Remote MVH Claims Examiner & Fraud Investigator; RN/LPN
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Nursing
Job Description & How to Apply Below
WPS Health Solutions seeks a Claims Examiner III (RN/LPN) to protect the MVH program by identifying and investigating fraud, waste, and abuse. You will blend clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns, ensuring benefits are administered appropriately.
This role collaborates with leadership and external oversight partners, contributing to audits and quality initiatives.
For the Remote MVH Claims Examiner & Fraud Investigator (RN/LPN) position at WPS Health Solutions, we are reviewing applications now.
This opportunity is part of our work in Finance, Legal.
The advertised compensation is 25.000 - 35.000.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
Learn more about the Remote MVH Claims Examiner & Fraud Investigator (RN/LPN) role in the description above.
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