Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role supports the accounting advisory practice and focuses on serving skilled nursing industry clients as an outsourced controller. Responsibilities include providing controller-level advisory, delivering strategic financial insights, guiding budgeting and forecasting, and supporting operational improvements and long-term financial stability. The position also involves leading and mentoring client teams, overseeing high-quality financial reporting, and building trusted, solutions-focused relationships.

Location

Remote work is available anywhere in the US. Travel up to 10%.

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 by 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).
• Preferred proficiency in industry accounting software such as 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

• Estimated base pay range: $107,000 to $160,000.
• Offers typically are not made at the maximum; actual salary depends on business-related factors including location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and relevant employment laws.
• Annual discretionary bonus may be available, subject to participation rules and based on individual and firm performance.
• Benefits highlights include:
  • 8 health plan options (HMO & PPO), dental, and vision coverage
  • HSA enrollment with potential firm contribution
  • Employee Assistance Program
  • Firm-sponsored basic life and short- and long-term disability coverage
  • 401(k) savings plan and profit share, including firm matching contribution
  • Well-being incentive
  • Education and 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 benefits depends on annual hours expectation, position status/level, and location.

Equal Opportunity

The employer is an equal opportunity/affirmative action employer. All candidates 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 people with disabilities to complete an application, interview, or participate in the recruiting process.