Accounting Manager
Role 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
Full Job Posting
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 Peregrine Health
Private managed behavioral health services organization serving FQHCs and rural clinics in underserved communities.
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