Remote Medical Claims Integrity Examiner; RN/LPN
Cincinnati, Hamilton County, Ohio, 45275, USA
Listed on 2026-10-26
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Nursing
WPS Health Solutions is seeking a Claims Examiner III LPN to protect MVH program integrity by identifying, investigating, and preventing potential fraud, waste, and abuse. This role blends clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns, collaborating with leadership and external partners.
Remote work options are available for qualified states within the U.S. The position requires U.S.
Our group is growing, and we are hiring a Remote Medical Claims Integrity Examiner (RN/LPN) in Columbus, OH, United States.
Step into the Remote Medical Claims Integrity Examiner (RN/LPN) role at WPS Health Solutions in Columbus, OH, United States and grow with us.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
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