Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This position supports the accounting advisory practice serving skilled nursing industry clients. The role provides controller-level advisory as an outsourced controller, delivering strategic financial insights and helping clients strengthen budgeting, forecasting, and operational performance.

This role 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 aligned 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 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 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.

Preferred Qualifications

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

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, including Firm matching contribution
• Well-being incentive
• Education & certification assistance
• Flexible time off
• Family care leave
• Parental leave
• Family formation benefits
• Cell phone reimbursement
• Travel rewards
• Voluntary benefit offerings including 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.

Additional Information

• Equal opportunity/affirmative action employer.
• Reasonable accommodations are available for people with disabilities; requests for accommodation related to the application, interview, or recruiting process are supported.
• Travel up to 10%.