Sr. Manager, Provider Compensation

Integrated Dermatology•Boca Raton, FL

20h

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. As the primary finance subject matter expert for provider compensation, this leader translates contractual terms into clear, auditable calculations and partners with Legal, Operations, Human Resources, Payroll, Revenue Cycle, and Finance during contracting and amendments. The role maintains the authoritative provider compensation matrix and ensures arrangements are documented and consistently reflected in calculation models, accounting records, and payment processes. The position leads the monthly compensation close, reviews calculations and accounting entries, oversees reconciliations and reporting, supports providers and leadership in understanding compensation mechanics, and maintains controls and documentation. It also identifies opportunities to standardize and automate processes and leads compensation workstreams related to acquisitions, 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.
Demonstrated experience interpreting complex contracts and converting terms into mathematical calculations, accounting treatments, and repeatable operational processes.
Experience with complex physician compensation models, including percentage of collections, profit/loss sharing, productivity incentives, guarantees/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 promote 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 and arrangement details.
Ensure agreements, amendments, renewals, terminations, and provider changes are timely and accurately reflected in the matrix and supporting calculation models.
Maintain supporting documentation and version control linking calculations to applicable contractual provisions.
Audit the master matrix against executed agreements, payroll records, accounting schedules, and provider rosters.
Participate in provider contracting and amendments before execution to ensure compensation terms can be operationalized and calculated accurately.
Translate proposed contractual terms into mathematical formulas, examples, data requirements, accounting treatment, and payment schedules.
Identify ambiguous, conflicting, incomplete, or administratively burdensome 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 system requirements.
Document approved calculation methodologies and ensure calculation models conform to executed agreements.
Review models and calculations with providers before their first paycheck to align on methods, information delivery, timing, and payment.
Oversee and review monthly calculations for percentage-of-collections, productivity, 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, provider-specific adjustments, and contractual exclusions or add-backs.
Ensure accruals, true-ups, liabilities, and journal entries are recorded accurately and timely under U.S. GAAP and company policy.
Own accounting for multi-entity arrangements, including intercompany charges, receivables and 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 reporting for accuracy and completeness.
Analyze productivity, collections, profitability, compensation trends, and material variances; investigate and resolve anomalies.
Develop dashboards, schedules, and KPIs for 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/reviewer controls, contract-to-calculation validation, change controls, reconciliations, and documented approvals.
Support internal and external audits with organized, complete, and auditable compensation documentation.
Identify opportunities to standardize and automate calculations, reporting, provider onboarding, and change-management workflows while preserving 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.