Fraud Risk Assessment Consultant

Piper Companies; United States; Hybrid; USD 90,000 - 100,000; Full time

Benefits offered by this job

Comprehensive benefits

Remote work optional

Job summary

Zachary Piper Solutions seeks a Fraud Risk Assessment Consultant to support the VA VHA Fraud Rapid Response Center. This role is remote (United States) with occasional onsite requirements, focusing on identifying fraud vulnerabilities and strengthening program integrity across VHA programs.

Responsibilities include risk assessments, control evaluation, reporting, and stakeholder engagement, with emphasis on HIPAA compliance and handling PHI.

Qualifications

• Bachelor’s degree required.
• 3–5+ years of experience in fraud risk assessments, fraud risk management, internal controls, compliance reviews, or FWA programs.

Responsibilities

• 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 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 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 PHI and sensitive government information in accordance with HIPAA and VA requirements.

Skills

Analytical skills

Research skills

Stakeholder engagement

Written communication

Presentation skills

Education

Bachelor’s degree

Tools

GAO Fraud Risk Framework

COSO ERM

COSO Internal Control Framework

GAO Green Book

Job description

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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