Remote Claims Examiner III – RN/LPN, Fraud & Utilization
Des Moines, Polk County, Iowa, 50301, USA
Listed on 2026-10-25
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Nursing
WPS, a health solutions company, seeks a Claims Examiner III LPN to protect the MVH program by evaluating medical necessity, detecting abuse, and ensuring proper benefit administration. This role blends nursing expertise with data analysis to support audit activities and program integrity.
You will collaborate with leadership and external partners, develop cases, and provide well-supported recommendations, contributing to quality initiatives and DoD compliance.
This is a great opportunity to take on the Remote Claims Examiner III – RN/LPN, Fraud & Utilization role at WPS—A health solutions company.
For the Remote Claims Examiner III – RN/LPN, Fraud & Utilization position at WPS—A health solutions company, we are reviewing applications now.
Step into the Remote Claims Examiner III – RN/LPN, Fraud & Utilization role at WPS—A health solutions company in IA, United States and grow with us.
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