Accounting Manager

About the role

The Accounting Manager oversees the day-to-day accounting operations supporting a multi-site portfolio of healthcare facilities, including Skilled Nursing, Assisted Living, Inpatient Rehabilitation, and Home Health service lines. This role ensures the accuracy, timeliness, and integrity of financial records across all entities, manages a team of accounting staff, and serves as the primary point of accountability for close-cycle execution, reconciliations, and reporting standards.

Responsibilities

• Ensure the accuracy, timeliness, and integrity of financial records across all entities
• Manage a team of accounting staff
• Serve as the primary point of accountability for close-cycle execution, reconciliations, and reporting standards
• Work closely with the Director of Finance to translate strategic priorities into consistent day-to-day execution
• Act as a first line of resolution for operational issues so they do not require escalation

Requirements

• Master’s degree in Accounting, Finance, or related field
• 5+ years of progressive accounting experience, including at least 3 years of healthcare accounting experience in a multi-entity or multi-site organization
• Strong working knowledge of GAAP and month-end close processes
• Demonstrated ability to manage competing deadlines across multiple entities without missing close timelines
• Proficiency with Microsoft Dynamics Business Central (or comparable ERP) and Microsoft Excel; experience with Asana or similar task-management tools a plus
• Must have strong computer skills and advanced knowledge of Excel
• Must have knowledge of computer office software
• Must be able to read, write and understand the English language

Preferred Qualifications

• CPA or CPA-eligible
• Experience working within a mission-driven or faith-based healthcare system
• Prior experience building or refining accounting team structure, scope, and delegation frameworks
• Clear, direct communicator who sets expectations plainly and follows through
• Sound judgment on what to escalate versus what to resolve independently
• Comfortable holding staff accountable to deadlines and standards
• Detail-oriented with strong reconciliation and analytical skills
• Adaptable to new technology and process change

Essential Functions

• Maintain and strengthen internal controls over cash, AP, payroll allocations, and fixed assets across all facilities
• Serve as a key liaison for internal and external audits, including annual financial statement audits and SOX-type control testing where applicable
• Ensure compliance with GAAP, applicable healthcare regulatory requirements, and organizational policy
• Support preparation of Medicare/Medicaid cost report source documents and related regulatory filings in coordination with the Director of Finance and external advisors
• Maintain the balance sheet reconciliation process; review and approve reconciliations prepared by staff and resolve aged or unusual items
• Own the process improvement initiatives, identify and implement opportunities to automate recurring, manual financial processes and reduce close-cycle time
• Standardize procedures across facility types to reduce variability and rework
• Recommend and help implement systems or workflow improvements that reduce reliance on manual intervention

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds
• Walk, climb stair or ladders, stand on feet for extended periods of time, etc.