Fraud Risk Assessment Consultant

Arlo Solutions

. Identify, assess, document and prioritize fraud vulnerabilities and risks in VHA programs .

Posted 10/4/2026full-timeUnited StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in fraud risk management, including the ability to assess and document vulnerabilities, evaluate internal controls, and develop actionable prevention plans. Proficient in facilitating stakeholder engagement and producing comprehensive reports and visualizations for risk governance.

Highest-signal resume keywords

Fraud Risk AssessmentsGAO Fraud Risk FrameworkInternal Controls EvaluationHealthcare Fraud ExperienceCertified Fraud Examiner (CFE)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Fraud Risk ManagementRisk AssessmentControl TestingData AnalysisDocumentationRoot Cause AnalysisProgram Compliance ReviewRisk GovernanceEnterprise Risk ManagementKnowledge of Fraud Schemes

Soft Skills

Strong Communication SkillsResearch SkillsAnalytical SkillsFacilitation Skills

Tools & Technologies

OIC-Designated PlatformsVA TMS

Certifications & Qualifications

Certified Fraud Examiner (CFE)Certified Internal Auditor (CIA)Certified Risk Management Assurance (CRMA)Certified Government Financial Manager (CGFM)

Industry Keywords

VHA ProgramsFederal Healthcare ProgramsMedicareMedicaidPayment Integrity Act of 2019OMB Circular A-123FMFIAPHI HandlingVA Privacy Requirements

About the role

Key responsibilities & impact

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
Evaluate program processes and existing controls
Support control testing and develop recommendations to strengthen internal controls
Support root cause analysis of identified vulnerabilities and turn them into actionable prevention, monitoring and mitigation plans
Gather and analyze information from stakeholder interviews, data, program documentation and other sources to identify fraud exposures
Facilitate interviews, working sessions and meetings with OIC, ERM staff and VHA program stakeholders
Support risk governance activities and develop dashboards, reports and visualizations of VHA risk data on OIC-designated platforms
Maintain consistent and complete assessment documentation and follow quality assurance procedures
Integrate assessment results into broader enterprise risk management activities
Contribute to training materials, prevention recommendations, kaizen sessions and after-action debriefs
Support short-turnaround white papers, summaries and briefings for VA leadership
Apply fraud risk management expertise in an advisory and analytical role; final decisions remain with Government personnel

Requirements

What you’ll need

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 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, especially healthcare claims and payment integrity, strongly preferred
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 related certification (CIA, CRMA or CGFM), desired

Benefits

Comp & perks

Affirmative Action and Equal Opportunity Employer
VA TMS training availability/requirement support
Remote work arrangement (with on-site requirements)