Remote Claims Examiner III – RN/LPN, Fraud & Utilization
West Des Moines, Polk County, Iowa, 50265, USA
Listed on 2026-10-29
-
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 genuine role to take on the Remote Claims Examiner III – RN/LPN, Fraud & Utilization role at WPS—A health solutions company.
Join us at WPS—A health solutions company as our next Remote Claims Examiner III – RN/LPN, Fraud & Utilization in IA, United States.
We are currently recruiting a Remote Claims Examiner III – RN/LPN, Fraud & Utilization for our team in IA, United States.
(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).