Remote RN/LPN Claims Examiner — Fraud & Compliance

WPS Health Solutions

Remote job

WPS Health Solutions seeks a Claims Examiner III LPN/RN to protect the MVH program by identifying, investigating, and preventing potential fraud, waste, and abuse. You will blend clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns. This role requires U.S. citizenship, RN or LPN licensure, and 3+ years of clinical practice. The position offers remote work options within approved states and operates within a DoD contract context. #J-18808-Ljbffr WPS Health Solutions

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Vacancy posted 2 days ago

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