Remote Claims Examiner III (LPN) - Fraud & Compliance

WPS—A health solutions company

Remote job

WPS, a health solutions company, is seeking a Claims Examiner III LPN to protect MVH program integrity by identifying, investigating, and preventing fraud, waste, and abuse. The role blends clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns. The position supports collaboration with leadership and external partners, contributes to audits and quality initiatives, and offers remote work options in approved states, with a flexible schedule #J-18808-Ljbffr WPS—A health solutions company

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Vacancy posted 1 day ago

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