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Peregrine Health Corporate
From company careers site

Accounting Manager

Location
Nashville, TN
Work mode
On-site
Employment type
Full-time

About the job

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

From Peregrine Health Corporate's careers page (Greenhouse), checked 29 Oct 2026.

How to apply

  1. Select Apply on job-boards.greenhouse.io. It opens Peregrine Health Corporate's own application form in a new tab, run on Greenhouse.
  2. Fill in the form and upload your résumé there. Jobiwork never sees your application.
  3. Peregrine Health Corporate will reply to you directly. No real employer asks you for money to apply.

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