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Senior LPN Claims Auditor – Fraud & Compliance

Remote / Online - Candidates ideally in
Sterling Heights, Macomb County, Michigan, 48310, USA
Listing for: WPS—A health solutions company
Full Time, Remote/Work from Home position
Listed on 2026-11-01
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 Health Solutions seeks a Claims Examiner III LPN to protect the MVH program by evaluating medical necessity, detecting abnormal utilization, and preventing fraud. The role blends clinical expertise with data analysis and requires collaboration with leadership and external partners.

Eligible candidates have RN/LPN licensure, 3+ years of clinical practice, and the ability to apply MVH regulations. Remote work options are available for eligible states.

This role, Senior LPN Claims Auditor – Fraud & Compliance at WPS—A health solutions company, could be your next career step.

We appreciate your interest in this position.

Join WPS—A health solutions company and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Senior LPN Claims Auditor – Fraud & Compliance role at WPS—A health solutions company, based in MI, United States.

Position Requirements
10+ Years work experience
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