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