Senior Care, Assisted Living, Healthcare Services

Accounting Manager

Nashville, TNOnsiteFull TimeManager / HeadPosted 1 month ago

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Required skills

progressive accounting experience
grant management accounting
federal grant compliance
Uniform Guidance
2 CFR 200
federal compliance audit
multi-entity accounting
consolidations
affiliated professional corporations
management services agreements

Nice to have

CPA
external audit experience
NetSuite
Rippling
Healthcare industry experience
nonprofit industry experience

Role summary

Peregrine Health is seeking an Accounting Manager in Nashville, TN, to lead daily accounting operations, including month-end close, audit and tax coordination, and grant administration. This hands-on role involves managing accounting staff, presenting financial results to executives, and strengthening financial processes and controls. The ideal candidate will have a Bachelor's degree in Accounting, 5+ years of progressive accounting experience, and expertise in grant management accounting, federal compliance (Uniform Guidance/2 CFR 200), multi-entity accounting, and U.S. GAAP. Familiarity with NetSuite, Rippling, and the healthcare or nonprofit industry is preferred.

Accounting ManagerNashville, TN

Location: Nashville, TennesseeEmployment Type: Full-Time, SalaryReports To: Chief Administrative Officer

Overview

Peregrine Health is seeking an Accounting Manager to assist in leading day-to-day accounting operations. This is a hands-on management role with ownership of the monthly close, external audit and tax coordination, and grant funding administration. The Accounting Manager will play a central role in strengthening the company's financial processes and controls as the organization grows.

Responsibilities

Manage the day-to-day accounting function, including general ledger, accounts payable, accounts receivable, payroll accounting, and month-end close

Present monthly financial results and key business metrics to executive leadership team

Prepare monthly written financial summaries for the CEO, highlighting key results, trends, and areas requiring attention

Supervise, develop, and review the work of accounting staff

Review journal entries, account reconciliations, and supporting schedules prepared by accounting team members

Serve as the primary liaison with external audit and tax firms, including managing document requests, coordinating fieldwork, and preparing audit-ready workpapers, including coordinating a federal compliance audit if required by grant spending levels

Manage grant funding accounting, including tracking awards, monitoring allowable costs, preparing grant financial reports, and ensuring compliance with state requirements

Act as the organization’s named Grant Financial Manager, holding defined requisition approval authority and accountable for segregation-of-duties compliance

Maintain and improve accounting policies, procedures, and internal controls

Assist with ad hoc analysis and special projects as assigned

Qualifications

Required

Bachelor's degree in Accounting

5+ years of progressive accounting experience

Experience with grant management accounting, including federal grant compliance (e.g., Uniform Guidance / 2 CFR 200) and financial reporting for grant-funded programs, with prior exposure to a federal compliance audit

Experience with multi-entity accounting and consolidations, including affiliated professional corporations or similar structures tied through management services agreements (MSAs)

Familiarity with federal grant compliance requirements (e.g., Uniform Guidance / 2 CFR 200)

Strong knowledge of U.S. GAAP

Proficiency in Excel

Preferred

CPA (active or inactive)

External audit experience or experience managing an audit from the client side

Experience with NetSuite and Rippling

Healthcare or nonprofit industry experience

Ready to apply?

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Accounting Manager

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Required skills

Nice to have

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