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Arlo Solutions(764) Fraud Risk Assessment Consultant
Arlo Solutions is seeking a Fraud Risk Assessment Consultant to support the Department of Veterans Affairs Veterans Health Administration Office of Integrity and Compliance. In this…
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About This Role
Arlo Solutions is seeking a Fraud Risk Assessment Consultant to support the Department of Veterans Affairs Veterans Health Administration Office of Integrity and Compliance. In this position, the consultant aids in running the VHA Fraud Rapid Response Center by carrying out fraud risk assessments, monitoring activities, and program compliance reviews. This advisory and analytical role focuses on identifying, documenting, and prioritizing fraud vulnerabilities, evaluating internal controls, and assisting with risk…
Job Description
Arlo Solutions is seeking a Fraud Risk Assessment Consultant to support the Department of Veterans Affairs Veterans Health Administration Office of Integrity and Compliance. In this position, the consultant aids in running the VHA Fraud Rapid Response Center by carrying out fraud risk assessments, monitoring activities, and program compliance reviews. This advisory and analytical role focuses on identifying, documenting, and prioritizing fraud vulnerabilities, evaluating internal controls, and assisting with risk mitigation strategies. Final decisions remain with Government personnel.
This opportunity is well-suited for professionals with a background in fraud risk management, internal controls, or federal healthcare programs who possess strong analytical, research, and communication skills. Candidates must be able to handle sensitive information and protected health information in compliance with HIPAA and VA privacy rules. Arlo Solutions is an Affirmative Action and Equal Opportunity Employer that evaluates qualified applicants without regard to protected characteristics.
Responsibilities
- Identify, assess, document, and prioritize fraud vulnerabilities and risks within VHA programs using established methodologies like the GAO Fraud Risk Framework
- Evaluate program processes and existing controls, support control testing, and formulate recommendations to strengthen internal controls
- Perform root cause analysis on identified vulnerabilities to aid in creating actionable prevention, monitoring, and mitigation plans
- Gather and analyze data from stakeholder interviews, program documentation, and additional sources to pinpoint fraud exposures
- Facilitate interviews, working sessions, and meetings with OIC, enterprise risk management staff, and VHA program stakeholders
- Support risk governance functions by developing dashboards, reports, and data visualizations on OIC-designated platforms
- Maintain consistent and complete assessment documentation, adhere to quality assurance procedures, and integrate results into enterprise risk management activities
- Contribute to training materials, prevention recommendations, and after-action debriefs to assist VA staff in sustaining the work
- Draft short-turnaround white papers, summaries, and briefings for VA leadership upon request
Requirements
- Ability to pass a Tier 2 Moderate Background Investigation and obtain a VA PIV card
- Hold a Bachelor's degree
- Possess 3 to 5 or more years of relevant fraud experience, including fraud risk assessments, fraud risk management, internal controls, program compliance reviews, or FWA work
- Demonstrate working knowledge of fraud risk management and internal control frameworks such as the GAO Fraud Risk Framework, COSO Enterprise Risk Management and Internal Control frameworks, and the GAO Green Book
- Demonstrate experience evaluating inherent and residual risk and documenting control evaluations
- Possess strong research, analysis, synthesis, and written and verbal communication skills
- Ability to handle PHI and sensitive information under HIPAA and VA privacy requirements and complete required VA TMS trainings
- Must be legally eligible to work in the United States
Qualifications
- Healthcare fraud experience, particularly involving healthcare claims and payment integrity
- Experience with federal healthcare programs including VA/VHA, CMS, Medicare, or Medicaid
- Federal program experience
- Enterprise risk management experience
- Knowledge of fraud schemes, investigative concepts, and federal fraud and payment integrity requirements such as the Payment Integrity Act of 2019, OMB Circular A-123, and FMFIA
- Certified Fraud Examiner or a related certification such as CIA, CRMA, or CGFM
Core Skills
Frequently Asked Questions
What is the remote work policy for this position?
The source posting states that the role is remote, though the employer profile indicates an on-site status.
What are the core duties of the Fraud Risk Assessment Consultant?
The consultant evaluates program processes and internal controls, identifies and prioritizes fraud vulnerabilities, conducts root cause analysis, and facilitates stakeholder engagement to support the VHA Office of Integrity and Compliance.
What level of education and experience is required?
Candidates must hold a Bachelor's degree and have 3 to 5 or more years of relevant fraud experience, including fraud risk assessments, internal controls, or program compliance reviews.
What security clearance or background check is necessary?
Applicants must be able to pass a Tier 2 Moderate Background Investigation and obtain a VA PIV card.
Does the posting specify salary or benefits?
No, the source posting does not specify salary or benefits information.
Sample Interview Questions
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