Remote Medical Claims Integrity Examiner; RN​/LPN

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 team is growing, and we are hiring a Remote Medical Claims Integrity Examiner (RN/LPN) in Columbus, OH, United States.

For the Remote Medical Claims Integrity Examiner (RN/LPN) position at WPS Health Solutions, we are reviewing applications now.

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.