Senior Manager, Accounting Advisory - Skilled Nursing Industry Clients

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Posted Oct 24, 2026

Remote · US Full Time
$142K – $195K/yr

Overview

The organization is seeking a Senior Manager to join its accounting advisory practice and provide CFO-level advisory services for healthcare and skilled nursing organizations. This role will lead complex client engagements, deliver strategic financial insights, and oversee multiple teams to ensure high-quality accounting deliverables.

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 aligned 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 to ensure high-quality deliverables, efficient workflow management, and a consistent client experience.
  • Lead and coach staff and senior accountants by providing guidance on accounting and financial reporting matters.

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, for example: 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%.

Preferred Qualifications

  • Demonstrated ability to leverage industry accounting software (e.g., QuickBooks Online, Sage Intacct, PointClickCare) and adopt new technologies.

Compensation & Benefits

  • Estimated base pay range: $142,000 to $195,000.
  • Offers typically not made at the maximum; actual salary at time of offer 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 individual and firm performance.

Benefits highlights include:

  • 8 health plan options (HMO & PPO), plus dental and vision coverage
  • Eligibility 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, family formation benefits
  • Cell phone reimbursement and travel rewards
  • Voluntary benefits: 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 role.

Equal Opportunity

The organization is an equal opportunity/affirmative action employer and provides consideration for employment without regard to race, creed, color, religion, national origin, sex, age, marital status, sexual orientation, gender identity, veteran status, disability, or any other characteristic protected by federal, state, or local laws.

Reasonable accommodations are available for candidates with disabilities who require assistance completing an application, interview, or participating in the recruiting process.