Accounting Manager
Peregrine Health Corporate
Salary undisclosed
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Description
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
About this role
Peregrine Health is looking for an Accounting Manager to take hands-on ownership of financial operations in Nashville. You'd manage the full accounting cycle—general ledger, payables, receivables, payroll, and month-end close—while supervising accounting staff and presenting monthly results to the executive team. A significant part of the role involves grant administration: tracking federal awards, monitoring compliance under Uniform Guidance, preparing grant reports, and serving as the organization's named Grant Financial Manager with approval authority. You'd also coordinate external audits and tax work, maintain internal controls, and handle special projects as the company scales.
This role requires a bachelor's degree in accounting and at least five years of progressive experience, with specific expertise in grant management accounting and federal compliance audits. You'll need hands-on knowledge of multi-entity accounting and consolidations (particularly structures with management services agreements), strong U.S. GAAP foundation, and solid Excel skills. A CPA, prior audit experience, and familiarity with NetSuite and Rippling are valued. Healthcare or nonprofit background is a plus given the grant-heavy nature of the work.
The position reports to the Chief Administrative Officer and is full-time, in-office in Nashville. It's a good fit if you've worked in grant-funded environments, managed audits from the client side, and want a role where you're building financial infrastructure for a growing organization rather than maintaining a static function.
Typical pay for this role
$100,000
Typical range: $60,000 to $120,000
This role's local market on JobMinglr
Pay for this role
The employer didn't post a pay range for this role. That usually means pay is set in negotiation, which favors whoever arrives with numbers. Check ranges on comparable Accounting Manager postings in Nashville, and analyze any offer before you accept it.
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