Remote Fraud Program Analyst - Healthcare Compliance

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

Benefits offered by this job

Remote work

Job summary

Zachary Piper Solutions is seeking a Program Analyst to support the DDVA VHA program in establishing and operating a high-visibility Fraud Rapid Response Center through a 100% remote work arrangement. The role focuses on detecting and responding to healthcare FWA while safeguarding taxpayer dollars.

The Analyst will develop evidence packages, risk assessments, and SOPs, coordinating with VA leadership and ERM teams. Requires Public Trust clearance and US work eligibility.

Qualifications

• Bachelor’s degree and 3–5 years of experience supporting federal healthcare program integrity or fraud, waste, and abuse initiatives.
• Active Public Trust Clearance.
• Experience with fraud risk assessments, internal controls, quality audits, case development, compliance reviews, or related analytical work.
• Strong analytical, research, documentation, and problem-solving skills.
• Experience preparing reports, briefings, SOPs, tracking tools, and other deliverables for federal clients.
• Advanced proficiency in Microsoft Excel, Word, PowerPoint, and SharePoint.
• Strong written and verbal communication skills.
• Ability to pass a Tier 2 / Moderate Background Investigation (MBI) and obtain a VA Personal Identity Verification (PIV) card.
• Legal eligibility to work in the United States.

Responsibilities

• Support federal investigators and subject matter experts in developing fraud, waste, and abuse leads and cases, organizing supporting documentation and evidence, and assembling referral packages.
• Prepare weekly analytic runs and decision-ready case packages documenting relevant facts, analysis, recommendations, and supporting evidence.
• Maintain accurate tracking registers for overpayments, recoveries, referrals, case status, and program oversight.
• Support fraud risk assessments, internal control reviews, root cause analyses, and remediation planning.
• Apply quality assurance checklists and sampling plans to review case files, workpapers, and deliverables for completeness and accuracy.
• Develop and refine intake and triage SOPs, case lifecycle definitions, status taxonomies, workflow maps, and RACI charts aligned with CIRTS practices.
• Prepare monthly governance and milestone reports, dashboards, outcome summaries, executive briefings, and ad hoc white papers for VA leadership.
• Coordinate meetings with OIC, VHA, and Enterprise Risk Management (ERM) stakeholders; document discussions and track action items and follow-ups.
• Develop training materials, templates, and knowledge transfer resources to support the long-term sustainability of War Room operations.
• Handle protected health information (PHI) and sensitive government information in accordance with HIPAA, VA privacy requirements, and applicable security procedures.
• Adapt to shifting priorities and short-turnaround requests while maintaining accuracy and quality in a fast-paced, high-visibility environment.

Skills

Fraud risk assessment

Internal controls

Quality audits

Case development

Documentation

Communication

Education

Bachelor’s degree

Tools

Palantir

Power BI

Tableau

SharePoint

Job description

Zachary Piper Solutions is seeking a Program Analyst to support the DDVA VHA program in establishing and operating a high-visibility Fraud Rapid Response Center through a 100% remote work arrangement. The role focuses on detecting and responding to healthcare FWA while safeguarding taxpayer dollars.

The Analyst will develop evidence packages, risk assessments, and SOPs, coordinating with VA leadership and ERM teams. Requires Public Trust clearance and US work eligibility.