[Hiring] Fraud Risk Assessment Consultant @Arlo Solutions

Role Description

Arlo Solutions is supporting the Department of Veterans Affairs (VA) Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC) in standing up and running the VHA Fraud Rapid Response Center ("VA War Room"). The War Room protects Veterans and taxpayer dollars through data analytics, fraud risk assessment and fast administrative action.

The Fraud Risk Assessment Consultant supports the continuation and expansion of fraud risk assessment, monitoring and program compliance review activities. This person applies fraud risk management expertise to:

• Identify, assess, document and prioritize fraud vulnerabilities and risks.
• Support the development of risk mitigation strategies and internal control enhancements.
• Conduct research and analysis, facilitate stakeholder engagement, and evaluate program processes and existing controls.
• Synthesize information from interviews, data, documentation and other sources to identify fraud exposures.
• Support the assessment of inherent and residual risk and help translate identified vulnerabilities into actionable fraud prevention, monitoring and risk mitigation activities.
• Follow established fraud risk management methodologies and procedures.
• Support consistent documentation, quality assurance, reporting and integration of assessment results into broader enterprise risk management (ERM) activities.

The role is advisory and analytical. All final decisions stay with Government personnel.

Qualifications

• 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.

Requirements

• 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).

Company Description

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.