Remote Claims Examiner III; RN/LPN; MVH Fraud Compliance
Boulder, Boulder County, Colorado, 80301, USA
Listed on 2026-11-05
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Nursing
WPS Health Solutions is seeking a Claims Examiner III LPN to safeguard MVH program integrity by identifying and investigating potential fraud, waste, and abuse. The role blends clinical knowledge with data analysis to evaluate medical necessity and detect irregular utilization.
You will collaborate with leadership and oversight partners, conduct case development, and contribute to audits and quality initiatives in a fast-paced environment.
We are looking to fill the Remote Claims Examiner III (RN/LPN) - MVH Fraud Compliance position at WPS—A health solutions company in CO, United States.
Please review the full job details above before applying.
If your experience matches this role, we encourage you to apply.
All applications are reviewed carefully by our team.
The position is based in CO, United States.
This opportunity is part of our work in Finance, IT & Technology.
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