Remote RN/LPN Claims Examiner III - Fraud & Compliance
WPS—A health solutions company
Austin, TX
- Remote job
WPS, a health solutions company, seeks a Claims Examiner III LPN/RN to protect the MVH program by investigating fraud, waste, and abuse. You will blend clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns. You will collaborate with leadership and external partners, contribute to audits, and support program integrity while working in a flexible, remote-capable environment across approved states. #J-18808-Ljbffr WPS—A health solutions company
Vacancy posted 1 day ago
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