The Senior Accountant - Provider Compensation is responsible for the accurate calculation, analysis, accrual accounting, and reporting of provider compensation across a large multi-state physician practice network. This role serves 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. The ideal candidate possesses strong analytical, accounting, audit, and communication skills, with the ability to explain compensation calculations and month-over-month variances to physicians, practice administrators, operational leaders, and executive management. This role requires exceptional attention to detail, professional judgment, and the ability to maintain clear and well-supported documentation for audit and compliance purposes. 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 performed 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. Additional Information Job Type: • Full-time • #LI-SF1 • #LI-REMOTE