Senior Manager, Accounting Advisory - Physician Practices

Overview

This role is for a Senior Manager in a Client Advisory Services practice, focusing on serving skilled nursing and post-acute care organizations. The position involves acting as a strategic partner to clients, mentoring teams, delivering forward-looking insights, and helping healthcare organizations navigate evolving regulatory and reimbursement environments. The role is fully remote and open to candidates anywhere in the United States.

Responsibilities

• Lead client advisory engagements at the CFO level, providing strategic financial insights and operational guidance.
• Drive change management initiatives to modernize service delivery through technology, standardized processes, and best practices.
• Build and maintain trusted relationships with client executives by understanding their business goals and delivering tailored solutions.
• Oversee multiple client teams to ensure timely and accurate completion of accounting engagements.
• Analyze financial performance, including key performance indicators (KPIs), and provide actionable recommendations to improve profitability and cash flow.
• Collaborate cross-functionally with internal teams such as revenue cycle, payroll, and cost reporting to deliver integrated client solutions.
• Develop client budgets and forecasts, offering consultative support on financial planning and strategy.
• Mentor and develop staff, fostering a culture of accountability, continuous learning, and operational excellence.

Qualifications

• Bachelor’s degree in Accounting, Finance, or Business; Master’s degree is a plus.
• CPA designation preferred.
• Experience in the skilled nursing or post-acute care industry is required.
• Minimum of 8 years of relevant public accounting or industry accounting experience.
• Proven success leading teams through organizational change and process improvement.
• Strong project management and relationship-building skills with a client-first mindset.
• Experience managing remote teams and promoting collaboration across geographies.
• Preferred proficiency in industry accounting software such as QuickBooks Online and Sage Intacct, with a demonstrated ability to embrace new technologies.
• Ability to analyze complex financial data and communicate insights clearly to stakeholders.
• Ability to travel up to 10%.

Compensation & Benefits

• Estimated base salary range: $142,000 to $195,000. Actual salary depends on factors including location, skills, experience, education, certifications, business needs, and relevant employment laws.
• Eligibility for an annual discretionary bonus based on individual and organizational performance.
• Comprehensive benefits package including multiple health plan options (HMO and PPO), dental and vision coverage, Health Savings Account (HSA) with potential employer contribution, Employee Assistance Program, basic life and disability coverage, 401(k) savings plan with profit sharing and employer match.
• Additional benefits include well-being incentives, education and certification assistance, flexible time off, family care leave, parental leave, family formation benefits, cell phone reimbursement, and travel rewards.
• Voluntary benefits available such as critical illness and accident insurance, hospital indemnity insurance, legal services, long-term care, pet insurance, identity theft protection, and supplemental life/AD&D insurance.
• Benefit eligibility depends on annual hours worked, position status/level, and location.

Equal Opportunity & Accommodations

The employer is an equal opportunity/affirmative action organization. All candidates will receive consideration without regard to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, veteran status, disability, or other protected characteristics.

Reasonable accommodations are provided for applicants with disabilities during the application and recruitment process upon request.

Location

Remote position available anywhere in the United States, with up to 10% travel required.