Senior Manager, Accounting Advisory - Skilled Nursing Industry Clients

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Posted May 4, 2026

Remote · US · ask about Worldwide Full Time

Overview

A leading accounting advisory practice is seeking a Senior Manager with deep expertise in healthcare and skilled nursing to provide CFO-level advisory services and lead complex client engagements. This role involves delivering strategic financial insights, guiding clients through operational and performance improvements, and overseeing multiple teams to ensure high-quality accounting deliverables. The Senior Manager will work closely with client executives to offer perceptive, solutions-focused counsel that strengthens financial stability and drives meaningful results.

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.

Qualifications

  • Bachelor’s degree in Accounting, Finance, or related field; Master’s degree is 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 such as 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, with offers typically below the maximum to allow for future salary increases.
  • Eligibility for an annual discretionary bonus based on individual and firm performance.
  • Comprehensive benefits including multiple health plan options (HMO & PPO), dental and vision coverage, HSA with potential employer contribution, Employee Assistance Program.
  • Firm-sponsored basic life and short- and long-term disability coverage.
  • 401(k) savings plan with profit sharing and employer matching contributions.
  • Well-being incentives, education and certification assistance.
  • Flexible time off, family care leave, parental leave, and family formation benefits.
  • Additional voluntary benefits such as critical illness and accident insurance, hospital indemnity insurance, legal coverage, long-term care, pet insurance, ID theft protection, and supplemental life/AD&D insurance.
  • Eligibility for benefits depends on annual hours, 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 throughout the recruitment process upon request.

Location

This role may require up to 10% travel. Specific work location details are not provided.

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