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Remote RN/LPN Claims Auditor - Fraud & Compliance

WPS Health Solutions

Detroit, MI
  • Remote job

WPS Health Solutions, a not-for-profit health insurer and DoD contractor, seeks a Claims Examiner III LPN to safeguard MVH program integrity. The role blends nursing expertise with data analysis to assess medical necessity, detect unusual utilization, and ensure compliant benefits administration. Remote work options are available with state approvals. The position requires U.S. citizenship, RN or LPN licensure, and 3+ years of clinical practice. #J-18808-Ljbffr WPS Health Solutions

Vacancy posted 2 days ago
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