Program 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 overpayments, 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, workpapers, 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.
• Knowledge of VA Community Care and associated healthcare payment processes.
• Experience with Palantir, Power BI, Tableau, or similar analytics and reporting tools.
• Process improvement experience using Lean, Six Sigma, Kaizen, or related methodologies.
• Certified Fraud Examiner (CFE) credential or related certification.

Compensation for the Program Analyst includes:

• Salary range of $90,000–$100,000 annually , depending on experience and qualifications.
• Remote work arrangement with on-site requirements as needed.
• Initial 9-month engagement, with potential follow-on opportunities that are not guaranteed.

Keywords:

Program Analyst, Federal Healthcare, Healthcare Program Integrity, Fraud Waste and Abuse, FWA, Fraud Risk Assessment, Internal Controls, Healthcare Claims, Payment Integrity, Improper Payments, Case Development, Quality Assurance, Quality Audits, Root Cause Analysis, Remediation Planning, VA, VHA, CMS, Medicare, Medicaid, VA Community Care, Enterprise Risk Management, ERM, CIRTS, GAO Fraud Risk Framework, OMB Circular A-123, SOP Development, Process Improvement, Executive Reporting, Governance, Microsoft Excel, PowerPoint, SharePoint, Palantir, Power BI, Tableau, Public Trust, Tier 2 MBI, VA PIV.

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