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