Accounting Manager

Peregrine Health; Nashville (TN); On-site; USD 85,000 - 120,000; Full time

Job summary

Peregrine Health in Nashville is seeking an Accounting Manager to lead daily accounting operations, own the monthly close, and coordinate grants and audits. This hands-on management role drives financial controls and process improvements as the organization grows.

The ideal candidate brings 5+ years of accounting experience, strong GAAP knowledge, and proven grant management expertise. This full-time, on-site role reports to the Chief Administrative Officer and partners with executives on

Qualifications

• Bachelor’s degree in Accounting required.
• 5+ years of progressive accounting experience.
• Experience with grant management accounting, including federal grant compliance and reporting.
• Experience with multi-entity accounting and consolidations, including MSAs.
• Familiarity with federal grant compliance requirements (e.g., Uniform Guidance / 2 CFR 200).
• Strong knowledge of U.S. GAAP.
• Proficiency in Excel.

Responsibilities

• Manage day-to-day accounting function including general ledger, payables, receivables, payroll accounting, and month-end close.
• Present monthly financial results and key metrics to the executive team.
• Prepare monthly written financial summaries for the CEO highlighting results and trends.
• Supervise, develop, and review accounting staff.
• Review journal entries, account reconciliations, and schedules prepared by staff.
• Serve as primary liaison with external audit and tax firms, coordinating fieldwork and audit-ready workpapers.
• Manage grant funding accounting, track awards, monitor allowable costs, and prepare grant financial reports.
• Act as named Grant Financial Manager with defined requisition approval authority.
• Maintain and improve accounting policies, procedures, and internal controls.
• Assist with ad hoc analysis and special projects.

Skills

Excel

US GAAP

Grant management

Financial reporting

Multi-entity accounting

Leadership

Audit coordination

Education

Bachelor’s degree in Accounting

Tools

NetSuite

Rippling

Job description

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