Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role supports the accounting advisory practice and involves serving as an outsourced controller for skilled nursing industry clients. The position provides controller-level advisory by delivering strategic financial insights, guiding clients through budgeting, forecasting, and operational improvements, and supporting 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 the 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.
• Professional certification (e.g., CPA, CMA) preferred.
• 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.
• Preferred proficiency in industry accounting software (e.g., QuickBooks Online, Sage Intacct, PointClickCare) and demonstrated ability to embrace new technologies.
• Demonstrated ability to influence others, promote constructive change, and develop team members.
• Ability to travel up to 10%.

Compensation & Benefits

Benefits may include:

• 8 health plan options (HMO & PPO)
• Dental and vision coverage
• Opportunity to enroll in an 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, parental leave, family formation benefits
• Cell phone reimbursement and 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 is dependent on annual hours expectation, position status/level and location.

Location

Remote work is available anywhere in the US.

Equal Opportunity & Accommodations

• Equal opportunity/affirmative action employer; all candidates will receive consideration without regard to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identify, veteran status, disability, or other characteristics protected by federal, state, or local laws.
• Reasonable accommodations are available for people with disabilities. Eligibility and details are handled through the application and recruiting process as needed.