Accounting Manager: Grants, GAAP & Audit Readiness

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

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