Remote Claims Auditor (RN/LPN) Fraud & Compliance
WPS—A health solutions company
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. The position supports audits and quality initiatives, communicates with stakeholders, and collaborates with leadership and external partners to ensure compliant, well-supported recommendations.
#J-18808-LjbffrVacancy posted 2 days ago
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