Accounting Manager

Position Summary

The Accounting Manager is responsible for 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. The Accounting Manager works closely with the Director of Finance to translate strategic priorities into consistent day-to-day execution, and acts as a first line of resolution for operational issues so they do not require escalation.

This is a mission-driven organization. The accuracy of financial information produced by this role supports decisions that directly affect the quality of care delivered to patients, residents, and families across our facilities.

Key Responsibilities

Multi-Site Accounting Operations

• Oversee general ledger accounting for all covered facilities (SNF, ALF, IRF, Home Health), ensuring consistent chart of accounts usage and intercompany allocations.
• Manage the monthly, quarterly, and year-end close process across all entities, including preparation and review of journal entries, accruals, and account reconciliations.
• Ensure timely, accurate financial statement delivery for each facility and consolidated reporting for leadership.
• Own the balance sheet reconciliation process; review and approve reconciliations prepared by staff and resolve aged or unusual items.
• Support preparation of Medicare/Medicaid cost report source documents and related regulatory filings in coordination with the Director of Finance and external advisors.

Controls, Compliance & Audit

• 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.

Process Improvement

• 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.

Required Qualifications

• 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
• Experience senior living, or post-acute care experience strongly preferred.
• 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.

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.

Core Competencies

• 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.

Working Conditions

• Primarily on-site in Lauderdale Lakes, FL, with periodic travel to affiliated facilities.
• Standard business hours with additional availability required during month-end and year-end close.

This job description reflects the general nature and level of work performed and is not intended to be an exhaustive list of all responsibilities, duties, and skills required.