Accounting Manager

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