Senior Manager, Provider Compensation

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

📋 Description

• Oversee, develop, and provide technical supervision 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 delegation, review criteria, deadlines, issue escalation, and final approval of calculations and accounting entries.

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

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

• Maintain and manage the master provider compensation matrix that encompasses contractual terms and compensation arrangements.

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

• Keep supporting documentation and version control for contract-to-calculation traceability.

• 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 resolve ambiguous, conflicting, incomplete, or onerous contractual provisions in collaboration with Legal, Operations, and leadership.

• Evaluate impacts on payroll, general ledger accounting, intercompany allocations, provider reporting, and system requirements.

• Document approved calculation methodologies and guarantee models align with executed agreements.

• Review models and calculations with providers prior to their initial paycheck.

• Supervise monthly calculations for collections-based, productivity, profit/loss sharing, incentive, guarantee, draw, supervisory fee, and tailored compensation arrangements.

• Oversee complex profit and loss calculations that involve revenue attribution, direct expenses, shared overhead allocations, provider adjustments, and contractual exclusions or add-backs.

• Ensure that accruals, true-ups, liabilities, and journal entries are recorded accurately and promptly in accordance 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.

• Create dashboards, schedules, and KPIs for compensation expenses, accrual accuracy, true-ups, and unresolved issues.

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

• Design and maintain controls that include preparer/reviewer controls, contract-to-calculation validation, change controls, reconciliations, and documented approvals.

• Assist with internal and external audits by providing organized, auditable compensation documentation.

• Standardize and automate calculations, reporting, provider 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 on scalable compensation structures and processes.

⛳️ Requirements

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

• A 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 managing a complex functional process.

• Strongly preferred: experience in healthcare accounting.

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

• Proficient in interpreting complex contracts and transforming 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 with multi-entity accounting and intercompany transactions, allocations, reconciliations, and eliminations.

• Strong comprehension 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

• Employees have the option to work remotely.

• Equal employment opportunities and protections against discrimination.

• Compensation and training are provided in accordance with equal employment policies.