Fraud Risk Assessment Consultant

Zachary Piper Solutions is seeking a Fraud Risk Assessment Consultant to support the DHA VHA in establishing and operating a high-visibility Fraud Rapid Response Center. This mission-driven initiative focuses on identifying and addressing fraud, waste, and abuse (FWA) to protect Veterans and safeguard taxpayer dollars. The Fraud Risk Assessment Consultant will evaluate fraud vulnerabilities, assess internal controls, conduct risk analyses, and develop actionable recommendations to strengthen fraud prevention and monitoring across VHA programs. This role offers the opportunity to contribute to a high-profile federal healthcare initiative while supporting broader enterprise risk management efforts.

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 using established methodologies, including the GAO Fraud Risk Framework.
• Evaluate program processes and existing internal controls, support control testing, and recommend enhancements to strengthen program integrity.
• Conduct root cause analyses of identified vulnerabilities and help develop actionable fraud prevention, monitoring, remediation, and risk mitigation strategies.
• Research and synthesize information from stakeholder interviews, program documentation, data, and other sources to identify potential fraud exposures.
• Facilitate interviews, working sessions, and stakeholder meetings with OIC, Enterprise Risk Management (ERM) staff, and VHA program personnel.
• Support risk governance and reporting by developing risk dashboards, reports, visualizations, summaries, and briefings using OIC-designated platforms.
• Maintain complete and consistent assessment documentation, follow quality assurance procedures, and support integration of findings into broader ERM activities.
• Develop training materials, prevention recommendations, and knowledge transfer resources to help VA staff sustain fraud risk management activities.
• Participate in continuous improvement initiatives, including Kaizen sessions and after-action reviews.
• Prepare short-turnaround white papers, analytical summaries, and leadership briefings as requested.
• Manage competing priorities and deliver high-quality work in a fast-paced environment with evolving requirements.
• Handle protected health information (PHI) and sensitive government information in accordance with HIPAA, VA privacy requirements, and applicable security procedures.

Qualifications of the Fraud Risk Assessment Consultant include:

• Bachelor's degree
• Active Public Trust Clearance
• 3-5+ years of relevant experience in fraud risk assessments, fraud risk management, internal controls, program compliance reviews, or fraud, waste, and abuse (FWA) initiatives.
• Working knowledge of fraud risk management and internal control frameworks, including 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, evaluating controls, and documenting risk assessment findings.
• Strong research, analytical, and synthesis skills, including the ability to draw actionable conclusions from interviews, data, and program documentation.
• Strong written and verbal communication skills, including experience facilitating stakeholder interviews and meetings.
• 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.
• Ability to handle PHI and sensitive information in accordance with HIPAA and VA privacy requirements and complete required VA TMS training.

Desired Qualifications:

• Healthcare fraud experience, particularly in healthcare claims, payment integrity, and improper payment prevention.
• Experience supporting federal healthcare programs, including VA/VHA, CMS, Medicare, or Medicaid.
• Federal program experience and familiarity with enterprise risk management (ERM).
• Knowledge of common fraud schemes, fraud indicators, and investigative concepts.
• Familiarity with federal fraud prevention and payment integrity requirements, including the Payment Integrity Information Act of 2019, OMB Circular A-123, and the Federal Managers' Financial Integrity Act (FMFIA).
• Certified Fraud Examiner (CFE), Certified Internal Auditor (CIA), Certification in Risk Management Assurance (CRMA), Certified Government Financial Manager (CGFM), or a related certification.

Compensation for the Fraud Risk Assessment Consultant includes:

• Competitive compensation based on experience and qualifications.
• Remote work arrangement.
• Initial 9-month engagement, with potential follow-on opportunities that are not guaranteed.

Keywords: Fraud Risk Assessment Consultant, Fraud Risk Management, Fraud Prevention, Fraud Waste and Abuse, FWA, Healthcare Fraud, Payment Integrity, Improper Payments, Internal Controls, Control Testing, Risk Mitigation, Root Cause Analysis, Inherent Risk, Residual Risk, GAO Fraud Risk Framework, COSO ERM, COSO Internal Control Framework, GAO Green Book, Enterprise Risk Management, ERM, Program Compliance, Federal Healthcare, VA, VHA, CMS, Medicare, Medicaid, Payment Integrity Information Act, OMB Circular A-123, FMFIA, Risk Governance, Quality Assurance, Stakeholder Engagement, Public Trust, Tier 2 MBI, VA PIV.

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