Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role supports the organization’s accounting advisory practice by serving as an outsourced controller for skilled nursing industry clients. The position provides controller-level advisory, including strategic financial insights, guidance on budgeting and forecasting, and support for operational improvements and long-term financial stability. The manager will lead and mentor client teams, oversee high-quality financial reporting, and build trusted, solutions-focused 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 the 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.
• Support client-facing work through planning, prioritization, and relationship-building.

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.
• Professional certification (e.g., CPA, CMA) preferred.
• 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 a 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 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 eligibility may apply, subject to participation rules and based on factors including individual and Firm performance.
• Benefits highlights include:
  • 8 health plan options (HMO & PPO)
  • 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 and parental leave
  • Family formation benefits
  • Cell phone reimbursement
  • 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 programs depends on annual hours expectation, position status/level, and location.

Location

• Remote work is available anywhere in the US.