Sr. Accountant - Provider Compensation

Overview

This role is responsible for the accurate calculation, analysis, accrual accounting, and reporting of provider compensation across a large multi-state physician practice network. You will serve as the accounting subject matter expert for physician and advanced practice provider compensation arrangements, including productivity-based compensation, profit-sharing programs, growth incentives, allocated profit pools, and other contractual compensation models.

You’ll partner with physicians, practice administrators, operational leaders, and executive management by explaining compensation calculations and month-over-month variances, while maintaining clear, well-supported documentation for audit and compliance purposes.

Responsibilities

Provider Compensation Accounting

• Calculate monthly provider compensation for physicians, nurse practitioners, physician assistants, and other providers across multiple compensation models.
• Prepare and record monthly compensation accruals, true-ups, and related journal entries in accordance with U.S. GAAP.
• Maintain detailed compensation workpapers and supporting schedules for all provider compensation arrangements.
• Analyze compensation trends and identify unusual fluctuations, variances, or calculation anomalies.
• Reconcile compensation accruals, payments, and liabilities to the general ledger.
• Ensure compensation calculations are completed accurately and in accordance with employment agreements, shareholder agreements, management agreements, and compensation policies.
• Partner with Payroll and Human Resources to ensure accurate and timely payment processing.

Financial Analysis & Reporting

• Prepare monthly compensation reporting packages and variance analyses.
• Investigate and explain month-over-month and year-over-year changes in provider compensation.
• Analyze provider productivity metrics, collections, profitability, growth incentives, and profit-sharing calculations.
• Develop and maintain compensation dashboards, schedules, and key performance indicators.
• Assist leadership in evaluating compensation trends and operational performance.

Provider & Practice Support

• Serve as the primary accounting contact for provider compensation inquiries.
• Communicate compensation calculations, variances, and adjustments in a professional, concise, and understandable manner.
• Collaborate with physicians, practice administrators, operations leadership, and finance teams to resolve compensation-related questions.
• Build credibility and trust with providers through timely and accurate communication.

Audit, Controls & Compliance

• Maintain comprehensive documentation supporting all compensation calculations and accounting entries.
• Perform detailed reviews and audit procedures to ensure compensation calculations are complete and accurate.
• Identify and resolve discrepancies in productivity, revenue, expense allocations, and compensation reporting.
• Support internal and external audits by providing complete supporting documentation.
• Recommend and implement process improvements to strengthen controls and improve efficiency.

Process Improvement

• Identify opportunities to automate compensation calculations and reporting.
• Assist in the development and maintenance of standardized provider compensation methodologies.
• Support implementation and enhancement of compensation reporting tools and systems.
• Participate in special projects, acquisitions, provider onboarding, and compensation model transitions.

Qualifications

• Bachelor’s degree in Accounting or Finance.
• 4+ years of progressive accounting or financial analysis experience.
• Experience preparing complex accruals, reconciliations, and variance analyses.
• Advanced Microsoft Excel skills.
• Strong understanding of U.S. GAAP.
• Exceptional analytical, problem-solving, and organizational skills.
• Strong written and verbal communication skills.
• Healthcare accounting experience.
• Experience with physician compensation models.

Compensation & Benefits

• Job Type: Full-time

Location

• Multi-state physician practice network (location not specified).