Remote VA Fraud & Program Integrity Analyst

Zachary Piper Solutions is seeking a Program Analyst to support the DDVA VHA program in establishing and operating a high-visibility Fraud Rapid Response Center through a 100% remote work arrangement. This initiative focuses on accelerating the detection and response to healthcare fraud, waste, and abuse (FWA) to protect Veterans and safeguard taxpayer dollars. The Program Analyst will provide analytical, documentation, and operational support for fraud case development, risk assessments, internal control reviews, quality audits, and program integrity initiatives.

Responsibilities of the Program Analyst include:

• Support federal investigators and subject matter experts in developing fraud, waste, and abuse leads and cases, organizing supporting documentation and evidence, and assembling referral packages.
• Prepare weekly analytic runs and decision-ready case packages documenting relevant facts, analysis, recommendations, and supporting evidence.
• Maintain accurate tracking registers for over payments, recoveries, referrals, case status, and program oversight.
• Support fraud risk assessments, internal control reviews, root cause analyses, and remediation planning.
• Apply quality assurance checklists and sampling plans to review case files, work papers, and deliverables for completeness and accuracy.
• Develop and refine intake and triage SOPs, case lifecycle definitions, status taxonomies, workflow maps, and RACI charts aligned with CIRTS practices.
• Prepare monthly governance and milestone reports, dashboards, outcome summaries, executive briefings, and ad hoc white papers for VA leadership.
• Coordinate meetings with OIC, VHA, and Enterprise Risk Management (ERM) stakeholders; document discussions and track action items and follow-ups.
• Develop training materials, templates, and knowledge transfer resources to support the long-term sustainability of War Room operations.
• Handle protected health information (PHI) and sensitive government information in accordance with HIPAA, VA privacy requirements, and applicable security procedures.
• Adapt to shifting priorities and short-turnaround requests while maintaining accuracy and quality in a fast-paced, high-visibility environment.

Qualifications of the Program Analyst include:

• Bachelor’s degree and 3–5 years of experience supporting federal healthcare program integrity or fraud, waste, and abuse initiatives.
• Active Public Trust Clearance
• Experience with fraud risk assessments, internal controls, quality audits, case development, compliance reviews, or related analytical work.
• Strong analytical, research, documentation, and problem-solving skills.
• Experience preparing reports, briefings, SOPs, tracking tools, and other deliverables for federal clients.
• Advanced proficiency in Microsoft Excel, Word, PowerPoint, and SharePoint.
• Strong written and verbal communication skills, including the ability to translate complex information into clear, actionable findings.
• Ability to manage competing priorities, short deadlines, and multiple concurrent deliverables.
• Ability to handle PHI and sensitive information in accordance with HIPAA and VA privacy requirements and complete required VA TMS training.
• 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.

Desired Qualifications:

• Experience with VA/VHA, CMS, Medicare, or Medicaid programs.
• Background in healthcare claims, payment integrity, improper payments, or healthcare fraud prevention.
• Familiarity with the GAO Fraud Risk Framework, GAO Green Book, and OMB Circular A-123.
• Experience supporting Enterprise Risk Management (ERM) initiatives.
• Familiarity with case management or compliance tracking systems, such as CIRTS.
• Knowle…