Accounting Manager

Accounting Manager 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