Senior Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role is a Senior Manager position within the Client Advisory Services practice, supporting skilled nursing and post-acute care organizations. You will serve as a strategic partner to clients while mentoring teams, delivering forward-looking insight, and helping healthcare organizations navigate an evolving regulatory and reimbursement environment.

Remote work is available anywhere in the US.

Responsibilities

• Lead client advisory engagements at a CFO-level, delivering 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, ensuring timely and accurate completion of accounting engagements.
• Analyze financial performance, including KPIs, and provide actionable recommendations to improve profitability and cash flow.
• Collaborate cross-functionally with internal teams (e.g., revenue cycle, payroll, 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.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field; Master’s degree a plus.
• CPA designation preferred.
• Minimum 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 (e.g., QuickBooks Online, Sage Intacct, PointClickCare) and 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 pay range: $142,000 to $195,000.
• 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 exist, subject to participation rules and based on factors including individual and firm performance.

Benefits highlights include:

• 8 health plan options (HMO & PPO), plus 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, and family formation benefits
• Cell phone reimbursement and 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 depends on annual hours expectation, position status/level, and location.

Location

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