Senior Accounting Manager, Provider Compensation

🔥 1 minute ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟠 Senior

🧾 Accounting Manager

👻 Ghost score 10%

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Integrated Dermatology

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2004

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance

Integrated Dermatology is the largest independent dermatology practice in the United States, specializing in acquiring dermatology practices while allowing dermatologists to retain full operational autonomy. The company offers comprehensive support for the administrative functions of medical practices, including areas such as accounting, human resources, and billing. This enables partner dermatologists to focus primarily on patient care. Integrated Dermatology also provides career opportunities for dermatologists looking to join an established network, offering paths to become partners while ensuring autonomy and control over medical and operational decisions.

📋 Description

• 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 • Serve as the senior escalation point for complex provider compensation questions and disputes • Own and maintain the master provider compensation matrix and supporting documentation • Ensure agreements, amendments, renewals, terminations, and provider changes are reflected accurately in the matrix and calculation models • Audit the master matrix against executed agreements, payroll records, accounting schedules, and provider rosters • Participate in provider contracting and amendments before execution • Translate contractual economic terms into mathematical formulas, calculation examples, data requirements, accounting treatment, and payment schedules • Identify and resolve ambiguous, conflicting, incomplete, or burdensome contract provisions • Assess impacts on payroll, general ledger accounting, intercompany allocations, provider reporting, and system requirements • Oversee monthly calculations for percentage-of-collections, productivity, profit/loss sharing, allocated profit pools, growth incentives, guarantees, draws, supervisory fees, and custom arrangements • 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/payables, and allocations • 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 • Analyze productivity, collections, profitability, compensation trends, and material variances • Develop dashboards, schedules, and KPIs • Explain calculations, variances, and adjustments to providers, administrators, operational leaders, and executives • Design and maintain controls, validations, change controls, reconciliations, and documented approvals • Support 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 • Partner with Finance and executive leadership on scalable structures and processes

🎯 Requirements

• Bachelor’s degree in Accounting, Finance, Business, or related field required • CPA or advanced degree preferred • 7+ years of progressive accounting, financial analysis, or provider compensation experience • Team leadership experience or ownership of a complex functional process • Healthcare accounting experience strongly preferred • Physician practice management or multi-site provider compensation experience required • 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

🏖️ Benefits

• Equal employment opportunities and protection from discrimination and harassment • Full-time employment

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