Fraud Risk Assessment Consultant

Zachary Piper Solutions; Northern (KY); À distance; USD 90 000 - 100 000; Plein temps

Résumé du poste

Zachary Piper Solutions is seeking a Fraud Risk Assessment Consultant to support the VA Veterans Health Administration through a Remote (United States) arrangement with occasional onsite requirements. You will assess fraud risks, evaluate internal controls, and develop strategies to strengthen program integrity across VHA programs.

Responsibilities include conducting risk assessments, evaluating controls, creating dashboards and reports, and delivering training for long-term fraud risk

Qualifications

• Bachelor’s degree required.
• 3–5+ years in fraud risk assessments or FWA programs.
• Active Public Trust Clearance required.
• Experience with GAO Fraud Risk Framework, COSO ERM, COSO Internal Control Framework, GAO Green Book.
• Strong analytical, written and oral communication; stakeholder engagement.
• Ability to obtain VA PIV card and pass Tier 2 Background Investigation.

Responsabilités

• Conduct fraud risk assessments across VHA programs.
• Assess inherent and residual risk using GAO Fraud Risk Framework.
• Evaluate internal controls and support testing activities.
• Develop remediation, monitoring, and risk mitigation recommendations.
• Facilitate stakeholder interviews with ERM and program staff.
• Develop reports, dashboards, leadership briefings, and white papers.
• Maintain assessment documentation and QA; integrate findings into ERM.
• Create training materials for long-term fraud risk capabilities.
• Support continuous improvement and after-action reviews.
• Handle PHI and sensitive information per HIPAA/VA requirements.

Connaissances

Fraud risk

Internal controls

Documentation

Stakeholder engagement

Written communication

Presentation skills

HIPAA privacy

Public Trust

Tier 2 MBI

PIV access

GAO framework

COSO ERM

COSO IC

Green Book

Data analysis

Formation

Bachelor’s degree

Description du poste

Zachary Piper Solutions is seeking a Fraud Risk Assessment Consultant to support the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Fraud Rapid Response Center through a Remote (United States) work arrangement with occasional onsite requirements. The Fraud Risk Assessment Consultant will support high-visibility fraud, waste, and abuse (FWA) initiatives by assessing fraud risks, evaluating internal controls, and developing strategies to strengthen program integrity across VHA programs.

Responsibilities of the Fraud Risk Assessment Consultant include:

• Conduct fraud risk assessments to identify, evaluate, document, and prioritize fraud vulnerabilities across VHA programs.
• Assess inherent and residual fraud risk utilizing methodologies such as the GAO Fraud Risk Framework.
• Evaluate internal controls, support control testing activities, and recommend process improvements.
• Perform root cause analyses and develop fraud prevention, monitoring, remediation, and risk mitigation recommendations.
• Facilitate stakeholder interviews, working sessions, and meetings with Enterprise Risk Management (ERM) personnel and program stakeholders.
• Develop reports, dashboards, visualizations, leadership briefings, white papers, and analytical summaries.
• Maintain assessment documentation, quality assurance standards, and integration of findings into broader ERM initiatives.
• Develop training materials and knowledge transfer resources to support long-term fraud risk management capabilities.
• Support continuous improvement efforts, including after-action reviews and process optimization sessions.
• Handle protected health information (PHI) and sensitive government information in accordance with HIPAA and VA requirements.

Qualifications of the Fraud Risk Assessment Consultant include:

• Bachelor’s degree required.
• 3-5+ years of experience in fraud risk assessments, fraud risk management, internal controls, compliance reviews, or fraud, waste, and abuse (FWA) programs.
• Active Public Trust Clearance required.
• Experience assessing inherent and residual risk, evaluating controls, and documenting risk assessment findings.
• Working knowledge of the GAO Fraud Risk Framework, COSO Enterprise Risk Management Framework, COSO Internal Control Framework, and GAO Green Book.
• Strong analytical, research, stakeholder engagement, written communication, and presentation skills.
• Ability to pass a Tier 2 Moderate Background Investigation (MBI) and obtain a VA PIV card.
• Ability to handle sensitive information in compliance with HIPAA and VA privacy requirements.

Preferred Qualifications:

• Experience supporting healthcare fraud, payment integrity, improper payment prevention, or healthcare claims analysis.
• Experience supporting VA, VHA, CMS, Medicare, Medicaid, or other federal healthcare programs.
• Knowledge of Payment Integrity Information Act (PIIA), OMB Circular A-123, FMFIA, and federal fraud prevention requirements.
• Certified Fraud Examiner (CFE), Certified Internal Auditor (CIA), CRMA, CGFM, or related certification.

Compensation for the Fraud Risk Assessment Consultant includes:

• Salary Range: $90,000 - $100,000 annually, depending on experience and qualifications.
• Remote work arrangement with onsite requirements as needed.
• Initial 9-month engagement with potential follow-on opportunities.
• Comprehensive Benefits: Cigna Medical, Dental, Vision, 401(k), PTO, Sick Leave if required by law, and Paid Holidays.

This job opens for applications on October 9, 2026. Applications for this job will be accepted for at least 30 days from the posting date.

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