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Remote RN​/LPN Claims Examiner III - Fraud & Medical Audit

Remote / Online - Candidates ideally in
Springfield, Greene County, Missouri, 65801, USA
Listing for: WPS—A health solutions company
Remote/Work from Home position
Listed on 2026-10-26
Job specializations:
  • Nursing
Salary/Wage Range or Industry Benchmark: 25000 - 35000 USD Yearly USD 25000.00 35000.00 YEAR
Job Description & How to Apply Below

WPS, a health solutions company, is seeking a Claims Examiner III LPN to protect the MVH program by identifying and preventing fraud, waste, and abuse. This role blends clinical expertise with data analysis to evaluate medical necessity, review claims, and ensure benefits are administered properly.

Collaboration with leadership and external partners is key to compliant program operations. The position offers remote work options and a structured training schedule, with a typical 8:00–16:00 CT

We invite applications for the Remote RN/LPN Claims Examiner III
- Fraud & Medical Audit position located in Kansas City, MO, United States.

This role, Remote RN/LPN Claims Examiner III
- Fraud & Medical Audit at WPS—A health solutions company, could be your next career step.

Are you ready to take on the Remote RN/LPN Claims Examiner III
- Fraud & Medical Audit role at WPS—A health solutions company?

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