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Remote RN/LPN Claims Examiner III - Fraud & Medical Audit

WPS—A health solutions company

Kansas City, MO
  • Remote job

WPS, a health solutions company, is seeking a Claims Examiner III LPN to protect the MVH program by identifying and preventing fraud, waste, and abuse. This role blends clinical expertise with data analysis to evaluate medical necessity, review claims, and ensure benefits are administered properly. Collaboration with leadership and external partners is key to compliant program operations. The position offers remote work options and a structured training schedule, with a typical 8:00–16:00 CT #J-18808-Ljbffr WPS—A health solutions company

Vacancy posted 1 day ago
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