Manager, SIU Prepay Investigations
Centene Corporation • Austin, TX • Posted June 13, 2026
About the Role
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Position Purpose:** Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.
+ Monitor business processes and systems to assure integrity and compliance in billing and claims payment
+ Lead a team responsible for investigating fraud, waste and abuse referrals for prepay investigations
+ Develop educational materials to address/identify waste activities as requested by the health plan and on an ad-hoc basis
+ Attend state/federal meetings as required by specific contracts
+ Review pre-payment cases with appropriate parties for the purposes of developing resolution strategies...
**Position Purpose:** Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.
+ Monitor business processes and systems to assure integrity and compliance in billing and claims payment
+ Lead a team responsible for investigating fraud, waste and abuse referrals for prepay investigations
+ Develop educational materials to address/identify waste activities as requested by the health plan and on an ad-hoc basis
+ Attend state/federal meetings as required by specific contracts
+ Review pre-payment cases with appropriate parties for the purposes of developing resolution strategies...