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.
This position is for the Remote MVH Claims Examiner & Fraud Investigator (RN/LPN) role at WPS Health Solutions.
We have an opening for a Remote MVH Claims Examiner & Fraud Investigator (RN/LPN) in Charleston, SC, United States within Finance, Legal.
This role, Remote MVH Claims Examiner & Fraud Investigator (RN/LPN) at WPS Health Solutions, could be your next move.
Are you ready to take on the Remote MVH Claims Examiner & Fraud Investigator (RN/LPN) role at WPS Health Solutions?
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