Remote Senior Claims Examiner (RN/LPN) - MVH Fraud
WPS Health Solutions
WPS Health Solutions is seeking a Claims Examiner III LPN to protect MVH program integrity by identifying, investigating, and preventing potential fraud, waste, and abuse. The role blends clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns. The position collaborates with leadership, participates in audits, and supports compliance initiatives. Remote work options are available across several states, with a schedule facilitating efficient
#J-18808-LjbffrVacancy posted 2 days ago
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WPS is seeking a Claims Examiner III LPN to protect the MVH program integrity by identifying and preventing fraud, waste, and abuse. This role blends clinical expertise with data... ...partners to strengthen program controls. Remote work is available in approved states, with...Remote jobFraud- ...WPS, a health solutions company, seeks a Claims Examiner III LPN to protect MVH program integrity by identifying and preventing fraud, waste, and abuse. The role blends clinical expertise with data analysis to assess medical necessity and detect unusual utilization patterns...Remote workFraud
WPS—A health solutions company
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