US Heart and Vascular is needing a Remote Physician Compensation Senior Manager to join our team in Franklin, TN.

Position Summary

The Senior Manager, Physician Compensation is a hands-on leader responsible for the accurate execution, maintenance, and ongoing enhancement of physician and advanced practice provider (APP) compensation models across US Heart & Vascular multi-location cardiology platform. This role requires deep working knowledge of physician compensation plan mechanics and contract interpretation, advanced Excel-based model building, and the ability to operate effectively in a private equity–backed, growth-oriented environment.

Reporting to the Director of Physician Compensation, the Senior Manager serves as a key operational and analytical resource for the department, balancing accurate completion of compensation models with managerial responsibilities such as analyst oversight, compensation model review, process improvement, and cross-functional coordination. The role is accountable for end-to-end model execution for assigned practices/regions—from data intake and model construction through validation, review support, delivery readiness, and issue resolution—while maintaining alignment with established compensation philosophies, departmental standards, and leadership expectations.

Responsibilities & Duties:

Compensation Model Ownership & Execution

• Maintain direct, hands-on ownership of assigned physician compensation models, including model building, ongoing maintenance, updates, and detailed validation.
• Facilitate complex compensation models using advanced Excel-based methodologies to support productivity-based, net income–based, and supplemental compensation arrangements common to specialty physician networks.
• Perform detailed checks to ensure calculations are accurate, assumptions are supported, and model outputs align to underlying source data and financial drivers.
• Implement approved model mechanism changes and adjustments in accordance with direction from the Director of Physician Compensation.
• Maintain end-to-end accountability for assigned models, including follow-through on questions, corrections, and recurring process improvements.

Practice-Level Accountability & Stakeholder Support

• Serve as a compensation point of contact for assigned practices or regions, with responsibility for model accuracy, completeness, timeliness, and issue resolution.
• Interpret physician employment agreements, management services agreements, and compensation plan language to ensure accurate application of contractual terms within models.
• Prepare compensation summaries, variance explanations, and supporting schedules suitable for leadership review and physician-facing discussions.
• Support physician and operational inquiries by explaining plan mechanics, model drivers, adjustments, and results in a clear, practical, and professional manner.
• Exercise sound judgment and discretion when addressing sensitive compensation matters, escalating appropriately while maintaining physician trust and operational continuity.

Team Leadership, Review Structure & Department Scaling

• Provide hands-on technical leadership and mentoring to physician compensation analysts, including detailed model review, coaching on mechanics, and direct support during peak model cycles.
• Balance responsibilities by producing selected models directly while overseeing analyst-owned models and ensuring consistent standards across the portfolio.
• Contribute to onboarding readiness, knowledge transfer, documentation, and cross-training to support department expansion and continuity.

Growth, Integration, System Design & Implementation

• Support acquisitions and practice integrations by building or assisting with initial compensation model set-up, validating data sources, and supporting transition planning consistent with departmental standards.
• Contribute to the design, enhancement, and implementation of compensation-related tools, templates, data structures, and processes to improve efficiency, accuracy, and scalability.
• Partner with IT, FP&A, Accounting, and other stakeholders to improve upstream data clarity, mapping, and automated data processing where feasible.
• Assist with forecasting, earnings projections, and scenario modeling to support operational planning, compensation reviews, and growth decisions.

Cross-Functional Partnership, Controls & Continuous Improvement

• Partner with Accounting and Payroll to ensure compensation calculations align with general ledger structures, accrual methodologies, reconciliations, and payment processing timelines.
• Assist in maintaining compensation-related policies, procedures, documentation standards, and internal controls to support consistency, transparency, and compliance.
• Collaborate cross-functionally with Operations, Revenue Cycle, HR, Legal, FP&A, IT, and leadership to resolve compensation-related data, system, and process issues.

Knowledge, Skills, and Abilities Required:

• Strong, practical knowledge of physician and APP compensation models within multi-location, specialty physician networks (productivity, net income, call, and supplemental pay structures).
• Demonstrated ability to interpret physician compensation contracts, plan language, and complex compensation arrangements, including exceptions, transitions, and integration-related nuances.
• Advanced Excel proficiency and model-building expertise, including the ability to construct, maintain, audit, and improve sophisticated compensation models with strong controls and transparency.
• Knowledge of compensation-related system design, data flows, implementation considerations, and the importance of upstream data quality and mapping.
• Solid understanding of healthcare financial operations, including income statement mechanics, general ledger concepts, accruals, allocations, and reconciliation practices as they relate to compensation drivers.
• Ability to quickly understand existing compensation frameworks, leadership expectations, and operating rhythms and execute effectively with minimal ramp-up.
• Strong analytical, organizational, and problem-solving skills with high attention to detail and sound judgment.
• Clear and professional communication skills, particularly when explaining complex compensation mechanics to physicians and operational leaders.

Minimum Qualifications:

• Bachelor’s degree in Finance, Accounting, Business Administration, or a related field.
• 7+ years of progressive experience in physician compensation, provider financial analysis, or healthcare compensation administration.
• Demonstrated experience owning and maintaining complex compensation models in a multi-practice or multi-location healthcare organization.

Other Qualifications:

• Experience working in private equity–backed healthcare platforms, physician management organizations, or similarly growth-oriented healthcare environments.
• Demonstrated ability to balance hands-on execution with leadership responsibilities in a scaled, deadline-driven operating model.

Preferred Qualifications:

• Experience supporting cardiology or other procedural specialty physician groups.
• Prior experience managing analysts in a compensation, finance, or analytics function.
• Experience preparing compensation analyses and summaries for leadership review and physician-facing communication.
• Experience supporting compensation during periods of acquisition, integration, operational change, or rapid growth.