Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role is within the organization’s accounting advisory practice and supports skilled nursing industry clients. The position involves outsourced controller and controller-level advisory services, including strategic financial insights, budgeting and forecasting support, and guidance on operational improvements to promote 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 US and offshore engagement team members to ensure 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 skilled nursing facilities, including compliance related to documentation, 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).
• Proficiency in industry accounting software, e.g., QuickBooks Online, Sage Intacct, PointClickCare.
• Demonstrated ability to embrace new technologies.
• Demonstrated ability to influence others, promote constructive change, and develop team members.

Compensation & Benefits

Benefits include:

• 8 health plan options (both HMO & PPO plans)
• Dental and vision coverage
• Opportunity to enroll in HSA with potential firm 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 benefit offerings include:

• Critical illness & accident insurance
• Hospital indemnity insurance
• Legal
• Long-term care
• Pet insurance
• ID theft protection
• Supplemental life/AD&D

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

Equal Opportunity & Accommodations

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

Reasonable accommodations are available for candidates with disabilities. If a reasonable accommodation is needed to complete an application, interview, or participate in the recruiting process, request accommodations as provided by the employer.