Risevoic
Manager of Revenue Integrity Compliance
Company : Prime Healthcare Services
Location : Ontario, CA, 91761
Job Type : Full Time
Date Posted : 6 January 2026
Overview
Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more than 2.5 million patient visits annually. It is one of the nation’s leading health systems with nearly 57,000 employees and physicians. Eighteen of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!
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Responsibilities
The Revenue Integrity Compliance Manager is a highly motivated and detail-oriented. This role leads and oversees the organization’s Revenue Integrity and Charge Description Master (CDM) compliance initiatives. This role is pivotal in ensuring adherence to the CMS Price Transparency Rule and other federal and state financial reporting requirements. The Revenue Integrity Compliance Manager is a strategic thinker with strong leadership skills and a collaborative mindset.
Key Responsibilities:
- Develop, implement, and manage the Revenue Integrity & CDM Compliance Plan.
- Ensure compliance with CMS Price Transparency Rule and other applicable federal and state financial reporting regulations.
- Collaborate with cross-functional teams including Health Plan Operations, Patient Access, Marketing, IT, and Legal to streamline compliance processes.
- Design and execute weekly/monthly audit plans for compliance-related reporting activities.
- Coordinate with hospital end users and offshore teams to ensure accurate and timely deliverables.
- Lead the development and implementation of process automation tools to enhance compliance efficiency.
- Generate and distribute weekly/monthly compliance reports to stakeholders.
- Monitor regulatory changes and update internal policies and procedures accordingly.
Qualifications
Required Qualifications:
Preferred Qualifications:
Pay Transparency
Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. Benefits may vary based on employment status, i.e. full-time, part-time, per diem or temporary. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $97,760.00 to $141,440.00 on an annualized basis. The compensation estimate noted above is specific to California and has not been adjusted for any other geographic location. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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Frequently asked questions
Revenue integrity compliance ensures accurate billing and adherence to CMS price transparency, directly affecting hospital revenue streams in Ontario. By maintaining compliance, hospitals like Prime Healthcare Services reduce risks of audits and penalties, safeguarding financial health and promoting trust with payers and patients.
A Manager of Revenue Integrity Compliance can introduce automation tools to streamline charge master audits, compliance reporting, and data validation. This reduces manual errors, accelerates revenue cycle operations, and enhances adherence to evolving healthcare regulations, ultimately improving efficiency and compliance accuracy.
Professionals in this field can advance toward senior leadership roles such as Director of Revenue Management or Corporate Compliance Manager. Expertise in regulatory frameworks, audit strategy, and cross-functional collaboration opens doors to strategic positions influencing hospital-wide revenue and compliance policies.
Given Prime Healthcare's extensive network of 51 hospitals and adherence to federal and state regulations, revenue integrity managers face complex compliance demands. Navigating diverse payer contracts and implementing standardized audit practices across multiple locations distinguishes this role from similar positions elsewhere.
This role uniquely combines leadership over CMS price transparency compliance with collaboration across IT, legal, and marketing teams. The scale of Prime Healthcare’s operations and emphasis on strategic process automation set it apart from typical revenue manager positions locally.
Salaries in Ontario for this role typically range from $97,760 to $141,440 annually, reflecting the specialized skills in healthcare revenue cycle compliance and leadership. Prime Healthcare Services offers competitive compensation aligned with these figures, supplemented by comprehensive benefits.
Ontario's healthcare market growth and regulatory complexity increase demand for compliance experts. Proximity to Southern California’s large health systems creates competition, but also abundant opportunities for skilled managers who can navigate state-specific financial reporting and payer requirements.
While a bachelor's degree in healthcare administration or finance is essential, certifications like Certified Revenue Cycle Professional (CRCP) or Compliance Certification Board (CCB) credentials are valued. Local employers often prefer candidates with experience in Medicare and Medicaid billing complexities native to California.
Mastery over CMS price transparency rules, expertise in charge description master (CDM) compliance, and strong cross-departmental communication skills are vital. Additionally, proficiency in audit planning and familiarity with revenue coding systems like CPT, HCPCS, and DRG codes enhance effectiveness.
At Prime Healthcare, this manager plays a pivotal role by aligning revenue cycle compliance with organizational policies and federal mandates. The position involves coordinating across clinical, IT, and legal teams to uphold transparency standards and optimize compliance reporting at a corporate level.