Senior Accounting Manager, Provider Compensation

This is a fully remote position, open to applicants in Florida.

📋 Description

• Oversee, develop, and provide technical guidance to the provider compensation team managing over 200 providers across various legal entities and compensation frameworks.

• Take ownership of the monthly provider compensation closing process, which includes task allocation, review standards, deadlines, issue escalation, and final approval of calculations and accounting entries.

• Establish and maintain procedures, review controls, documentation standards, and cross-training initiatives.

• Act as the senior escalation point for intricate provider compensation inquiries and disputes.

• Maintain and manage the master provider compensation matrix along with the related documentation.

• Ensure that agreements, amendments, renewals, terminations, and provider changes are accurately represented in the matrix and calculation models.

• Conduct audits of the master matrix against executed agreements, payroll records, accounting schedules, and provider rosters.

• Engage in provider contracting and amendments prior to execution.

• Convert contractual economic terms into mathematical formulas, calculation examples, data requirements, accounting treatments, and payment schedules.

• Identify and address ambiguous, conflicting, incomplete, or onerous contract provisions.

• Assess the impact on payroll, general ledger accounting, intercompany allocations, provider reporting, and system requirements.

• Supervise monthly calculations for percentage-of-collections, productivity, profit/loss sharing, allocated profit pools, growth incentives, guarantees, draws, supervisory fees, and custom arrangements.

• Ensure that accruals, true-ups, liabilities, and journal entries are accurately and timely recorded in compliance with U.S. GAAP and company policies.

• Manage accounting for multi-entity arrangements, including intercompany charges, receivables/payables, and allocations.

• Reconcile compensation calculations and payments with collections, payroll, accounts payable, provider statements, and the general ledger.

• Review monthly compensation reporting packages, provider statements, variance analyses, and management reports.

• Analyze productivity, collections, profitability, compensation trends, and significant variances.

• Develop dashboards, schedules, and key performance indicators (KPIs).

• Clarify calculations, variances, and adjustments to providers, administrators, operational leaders, and executives.

• Design and uphold controls, validations, change controls, reconciliations, and documented approvals.

• Assist with internal and external audits.

• Standardize and automate calculations, reporting, onboarding, and change-management workflows.

• Lead compensation workstreams for acquisitions, provider onboarding, system implementations, and transitions to new compensation models.

• Collaborate with Finance and executive leadership to develop scalable structures and processes.

⛳️ Requirements

• Bachelor’s degree in Accounting, Finance, Business, or a related field is required.

• CPA or advanced degree is preferred.

• A minimum of 7 years of progressive experience in accounting, financial analysis, or provider compensation.

• Experience in team leadership or ownership of a complex functional process.

• Strongly preferred: Healthcare accounting experience.

• Required: Experience in physician practice management or multi-site provider compensation.

• Proficient in interpreting complex contracts and translating contractual terms into mathematical calculations, accounting treatments, and repeatable operational processes.

• Familiarity with complex physician compensation models, including percentage of collections, profit/loss sharing, productivity incentives, guarantees/draws, and custom calculations.

• Experience in multi-entity accounting and intercompany transactions, allocations, reconciliations, and eliminations.

• Strong understanding of U.S. GAAP, accrual accounting, reconciliations, and internal controls.

• Advanced skills in Microsoft Excel.

• Experience with ERP, payroll, reporting, and data systems.

• Exceptional analytical, problem-solving, organizational, documentation, leadership, and communication abilities.

🏝️ Benefits

• Equal employment opportunities and protection against discrimination and harassment.

• Full-time employment.