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WPS—A health solutions company

Claims Examiner III, Fraud and Abuse - LPN (Must live in vicinity of Madison, WI WPS campus)

Quality / ComplianceLPN/LVNWisconsinPart-timeRemote, United States

Job description

Our Claims Examiner III, Fraud and Abuse focuses on identifying, developing, and reporting fraudulent or abusive practices. They provide support to Military Veterans Health (MVH) Management Activity, referral to law enforcement for lead action, and ensure only medically appropriate MVH benefits are paid. Must live within vicinity of Madison, WI campus location, within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI, 53713)

Responsibilities

Requirements

About WPS—A health solutions company

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