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Remote RN​/LPN Claims Examiner — Fraud & Compliance

Remote / Online - Candidates ideally in
St. Louis, Saint Louis, St. Louis city, Missouri, 63105, USA
Listing for: WPS Health Solutions
Full Time, 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
Location: St. Louis

WPS Health Solutions seeks a Claims Examiner III LPN/RN to protect the MVH program by identifying, investigating, and preventing potential fraud, waste, and abuse. You will blend clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns.

This role requires U.S. citizenship, RN or LPN licensure, and 3+ years of clinical practice. The position offers remote work options within approved states and operates within a DoD contract context.

The Remote RN/LPN Claims Examiner — Fraud & Compliance role at WPS Health Solutions is now open for applications in Kansas City, MO, United States.

Are you ready to take on the Remote RN/LPN Claims Examiner — Fraud & Compliance role at WPS Health Solutions?

We would love to welcome a new Remote RN/LPN Claims Examiner — Fraud & Compliance to our organisation in Kansas City, MO, United States.

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