Manager, Advisory Accounting - Skilled Nursing Industry

Accountabilities

You will support healthcare clients by delivering high-quality financial advisory services, improving reporting processes, and helping organizations achieve operational and financial stability. You will collaborate with client leadership teams, oversee accounting deliverables, and provide strategic recommendations based on industry knowledge and financial analysis.

Review financial reporting packages, work papers, and accounting deliverables to ensure accuracy, completeness, quality, and timely execution.

Prepare and analyze benchmarking data, key performance indicators, and financial insights to help clients identify opportunities for improvement.

Present reporting packages, findings, and recommendations to clients in a clear and actionable manner.

Support the preparation of budgets, forecasts, and cash flow models aligned with client goals and engagement requirements.

Provide technical accounting guidance and advisory support on complex financial reporting matters.

Identify operational inefficiencies through client discussions and assessments, recommending practical solutions to improve performance.

Lead, coach, and develop accounting staff and senior team members while promoting strong accounting practices and professional growth.

Build trusted client relationships by understanding business challenges and delivering solutions tailored to healthcare organizations.

Apply knowledge of reimbursement models, financial operations, and regulatory considerations within skilled nursing and post-acute care environments.

Requirements

• The ideal candidate combines accounting expertise, healthcare industry experience, leadership capabilities, and strong advisory skills.
• You should be comfortable managing client relationships, analyzing complex financial information, and leading teams in a dynamic consulting environment.
• Bachelor’s degree in Accounting, Finance, Business, or a related field.
• 4-6 years of experience providing accounting, advisory, or financial reporting services to skilled nursing facilities, long-term care, senior living, or post-acute healthcare organizations.
• Previous public accounting experience is preferred.
• A strong understanding of Medicare and Medicaid reimbursement structures for skilled nursing facilities, including documentation requirements, billing accuracy, and regulatory considerations.
• 3+ years of experience managing associates, teams, or accounting professionals.
• A professional certification such as CPA or CMA is preferred.
• Strong financial reporting, analysis, budgeting, and forecasting skills.
• Excellent project management, organization, prioritization, and problem-solving abilities.
• Strong client relationship management skills with a consultative and service-oriented approach.
• Excellent written, verbal, and presentation communication skills.
• Familiarity with accounting and healthcare technology platforms such as QuickBooks Online, Sage Intacct, PointClickCare, or similar tools is preferred.
• Ability to influence stakeholders, drive positive change, and develop team members.
• Willingness to travel up to 10% as needed.

Benefits

• Competitive base salary range of approximately $107,000-$160,000, depending on skills, experience, location, education, certifications, and other business factors.
• Potential eligibility for an annual discretionary bonus based on individual and organizational performance.
• Remote work flexibility available from anywhere in the United States.
• Comprehensive medical, dental, and vision coverage options.
• Health Savings Account (HSA) options with potential employer contributions.
• Employee Assistance Program and wellness resources supporting overall well-being.
• Employer-sponsored life insurance and short- and long-term disability coverage.
• 401(k) savings plan with employer matching contributions and profit-sharing opportunities.
• Education assistance and professional certification support.
• Flexible time off, family care leave, parental leave, and family formation benefits.
• Cell phone reimbursement and travel rewards.
• Additional voluntary benefits including accident, critical illness, hospital indemnity, legal, long-term care, pet insurance, identity theft protection, and supplemental life insurance.