Director of Physician and Provider Compensation

Medical University of South Carolina

About The Position

The Director of Physician Services is responsible for the comprehensive management and oversight of physician and Advanced Practice Provider (APP) compensation programs. This role will serve as the primary point of contact for compensation matters, ensuring alignment with organizational goals, regulatory requirements, and best practices. The Director will report directly to the Chief Physician Executive.

Requirements

Bachelor’s degree required in Healthcare Administration, Business Administration, Finance, Human Resources, or a related field; Master’s degree (MHA, MBA, MPH, or similar) strongly preferred.
Minimum of 7–10 years of progressive experience in physician compensation, provider operations, healthcare finance, or related roles within a healthcare system or physician enterprise.
Demonstrated expertise in physician and APP compensation models, including productivity-based compensation, quality and value-based incentives, and benchmarking methodologies.
Strong working knowledge of applicable regulatory and compliance requirements impacting provider compensation, including Stark Law, Anti-Kickback Statute, and FMV/commercial reasonableness standards.
Proven experience partnering with physician leadership, legal, compliance, and human resources teams in a complex healthcare environment.
Advanced analytical and financial modeling skills, with the ability to interpret compensation data, forecasts, and performance metrics.
Excellent communication and presentation skills, with the ability to clearly explain complex compensation concepts to physicians and executive leadership.
High level of discretion and judgment when handling sensitive and confidential information.
Proficiency with physician compensation systems, contract management tools, and related HRIS or financial platforms.

Responsibilities

Design and deploy systems for calculating and monitoring physician and APP performance as outlined in employment agreements, while establishing clear channels of communication to keep physicians, legal counsel, and key leadership informed of relevant performance metrics.
Maintain a deep understanding of physician and APP compensation structures, industry benchmarking data, and regulatory changes impacting provider compensation.
Ensure fair market value (FMV) and commercial reasonableness (CR) documentation for all compensation arrangements, including audit readiness.
Serve as a subject matter expert to assist with the creation and revision of compensation plans for both new and existing specialties, ensuring competitiveness and compliance.
Serve as a liaison with external valuation firms and benchmarking vendors such as Sullivan Cotter, ECG, MGMA, etc.
Lead and orchestrate all activities of the Clinical Compensation Committee, including an assessment of all highly compensated providers
Collaborate with legal, compliance, finance, and human resources teams to ensure contracts are managed appropriately, including timely renewal of expiring agreements and adherence to organizational policies.
Forecast physician and APP compensation for budgeting purposes
Lead efforts, along with divisional CMOs, on quality and performance incentives for hospital-based providers, including updating metrics and targets annually, as well as provide education to physician leaders on compensation principles, benchmarks, and regulatory constraints.
Lead the orientation process for all new physicians and APPs regarding compensation plans, contract terms, and performance expectations.
Regularly review provider compensation against budget to confirm salaries align with contracts and budgeted amounts.