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Remote MVH Claims Examiner; RN​/LPN; Fraud & Audit

Remote / Online - Candidates ideally in
Scottsbluff, Scotts Bluff County, Nebraska, 69361, 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 MVH Claims Examiner (RN/LPN) - Fraud & Audit

WPS Health Solutions is seeking a Claims Examiner III LPN to protect MVH program integrity by identifying, investigating, and preventing fraud, waste, and abuse. The role blends clinical expertise with data analysis to evaluate medical necessity and detect unusual utilization patterns.

You will collaborate with leadership and external partners, contribute to audits and quality initiatives, and help maintain program compliance.

We would love to welcome a new Remote MVH Claims Examiner (RN/LPN) - Fraud & Audit to our group in Omaha, NE, United States.

Consider building your career as a Remote MVH Claims Examiner (RN/LPN) - Fraud & Audit at WPS Health Solutions.

The Remote MVH Claims Examiner (RN/LPN) - Fraud & Audit position in the Finance, Legal field is open for applications.

We have an opening for a Remote MVH Claims Examiner (RN/LPN) - Fraud & Audit in Omaha, NE, United States within Finance, Legal.

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