Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role supports the organization’s accounting advisory practice, seeking a Manager with strong healthcare and post-acute care experience to serve as an outsourced controller for skilled nursing industry clients.

Responsibilities center on providing controller-level advisory services, including strategic financial insights, assistance with budgeting and forecasting, and operational improvement support. The position also involves leading and mentoring client teams, overseeing high-quality financial reporting, and building trusted relationships.

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 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 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%.

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
• 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
• Travel rewards

Voluntary benefit offerings may include:

• Critical illness & accident insurance
• Hospital indemnity insurance
• Legal
• Long-term care
• Pet insurance
• ID theft protection
• Supplemental life/AD&D

Eligibility for benefits depends on annual hours expectation, position status/level, and location.

Location

• Remote work: anywhere in the US.

Equal Opportunity / Accommodations

The employer is an equal opportunity/affirmative action employer. Reasonable accommodations are available for candidates with disabilities who need support completing an application, interview, or participating in the recruiting process.