Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role involves providing controller-level accounting advisory services to skilled nursing and post-acute care industry clients. The position supports long-term financial stability by delivering strategic financial insights, assisting with budgeting and forecasting, and helping clients improve operational performance. You will also lead and mentor client teams and oversee high-quality financial reporting.

Remote work is available 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.
• Preferred proficiency in industry accounting software, such as 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%.

Preferred Qualifications

• Professional certification (e.g., CPA, CMA) preferred.

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, and an Employee Assistance Program. Additional benefits include firm-sponsored basic life and short and long-term disability coverage, a 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 benefit offerings include critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D. Eligibility for benefits depends on annual hours expectation, position status/level, and location.

Location

Remote work is available anywhere in the US.