Sr. Accounting Manager, Provider Compensation

Team Leadership & Functional Ownership

Manage develop and provide technical oversight to the provider compensation team responsible for more than 200 providers across multiple legal entities and compensation structures.

Own the monthly provider compensation close process 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 ensure continuity accuracy and scalability.

Serve as the senior escalation point for complex provider compensation questions and disputes.

Provider Compensation Governance & Master Matrix

Own and maintain the master provider compensation matrix as the authoritative source for all arrangements including legal entity effective dates methodology rates/percentages thresholds guarantees draws profit/loss sharing expense allocations supervisory fees incentives true-up provisions payment timing and other contractual terms.

Ensure new agreements amendments renewals terminations and provider changes are reflected timely and accurately in the matrix and supporting calculation models.

Maintain supporting documentation and version control so each calculation can be traced directly to the applicable contractual provision.

Perform periodic audits of the master matrix against executed agreements payroll records accounting schedules and provider rosters.

Contract Review & Translation to Calculation

Proactively participate in provider contracting and amendments before execution to ensure compensation terms can be operationalized and calculated accurately.

Review proposed contractual language and translate economic terms into clear mathematical formulas calculation 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 the final model is consistent with the executed agreement.

Review model and calculations with the provider prior to first pay check to ensure mutual understanding and alignment on timing of deliverables method of receiving the information and payment.

Complex Provider Compensation Accounting

Oversee and review monthly calculations across models including percentage of collections productivity-based compensation profit and loss sharing allocated profit pools growth incentives guarantees draws supervisory fees and other custom arrangements.

Oversee complex profit and loss calculations requiring revenue attribution direct expenses shared overhead allocations provider-specific adjustments and contractual exclusions or add-backs.

Ensure accruals true-ups liabilities and related journal entries are recorded accurately and timely in accordance with U.S. GAAP and company policy.

Own accounting for arrangements spanning multiple entities including identification calculation reconciliation and documentation of intercompany charges receivables/payables and allocations.

Reconcile compensation calculations and payments to collections payroll accounts payable provider statements and the general ledger.

Financial Analysis Reporting & Provider Support

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 providing visibility into compensation expense accrual accuracy true-ups and outstanding issues.

Explain complex calculations variances and adjustments clearly to providers practice administrators operational leaders and executives.

Controls Audit & Process Improvement

Design and maintain a strong control environment including preparer/reviewer controls contract-to-calculation validation change controls reconciliations and documented approvals.

Support internal and external audits with complete organized and 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 more scalable structures and processes.

Qualifications :

Bachelors degree in Accounting Finance or related field required; CPA or advanced degree preferred.

7 years of progressive accounting financial analysis or provider compensation experience including team leadership or ownership of a complex functional process.

Healthcare accounting experience strongly preferred; physician practice management or multi-site provider compensation experience required .

Demonstrated experience interpreting complex contracts and converting contractual 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; experience with ERP payroll reporting and data systems. Exceptional analytical problem-solving organizational documentation leadership and communication skills.

Additional Information :

Education:

• Bachelors Degree in Accounting Finance Business or related field required
• CPA or advanced degree preferred

Job Type:

• Full-time
• #LI-SF1

Integrated Dermatology and its entities provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

This policy applies to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absence compensation and training.

Remote Work :

Yes

Employment Type :

Full-time