Sr. Accounting Manager, Provider

Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. Our environment is built on collaboration, accountability, and operational excellence.

leads the provider compensation accounting function for a large, multi-state physician practice network and manages the team responsible for the accurate, timely calculation, accounting, and reporting of compensation for more than 200 physicians and advanced practice providers. The role owns end-to-end governance of complex compensation arrangements, including percentage-of-collections models, profit and loss sharing, productivity and growth incentives, guarantees and draws, custom contractual calculations, and related intercompany transactions.

This leader is the primary finance subject matter expert for translating provider contractual terms into clear, auditable mathematical calculations. The Senior Manager proactively partners with Legal, Operations, Human Resources, Payroll, Revenue Cycle, and Finance during the contracting and amendment process to identify ambiguity, operational complexity, accounting implications, and data requirements before agreements are finalized. The role also owns the master provider compensation matrix and ensures every arrangement is current, complete, documented, and consistently reflected in calculation models, accounting records, and payment processes.

The ideal candidate combines strong accounting and analytical capabilities with leadership, contract interpretation, process discipline, and the ability to communicate complex compensation mechanics clearly to providers and senior leadership.

• 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 to ensure continuity, accuracy, and scalability.
• Serve as the senior escalation point for complex provider compensation questions and disputes.

• Own and maintain the master provider compensation matrix as the authoritative source for all arrangements, including legal entity, effective dates, methodology, rates/percentages, thresholds, guarantees, draws, profit/loss sharing, expense allocations, supervisory fees, incentives, true-up provisions, payment timing, and other contractual terms.
• Ensure new agreements, amendments, renewals, terminations, and provider changes are reflected timely and accurately in the matrix and supporting calculation models.
• Maintain supporting documentation and version control so each calculation can be traced directly to the applicable contractual provision.
• Perform periodic audits of the master matrix against executed agreements, payroll records, accounting schedules, and provider rosters.

• Proactively participate in provider contracting and amendments before execution to ensure compensation terms can be operationalized and calculated accurately.
• Review proposed contractual language and translate economic terms into clear mathematical formulas, calculation examples, data requirements, accounting treatment, and payment schedules.
• Identify ambiguous, conflicting, incomplete, or administratively burdensome provisions and work with Legal, Operations, and leadership to resolve…