Sr. Manager, Provider Compensation

Integrated Dermatology•Boca Raton, FL

16h

About The Position

The Senior Manager, Provider Compensation leads the provider compensation accounting function for a large, multi-state physician practice network and manages the team responsible for calculating, accounting for, and reporting compensation for more than 200 physicians and advanced practice providers. The role oversees complex compensation arrangements, including percentage-of-collections models, profit and loss sharing, productivity and growth incentives, guarantees and draws, custom contractual calculations, and intercompany transactions. This position serves as the finance subject matter expert for translating provider contract terms into clear, auditable calculations. It partners with Legal, Operations, Human Resources, Payroll, Revenue Cycle, and Finance during contracting and amendment processes to identify ambiguity, operational complexity, accounting implications, and data requirements before agreements are finalized. The role owns the master provider compensation matrix and ensures arrangements are current, documented, and consistently reflected in calculation models, accounting records, and payment processes. The Senior Manager leads the monthly compensation close, establishes controls and procedures, oversees accounting and reporting, supports providers and leadership with clear explanations of compensation mechanics, and drives audit readiness and process improvement. The position also leads compensation workstreams for acquisitions, provider onboarding, system implementations, and transitions to new compensation models.

Requirements

Bachelor’s degree in Accounting, Finance, Business, or a related field.
At least 7 years of progressive accounting, financial analysis, or provider compensation experience, including team leadership or ownership of a complex functional process.
Physician practice management or multi-site provider compensation experience.
Experience interpreting complex contracts and converting terms into mathematical calculations, accounting treatments, and repeatable operational processes.
Experience with physician compensation models, including percentage of collections, profit and loss sharing, productivity incentives, guarantees and draws, and custom calculations.
Experience with multi-entity accounting and intercompany transactions, allocations, reconciliations, and eliminations.
Strong understanding of U.S. GAAP, accrual accounting, reconciliations, and internal controls.
Advanced Microsoft Excel skills.
Exceptional analytical, problem-solving, organizational, documentation, leadership, and communication skills.

Nice To Haves

CPA or advanced degree.
Healthcare accounting experience.
Experience with ERP, payroll, reporting, and data systems.

Responsibilities

Manage, develop, and provide technical oversight to the provider compensation team supporting more than 200 providers across multiple legal entities and compensation structures.
Own the monthly provider compensation close, including work allocation, review standards, deadlines, issue escalation, and final approval of calculations and accounting entries.
Establish procedures, review controls, documentation standards, and cross-training to support continuity, accuracy, and scalability.
Serve as the senior escalation point for complex provider compensation questions and disputes.
Own and maintain the master provider compensation matrix, including contractual terms, methodologies, rates, thresholds, guarantees, draws, profit and loss sharing, expense allocations, incentives, true-ups, and payment timing.
Ensure agreements, amendments, renewals, terminations, provider changes, and related calculation models are updated timely and accurately.
Maintain supporting documentation and version control so calculations can be traced to applicable contract provisions; periodically audit the matrix against executed agreements, payroll records, accounting schedules, and provider rosters.
Participate in provider contracting and amendments before execution; translate proposed economic terms into formulas, examples, data requirements, accounting treatments, and payment schedules.
Identify ambiguous, conflicting, incomplete, or burdensome contract provisions and work with Legal, Operations, and leadership to resolve them before execution.
Assess downstream impacts on payroll, general ledger accounting, intercompany allocations, provider reporting, and systems; document approved calculation methodologies and ensure models align with executed agreements.
Review models and calculations with providers before their first paycheck to confirm mutual understanding of deliverables, information delivery, and payment timing.
Oversee and review monthly calculations for percentage-of-collections, productivity-based compensation, profit and loss sharing, allocated profit pools, growth incentives, guarantees, draws, supervisory fees, and custom arrangements.
Oversee complex profit and loss calculations involving revenue attribution, direct expenses, shared overhead allocations, provider-specific adjustments, and contractual exclusions or add-backs.
Ensure accruals, true-ups, liabilities, and journal entries are recorded accurately and on time in accordance with U.S. GAAP and company policy.
Own accounting for multi-entity arrangements, including intercompany charges, receivables, payables, allocations, reconciliations, and documentation.
Reconcile compensation calculations and payments to collections, payroll, accounts payable, provider statements, and the general ledger.
Review monthly compensation reporting packages, provider statements, variance analyses, and management reports for accuracy and completeness.
Analyze productivity, collections, profitability, compensation trends, and material variances; investigate and resolve anomalies.
Develop dashboards, schedules, and KPIs that show compensation expense, accrual accuracy, true-ups, and outstanding issues.
Explain calculations, variances, and adjustments to providers, practice administrators, operational leaders, and executives.
Design and maintain controls, including preparer and reviewer controls, contract-to-calculation validation, change controls, reconciliations, and documented approvals.
Support internal and external audits with complete, organized, auditable compensation documentation.
Identify opportunities to standardize and automate calculations, reporting, provider onboarding, and change-management workflows while preserving individual contract requirements.
Lead compensation workstreams for acquisitions, provider onboarding, system implementations, and transitions to new compensation models.
Partner with Finance and executive leadership to identify recurring contractual complexity and recommend scalable structures and processes.