) system updates

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

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: Teaching, Healthcare, Program administration

Experience: Four years of full-time experience working in the following (or closely related) fields: Healthcare, Teaching, Program Administration

Knowledge of Texas Medicaid Program, Claims processing system, Medicaid Rules

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 workspace 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%

PREFERRED QUALIFICATIONS

Experience working with the MMIS claims management system.

Experience working as a team member in a collaborate environment

Knowledge of writing claims queries

Knowledge of Texas Medical Assistance Plan under Title XIX of the Social Security Act (Medicaid)

Skills in using BusinessObjects, Business Intelligence, MCATS, Kintana, Phoenix, e-OPM

Ability to communicate technical guidance and updates to the end user

Ability to formulate learning objectives, to develop training objectives, to evaluate the effectiveness of training, to assess training needs, and to communicate effectively.

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_HumanResourcesandTrainingandDevelopment.pdf

THE OAG IS AN EQUAL OPPORTUNITY EMPLOYER