#LI-JV1

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.

Required Qualifications:

Preferred Qualifications:

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.