Senior Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role is a Senior Manager position in the Client Advisory Services practice, supporting skilled nursing and post-acute care organizations. You will act as a strategic partner to clients, mentor teams, deliver forward-looking insight, and help healthcare organizations navigate an evolving regulatory and reimbursement environment.

This position can work remotely 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 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, providing 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 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 pay range: $151,000 to $203,000.
• Offers typically are not made at the maximum; future salary increases are possible.
• Actual salary depends on business-related factors including location, skills, experience, training/education, licensure, certifications, business needs, current associate pay, and applicable employment laws.
• Annual discretionary bonus may be available, subject to participation rules and based on individual and firm performance.

Benefits highlights include:

• 8 health plan options (HMO & PPO), plus dental and vision coverage
• Opportunity to enroll in an 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, including a 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 options including critical illness & accident insurance, hospital indemnity insurance, legal, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D

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

Location

Remote — anywhere in the US.

Travel: up to 10%.