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Remote Senior Claims Examiner; RN​/LPN MVH Fraud

Remote / Online - Candidates ideally in
Cary, Wake County, North Carolina, 28245, USA
Listing for: WPS Health Solutions
Remote/Work from Home position Listed on 2026-11-08
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

Position: Remote Senior Claims Examiner (RN/LPN) – MVH Fraud

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. The role blends clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns.

The position collaborates with leadership, participates in audits, and supports compliance initiatives. Remote work options are available across several states, with a schedule facilitating efficient

This role, Remote Senior Claims Examiner (RN/LPN) – MVH Fraud at WPS Health Solutions, could be your next opportunity.

We invite applications for the Remote Senior Claims Examiner (RN/LPN) – MVH Fraud position located in Charlotte, NC, United States.

The following position is for a Remote Senior Claims Examiner (RN/LPN) – MVH Fraud with WPS Health Solutions.

Our group is growing, and we are hiring a Remote Senior Claims Examiner (RN/LPN) – MVH Fraud in Charlotte, NC, United States.

Position Requirements

10+ Years work experience
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