Sr. Manager, Provider Compensation

Team Leadership & Functional Ownership

• 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.

Provider Compensation Governance & Master Matrix

• 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.

Contract Review & Translation to Calculation

• 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 them before execution.

• Assess downstream impacts on payroll, general ledger accounting, intercompany allocations, provider reporting, and system requirements.

• Document approved calculation methodologies and ensure the final model is consistent with the executed agreement.

• Review model and calculations with the provider prior to first pay check to ensure mutual understanding and alignment on timing of deliverables, method of receiving the information, and payment.

Complex Provider Compensation Accounting

• Oversee and review monthly calculations across models including percentage of collections, productivity-based compensation, profit and loss sharing, allocated profit pools, growth incentives, guarantees, draws, supervisory fees, and other custom arrangements.

• Oversee complex profit and loss calculations requiring revenue attribution, direct expenses, shared overhead allocations, provider-specific adjustments, and contractual exclusions or add-backs.

• Ensure accruals, true-ups, liabilities, and related journal entries are recorded accurately and timely in accordance with U.S. GAAP and company policy.

• Own accounting for arrangements spanning multiple entities, including identification, calculation, reconciliation, and documentation of intercompany charges, receivables/payables, and allocations.

• Reconcile compensation calculations and payments to collections, payroll, accounts payable, provider statements, and the general ledger.

Financial Analysis, Reporting & Provider Support

• Review monthly compensation reporting packages, provider statements, variance analyses, and management reporting for accuracy and completeness.

• Analyze productivity, collections, profitability, compensation trends, and material variances; investigate and resolve anomalies.

• Develop dashboards, schedules, and KPIs providing visibility into compensation expense, accrual accuracy, true-ups, and outstanding issues.

• Explain complex calculations, variances, and adjustments clearly to providers, practice administrators, operational leaders, and executives.

Controls, Audit & Process Improvement

• Design and maintain a strong control environment including preparer/reviewer controls, contract-to-calculation validation, change controls, reconciliations, and documented approvals.

• Support internal and external audits with complete, organized, and auditable compensation documentation.

• Identify opportunities to standardize and automate calculations, reporting, provider onboarding, and change-management workflows while preserving individual contract requirements.

• Lead compensation workstreams for acquisitions, provider onboarding, system implementations, and transitions to new compensation models.

• Partner with Finance and executive leadership to identify recurring contractual complexity and recommend more scalable structures and processes.