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Job Description:

The Attorney IV is responsible for a case load of 25-35 moderately complex civil administrative cases. The Attorney will also be in charge of various administrative exclusion and/or penalty cases involving complex to moderately complex cases that include quasi-criminal procedure, evidentiary issues and fact scenarios that require prior criminal prosecution experience. Knowledge of criminal charging instruments (indictment, information, complaint, etc.), search and arrest warrants, witness interviews, and criminal evidence gathering techniques including the issuance subpoenas, are required for this position. The attorney will be responsible for various civil and administrative cases with the development of audits and investigations. Once the file moves into the litigation phase, the Attorney IV will be responsible for all aspects of prosecuting the case. These activities include, but are not limited to preparation of pleadings, written discovery, motions, trial briefs and necessary orders. The attorney will also take and defend depositions, and assume first chair trial responsibilities. The attorney will be responsible for coordination of the trial team which generally will be composed of a legal assistant and a second chair attorney. The trial phase may also include mediation and/or informal resolution conferences. The attorney will be required to keep management advised of all aspects of the case. In addition to these duties the Attorney IV will provide research and assistance in other areas as assigned and as needed.  

Essential Job Functions:

Litigate matters before SOAH or the HHSC Appeals Division, including draft pleadings, written discovery, depositions, witness preparation, and hearings. (30%)

Case evaluation, preparation, and evidence gathering techniques for litigation while keeping the options open to explore settlement. (35%)

Resolving matters by agreement via IRMs or mediation. (10%)

Liaison with the Medicaid Fraud Control Unit (MFCU) at the Office of the Attorney General (OAG) and various state and federal prosecutors. (10%)

General legal research. (10%)

Other duties as assigned. (5%)  

Knowledge Skills Abilities:

• Extensive experience in coordinating with multi-state, federal and state law enforcement agencies.
• Extensive experience in planning and developing investigation and/or prosecution experience.
• Skilled in legal research, writing and analysis.
• Skilled in handling multiple projects and meeting tight deadlines.
• Skilled in demonstrating sound judgment.
• Skilled in identifying problems, evaluating alternatives, and implementing solutions.
• Skilled in working collaboratively and cooperatively with client representatives, government employees, and stakeholder groups.
• Ability to organize and manage multiple tasks of varying priorities and to make efficient use of time and resources.
• Ability to communicate effectively with a wide range of audiences both verbally and in writing.
• Ability to maintain effective and collegial relations with all levels of management, staff and the public.
• Ability to analyze complex factual and legal issues related to a wide variety of federal and state laws.
• Ability to use computer applications and databases related to essential functions of the job, including computer-assisted legal research, word processing software, and the Internet.

Registration or Licensure Requirements:

Must be a member in good standing with the State Bar of Texas.  
Registration or Licensure Requirements:
Must be a member in good standing with the State Bar of Texas.  
Initial Selection Criteria:
Graduation from an accredited law school with a Bachelor of Laws (LL.B.) or a Juris Doctor (J.D.) degree.

Requires a minimum of seven (7) years of experience as a licensed attorney.

In addition, a minimum of five (5) years of experience handling civil Medicaid fraud or equivalent health care civil, criminal, or administrative matters.

Or

Minimum of five (5) years of experience handling complex civil or administrative matters.

Or

Minimum of five (5) years as a felony prosecutor handling health care fraud and/or complex, white-collar matters.

Or

A combination of the above three initial screening criteria.

PREFERRED:

•Extensive experience in planning and developing investigations and/or prosecutions, in particular, as related to health care fraud involving Medicaid or Medicare.
•Extensive experience in performing legal research and analysis and drafting legal opinions, briefs, pleadings or other legal memoranda.
•Familiarity with state and federal criminal prosecutions and civil qui tam lawsuits, including litigation and resolution/settlement phases.
•Familiarity with abuse, neglect and exploitation investigations.
•Familiarity with fraud, waste and abuse investigations.  

Additional Information:

The OIG is responsible for preventing, detecting, auditing, inspecting, reviewing, and investigating fraud, waste, and abuse in the provision of HHS in Medicaid and other HHS programs. Potential employees of OIG are subject to criminal background checks in accordance with the HHS Human Resources policy. Selected applicants must complete a national fingerprint-based criminal background check through the Texas Department of Public Safety (TDPS) and Federal Bureau of Investigations (FBI) to determine if they have criminal history record information that constitutes a bar to employment.

OIG will request that all applicants considered for an interview provide responses to essay questions. Failure to respond to the request could disqualify an applicant from the interview process.

Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.