Manager, Advisory Accounting - Skilled Nursing Industry

Overview

This role is part of the organization’s accounting advisory practice and supports healthcare, skilled nursing industry clients as an outsourced controller.

The position provides controller-level advisory services, including strategic financial insights, budgeting and forecasting support, and guidance on operational improvements to help clients maintain long-term financial stability. You will also 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 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.

Qualifications

• 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.
• 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%.

Preferred Qualifications

• Professional certification (e.g., CPA, CMA).
• Past or current experience in public accounting.

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 a variety of factors, including individual and Firm performance.

Benefits highlights may 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 and travel rewards.
• Voluntary benefit offerings such as critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D.
• Eligibility depends on annual hours expectation, position status/level, and location.

Location

• Remote: This position can be worked remotely anywhere in the US.

Equal Opportunity

The organization is an equal opportunity/affirmative action employer and provides reasonable accommodations for people with disabilities. Candidates will 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 other protected characteristics under applicable federal, state, or local laws.