Manager, Accounting Advisory - Behavioral Health Industry

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Posted Aug 8, 2026

Remote · US Full Time
Est. $90K – $125K/yr

Overview

This role involves serving as a trusted advisor to behavioral health providers, assisting them with complex financial, operational, reimbursement, and compliance challenges. The position supports organizations delivering critical mental health, substance use, and community-based services. It offers the opportunity to combine accounting and leadership experience with meaningful work. The role is fully remote and open to candidates anywhere in the United States.

Responsibilities

  • Review financial reporting packages and work papers for quality, completeness, and timely delivery.
  • Prepare and analyze benchmarking data and key performance indicators to support client insights.
  • Present completed reporting packages and findings to clients as directed.
  • Assist in preparing budgets, forecasts, and cash flow models aligned with client engagement terms.
  • Provide technical accounting support on complex issues to clients and their teams.
  • Identify operational inefficiencies through client discovery sessions and recommend actionable improvements.
  • Lead and coordinate efforts of US and offshore engagement team members to ensure high-quality deliverables, efficient workflow, and consistent client experience.
  • Lead and coach staff and senior accountants, providing guidance on accounting and financial reporting matters.

Qualifications

  • Bachelor’s degree in Accounting, Finance, or Business.
  • 4-6 years of experience in public or private accounting.
  • Experience serving healthcare, behavioral health, nonprofit, or community-based organizations is required.
  • Understanding of healthcare revenue cycle processes, including claims, gross revenue, contractual adjustments, fee-for-service reimbursement, and per-member-per-month (PMPM)/capitation models.
  • Experience with state and federal funding compliance and program reporting.
  • Minimum 3 years managing associates and/or teams.
  • Proficiency in financial reporting and analysis.
  • Strong communication and collaboration skills with cross-functional teams including revenue cycle, operations, program leadership, and executive leadership.
  • Strong relationship-building skills with a client-first mindset.
  • Excellent planning, prioritization, organizational, and project management abilities.
  • Excellent written, verbal, and presentation skills.
  • Proficiency with accounting software such as Sage Intacct, QuickBooks Online, NetSuite, Bill.com, and ability to adopt new technologies.
  • Demonstrated ability to influence others, promote collaboration, and develop team members.
  • Professional certification (CPA, CMA, or similar) preferred.
  • Cost allocation and Single Audit experience preferred.
  • Certified Community Behavioral Health Clinic (CCBHC) experience preferred.
  • Ability to travel up to 10%.

Compensation & Benefits

  • Multiple health plan options including HMO and PPO.
  • Dental and vision coverage.
  • Opportunity to enroll in Health Savings Account (HSA) with potential employer contribution.
  • Employee Assistance Program.
  • Firm-sponsored basic life insurance and short- and long-term disability coverage.
  • 401(k) savings plan with profit sharing and employer matching contributions.
  • Well-being incentives.
  • Education and certification assistance.
  • Flexible time off, family care leave, parental leave, and family formation benefits.
  • Cell phone reimbursement and travel rewards.
  • Voluntary benefits including critical illness and accident insurance, hospital indemnity insurance, legal coverage, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D insurance.

Eligibility for benefits depends on annual hours, position status/level, and location.

Location

  • This position is 100% remote within the United States.

Equal Opportunity

The employer is an equal opportunity/affirmative action organization. All candidates will receive consideration without regard to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, veteran status, disability, or any other protected characteristic under federal, state, or local laws.

Reasonable accommodations are available for applicants with disabilities throughout the recruitment process.