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