Manager, Accounting Advisory - Skilled Nursing Industry Clients

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Posted Nov 7, 2026

Remote · US Full Time
$107K – $160K/yr

Overview

The organization is seeking a Manager to join its accounting advisory practice with strong healthcare and post-acute care experience. This role supports skilled nursing industry clients by providing outsourced controller services and controller-level advisory.

This position is remote 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 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 Qualifications

  • Professional certification (e.g., CPA, CMA).
  • Industry accounting software proficiency, 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

  • Estimated base pay range: $107,000 to $160,000. Offers are typically not made at the maximum.
  • Discretionary bonus: Individuals may be eligible for an annual discretionary bonus, subject to participation rules and based on a variety of factors including individual and Firm performance.
  • Benefits highlights 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, as well as 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 include 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 anywhere in the US.
  • Ability to travel up to 10%.

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