Senior Manager, Accounting Advisory (Skilled Nursing)

TL;DR

Senior Manager, Accounting Advisory (Skilled Nursing): Deliver CFO-level advisory and lead complex client engagements for skilled nursing organizations with an accent on strategic financial insights, operational improvements, and performance optimization. Focus on driving change management, analyzing KPIs for profitability and cash flow, and developing budgets and forecasts.

Location: Remote

Salary: $142,000–$195,000

Company

Professional services firm specializing in accounting advisory for healthcare and skilled nursing clients.

What you will do

• Lead client advisory engagements at CFO-level, providing strategic financial insights and operational guidance.
• Drive change management through technology, standardized processes, and best practices.
• Build trusted relationships with client executives and deliver tailored solutions.
• Oversee multiple client teams for timely and accurate accounting deliverables.
• Analyze financial performance, KPIs, profitability, and cash flow with actionable recommendations.
• Collaborate cross-functionally on revenue cycle, payroll, and cost reporting.
• Develop budgets, forecasts, and financial planning strategies.
• Mentor staff to foster accountability, learning, and excellence.

Requirements

• Bachelor’s degree in Accounting, Finance, or related field.
• Minimum 8 years of relevant Public Accounting or industry experience.
• Proven success leading teams through organizational change and process improvement.
• Strong project management and relationship-building skills.
• Experience managing remote teams across geographies.
• Ability to analyze complex financial data and communicate insights to stakeholders.
• Ability to travel up to 10%.

Nice to have

• Master’s degree.
• CPA designation.
• Proficiency in QuickBooks Online, Sage Intacct, PointClickCare.

Culture & Benefits

• People-first culture focused on flexibility, relationships, and individual paths.
• 8 health plan options (HMO & PPO), dental, vision, HSA with Firm contribution, EAP.
• 401(k) with profit share and matching, well-being incentives, education assistance.
• Flexible time off, family care/parental leave, family formation benefits.
• Cell phone reimbursement, travel rewards, voluntary benefits like critical illness insurance.