(764) Fraud Risk Assessment Consultant

Arlo Solutions LLC; Washington (District of Columbia); Remote; USD 110,000 - 165,000; Full time

Job summary

Arlo Solutions LLC is supporting the VA Veterans Health Administration to stand up the VA War Room, focusing on fraud risk assessment, monitoring and program compliance review. As a Fraud Risk Assessment Consultant, you will apply fraud risk management expertise to identify vulnerabilities, conduct research, engage stakeholders and help translate findings into actionable mitigation strategies.

This advisory role emphasizes analytical work and documentation, with final decisions resting with

Qualifications

• Able to pass Tier 2 / Moderate Background Investigation (MBI) and VA PIV card.
• 3-5+ years of relevant fraud experience (risk assessments, controls, or FWA work).
• Knowledge of GAO Fraud Risk Framework, COSO ERM and GAO Green Book guidance.
• Experience assessing inherent and residual risk and documenting control evaluations.
• Strong research, analysis and synthesis skills; interview data handling.
• Strong written and verbal communication; capable of facilitating meetings.
• Able to handle PHI and VA privacy requirements; VA TMS trainings.

Responsibilities

• Identify, assess, document and prioritize fraud vulnerabilities and risks in VHA programs.
• Assess inherent and residual risk using established methodologies such as the GAO Fraud Risk Framework.
• Independently complete assessment assignments as tasked by OIC.
• Evaluate program processes and existing controls; support testing and recommendations to strengthen controls.
• Support root cause analysis and remediation plans for vulnerabilities.
• Gather and analyze information from stakeholder interviews, data and program documentation.
• Facilitate interviews, working sessions and meetings with OIC, ERM staff and VHA stakeholders.
• Support risk governance activities and develop dashboards and reports on risk data.
• Maintain consistent assessment documentation and participate in QA processes.

Skills

Fraud risk management

Stakeholder engagement

Research and analysis

Written and verbal communication

HIPAA/privacy compliance

US government work eligibility

Education

Certified Fraud Examiner (CFE)

Job description

Position Description

Arlo Solutions is supporting the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC) in standing up and running the VHA Fraud Rapid Response Center ("VA War Room"). The War Room protects Veterans and taxpayer dollars through data analytics, fraud risk assessment and fast administrative action. The Fraud Risk Assessment Consultant supports the continuation and expansion of fraud risk assessment, monitoring and program compliance review activities. This person applies fraud risk management expertise to identify, assess, document and prioritize fraud vulnerabilities and risks, and supports the development of risk mitigation strategies and internal control enhancements. The consultant conducts research and analysis, facilitates stakeholder engagement, evaluates program processes and existing controls, and synthesizes information from interviews, data, documentation and other sources to identify fraud exposures. This person supports the assessment of inherent and residual risk and helps translate identified vulnerabilities into actionable fraud prevention, monitoring and risk mitigation activities. The consultant follows established fraud risk management methodologies and procedures, and supports consistent documentation, quality assurance, reporting and integration of assessment results into broader enterprise risk management (ERM) activities. The role is advisory and analytical. All final decisions stay with Government personnel.

Location: REMOTE Clearance: Public Trust

Responsibilities and/or Success Factors:

• Identify, assess, document and prioritize fraud vulnerabilities and risks in VHA programs.
• Assess inherent and residual risk using established methodologies such as the GAO Fraud Risk Framework.
• Independently complete assessment assignments as tasked by OIC.
• Internal Controls Assessment:
  • Evaluate program processes and existing controls.
  • Support control testing and develop recommendations to strengthen internal controls.
• Root Cause Analysis & Remediation:
  • Support root cause analysis of identified vulnerabilities and help turn them into actionable prevention, monitoring and mitigation plans.
• Research & Synthesis:
  • Gather and analyze information from stakeholder interviews, data, program documentation and other sources to identify fraud exposures.
• Stakeholder Engagement:
  • Facilitate interviews, working sessions and meetings with OIC, ERM staff and VHA program stakeholders.
• Risk Governance & Reporting :
  • Support risk governance activities and help develop dashboards, reports and visualizations of VHA risk data on OIC-designated platforms.
• Documentation & Quality Assurance:
  • Keep assessment documentation consistent and complete, follow QA procedures, and help integrate results into broader ERM activities.
• Continuous Improvement & Knowledge Transfer:
  • Contribute to training materials, prevention recommendations, kaizen sessions and after-action debriefs so VA staff can sustain the work on their own.
• Ad Hoc Reporting:
  • Support short-turnaround white papers, summaries and briefings for VA leadership as requested.

Minimum Qualifications Including Certificates:

• Able to pass a Tier 2 / Moderate Background Investigation (MBI) and get a VA PIV card
• 3-5+ years of relevant fraud experience, such as fraud risk assessments, fraud risk management, internal controls, program compliance review or FWA work
• Working knowledge of fraud risk management and internal control frameworks: the GAO Fraud Risk Framework, COSO Enterprise Risk Management and Internal Control frameworks, and the GAO Standards for Internal Control in the Federal Government (Green Book)
• Experience assessing inherent and residual risk and documenting control evaluations
• Strong research, analysis and synthesis skills, with the ability to draw conclusions from interviews, data and documentation
• Strong written and verbal communication skills, including facilitating stakeholder meetings and interviews
• Able to handle PHI and sensitive information under HIPAA and VA privacy requirements, and to complete the required VA TMS trainings
• Must be legally eligible to work in the United States

Desired Qualifications:

• Healthcare fraud experience (strongly preferred), especially healthcare claims and payment integrity
• Experience with federal healthcare programs such as VA/VHA, CMS, Medicare or Medicaid Federal program experience Enterprise risk management experience
• Knowledge of fraud schemes and investigative concepts
• Familiarity with federal fraud and payment integrity requirements, such as the Payment Integrity Act of 2019, OMB Circular A-123 and FMFIA
• Certified Fraud Examiner (CFE) or a related certification (CIA, CRMA or CGFM)

AAP Statement

We are proud to be an Affinitive Action and Equal Opportunity Employer and as such, we evaluate qualified candidates in full consideration without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, age, disability status, protected veteran status, and any other protected status.

Voluntary Self-Identification

For government reporting purposes, we ask candidates to respond to the below self-identification survey.Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiringprocess or thereafter. Any information that you do provide will be recorded and maintained in aconfidential file.

As set forth in Arlo Solutions LLC’s Equal Employment Opportunity policy,we do not discriminate on the basis of any protected group status under any applicable law.

If you believe you belong to any of the categories of protected veterans listed below, please indicate by making the appropriate selection.As a government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act (VEVRAA), we request this information in order to measurethe effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. Classification of protected categoriesis as follows:

A "disabled veteran" is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.

A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

An "active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

An "Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.