(764) Fraud Risk Assessment Consultant

Arlo Solutions (Arlo) is an information technology consulting services company that specializes in delivering technology solutions. Our reputation reflects the high quality of the talented Arlo Solutions team and the consultants working in partnership with our customers. Our mission is to understand and meet the needs of both our customers and consultants by delivering quality, value-added solutions. Our solutions are designed and managed to not only reduce costs, but to improve business processes, accelerate response time, improve services to end-users, and give our customers a competitive edge, now and into the future. 

• →Fraud Risk Assessments:
  • →Identify, assess, document and prioritize fraud vulnerabilities and risks in VHA programs.
  • →Assess inherent and residual risk using established methodologies such as the GAO Fraud Risk Framework.
  • →Independently complete assessment assignments as tasked by OIC.
    
    
    
• →Internal Controls Assessment:
  • →Evaluate program processes and existing controls.
  • →Support control testing and develop recommendations to strengthen internal controls.
    
    
• →Root Cause Analysis & Remediation:
  • →Support root cause analysis of identified vulnerabilities and help turn them into actionable prevention, monitoring and mitigation plans.
    
    
• →Research & Synthesis:
  • →Gather and analyze information from stakeholder interviews, data, program documentation and other sources to identify fraud exposures.
    
    
• →Stakeholder Engagement:
  • →Facilitate interviews, working sessions and meetings with OIC, ERM staff and VHA program stakeholders.
    
    
• →Risk Governance & Reporting:
  • →Support risk governance activities and help develop dashboards, reports and visualizations of VHA risk data on OIC-designated platforms.
    
    
    
• →Documentation & Quality Assurance:
  • →Keep assessment documentation consistent and complete, follow QA procedures, and help integrate results into broader ERM activities.
    
    
    
• →Continuous Improvement & Knowledge Transfer:
  • →Contribute to training materials, prevention recommendations, kaizen sessions and after-action debriefs so VA staff can sustain the work on their own.
    
    

• →Ad Hoc Reporting:
  • →Support short-turnaround white papers, summaries and briefings for VA leadership as requested.

• Able to pass a Tier 2 / Moderate Background Investigation (MBI) and get a VA PIV card
• Bachelor's degree 
• 3-5+ years of relevant fraud experience, such as fraud risk assessments, fraud risk management, internal controls, program compliance review or FWA work
• Working knowledge of fraud risk management and internal control frameworks: 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 and documenting control evaluations
• Strong research, analysis and synthesis skills, with the ability to draw conclusions from interviews, data and documentation
• Strong written and verbal communication skills, including facilitating stakeholder meetings and interviews 
• Able to handle PHI and sensitive information under HIPAA and VA privacy requirements, and to complete the required VA TMS trainings
• Must be legally eligible to work in the United States

• Healthcare fraud experience (strongly preferred), especially healthcare claims and payment integrity
• Experience with federal healthcare programs such as VA/VHA, CMS, Medicare or Medicaid Federal program experience Enterprise risk management experience
• Knowledge of fraud schemes and investigative concepts
• Familiarity with federal fraud and payment integrity requirements, such as the Payment Integrity Act of 2019, OMB Circular A-123 and FMFIA
• Certified Fraud Examiner (CFE) or a related certification (CIA, CRMA or CGFM)

We are proud to be an Affirmative Action and Equal Opportunity Employer and as such, we evaluate qualified candidates in full consideration without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, age, disability status, protected veteran status, and any other protected status.