Senior Accountant – Provider Compensation
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Job Description
Senior Accountant calculating and reporting physician compensation for Integrated Dermatology’s multi-state dermatology practice network. Managing accruals, reconciliations, variance analysis, and compensation compliance.
Responsibilities:
- 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 under U.S. GAAP
- Maintain detailed compensation workpapers and supporting schedules
- Analyze compensation trends and identify unusual fluctuations, variances, or calculation anomalies
- Reconcile compensation accruals, payments, and liabilities to the general ledger
- Ensure calculations comply with agreements and compensation policies
- Partner with Payroll and Human Resources on payment processing
- Prepare monthly compensation reporting packages and variance analyses
- Investigate and explain month-over-month and year-over-year changes
- Analyze provider productivity, collections, profitability, growth incentives, and profit-sharing calculations
- Develop and maintain compensation dashboards, schedules, and KPIs
- Serve as the primary accounting contact for provider compensation inquiries
- Communicate calculations, variances, and adjustments to providers and operational stakeholders
- Collaborate with physicians, practice administrators, operations leadership, and finance teams
- Maintain documentation and perform audit procedures for compensation calculations and accounting entries
- Identify and resolve discrepancies in productivity, revenue, expense allocations, and reporting
- Support internal and external audits
- Recommend and implement process improvements and controls
- Identify opportunities to automate compensation calculations and reporting
- Support standardized compensation methodologies and reporting tools
- Participate in special projects, acquisitions, provider onboarding, and compensation model transitions
Requirements:
- 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
Benefits:
- Remote work option
- Equal employment opportunity and anti-discrimination protections
- Confidential handling of applicant information according to EEO guidelines
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