Manager, Accounting Advisory - Skilled Nursing Industry

Overview

This accounting advisory role is with the organization’s healthcare and post-acute care practice, supporting skilled nursing industry clients. The position involves serving as an outsourced controller, providing controller-level advisory through strategic financial insights, budgeting and forecasting support, and operational improvement guidance to strengthen long-term financial stability.

This position can be worked remotely anywhere in the US.

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 in alignment with client engagement terms.
• Provide technical accounting support to clients and their teams on complex issues.
• Identify operational inefficiencies through client discovery sessions and recommend actionable improvements.
• Lead and coordinate efforts of US and offshore engagement team members, ensuring high-quality deliverables, efficient workflow management, and a consistent client experience.
• Lead and coach staff and senior accountants, providing guidance on accounting and financial reporting matters.

Requirements

• Bachelor’s degree in Accounting, Finance, or Business.
• 4–6 years of experience providing accounting, advisory or financial reporting services to skilled nursing facilities, long-term care, senior living or post-acute healthcare organizations.
• Past or current experience in public accounting preferred.
• Working knowledge of Medicare and Medicaid reimbursement structures for skill nursing facilities, including compliance related to documentations, billing accuracy and regulatory oversight.
• 3+ years managing associates and/or teams.
• Proficiency in financial reporting and analysis.
• Strong planning, prioritization, and organizational skills.
• Strong project management and relationship-building skills, with a client-first mindset.
• Excellent written, verbal, and presentation skills.
• Ability to travel up to 10%.

Preferred Qualifications

• Professional certification (e.g., CPA, CMA).
• Preferred proficiency in industry accounting software, e.g., QuickBooks Online, Sage Intacct, PointClickCare, and a demonstrated ability to embrace new technologies.
• Demonstrated ability to influence others, promote constructive change, and develop team members.

Compensation & Benefits

• Estimated base pay range: $107,000 to $160,000.
• Offers typically not made at the maximum; actual salary depends on business-related factors including location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
• Annual discretionary bonus may be available, subject to participation rules and based on factors including individual and Firm performance.
• Benefits highlights include:
  • 8 health plan options (HMO & PPO)
  • Dental and vision coverage
  • Eligibility to enroll in HSA with potential employer contribution
  • Employee Assistance Program
  • Firm-sponsored basic life and short and long-term disability coverage
  • 401(k) savings plan & profit share with Firm matching contribution
  • Well-being incentive
  • Education & certification assistance
  • Flexible time off
  • Family care leave and parental leave
  • Family formation benefits
  • Cell phone reimbursement
  • Travel rewards
  • Voluntary benefits: critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D
• Eligibility for all benefits programs depends on annual hours expectation, position status/level, and location.

Location

• Remote: anywhere in the US.