Senior Manager, Accounting Advisory - Skilled Nursing Industry Clients

Overview

This role is part of the Client Advisory Services practice and involves serving skilled nursing and post-acute care organizations. You will act as a strategic partner to clients while mentoring teams and delivering forward-looking insight to help healthcare organizations navigate an evolving regulatory and reimbursement environment.

This role 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 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 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

Benefits include:

• 8 health plan options (HMO & PPO)
• 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, including 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 benefits may include:

• Critical illness & accident insurance
• Hospital indemnity insurance
• Legal
• Long-term care
• Pet insurance
• ID theft protection
• Supplemental life/AD&D

Eligibility for all benefits programs depends on annual hours expectation, position status/level, and location.

Location

Remote (anywhere in the US). Up to 10% travel may be required.

Equal Opportunity

Equal opportunity/affirmative action employer. Candidates will receive 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 characteristics protected by federal, state, or local laws.

Reasonable accommodations are available for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or participate in the recruiting process, contact the recruiting team.