Accounting Manager

Peregrine Health Corporate
Nashville, TN
On-siteCareer-pivot friendly

Who this role is best for

Strong fit for candidates with federal grant compliance expertise who lead accounting operations in healthcare or nonprofit settings.

Best fit for

  • Candidates with federal grant compliance experience and leadership in accounting operations
    — “Experience with grant management accounting, including federal grant compliance”
  • Professionals who have managed multi-entity accounting and consolidations
    — “Experience with multi-entity accounting and consolidations”
  • Individuals with U.S. GAAP knowledge and a background in healthcare or nonprofit finance
    — “Healthcare or nonprofit industry experience”

Things to consider

  • Segregation-of-duties compliance is a critical requirement for this role
    — “holding defined requisition approval authority and accountable for segregation-of-duties compliance”
  • The role involves managing external audit coordination and federal compliance audits
    — “Serve as the primary liaison with external audit and tax firms”

How to stand out

  • Highlight grant compliance audit experience and leadership in financial process improvements
    — “strengthening the company's financial processes and controls as the organization grows”
  • Demonstrate hands-on experience with month-end close and internal control frameworks
    — “Manage the day-to-day accounting function, including general ledger, accounts payable, accounts receivable, payroll accounting, and month-end close”
  • Showcase ability to prepare detailed financial summaries for executive leadership
    — “Prepare monthly written financial summaries for the CEO, highlighting key results, trends, and areas requiring attention”
Pace · SteadyCollaboration · HighAutonomy · MediumDecision Impact · Team

Derived from job-description analysis by Serendipath's career intelligence engine.

What success looks like

  • accurate and timely financial reporting
  • successful external audit coordination
  • grant funding administration
Typical background
accounting experiencegrant management experience

Skills & requirements

Required

AccountingFinancial ReportingGrant ManagementInternal ControlsAuditingTax CoordinationFinancial AnalysisManagement Of Accounting Staff

Preferred

CPANetsuiteRipplingHealthcare Industry ExperienceNonprofit Industry Experience

Stack & domain

Accounting OperationsMonthly CloseExternal AuditTax CoordinationGrant Funding AdministrationFinancial ProcessesControlsAccounting StaffJournal EntriesAccount ReconciliationsSupporting SchedulesExternal Audit And Tax FirmsDocument RequestsFieldworkAudit-ready WorkpapersGrant Funding AccountingAwardsAllowable CostsGrant Financial ReportsComplianceAccounting PoliciesProceduresInternal ControlsAd Hoc AnalysisSpecial ProjectsGrant Management AccountingFederal Grant ComplianceMulti-entity AccountingConsolidationsAffiliated Professional CorporationsManagement Services AgreementsFederal Compliance AuditUniform Guidance2 CFR 200GAAPExcelCPA

About the role

Original posting from Peregrine Health Corporate via Greenhouse

Clinical Recruiter

Nashville, TN

Location: Nashville, Tennessee

Employment Type: Full-Time, Salary

Reports 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 

Source: Peregrine Health Corporate careers (Greenhouse)

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