# Accounting Manager at Peregrine Health Corporate

Accounting Manager at Peregrine Health Corporate in Nashville, TN. Full-time. Posted October 6, 2026.

- Company: Peregrine Health Corporate
- Location: Nashville, TN
- Job type: Full-time
- Experience: 5+ years
- Posted: 2026-10-06
- Apply: https://job-boards.greenhouse.io/peregrinehealthcorporate/jobs/5446121008
- Source: https://jobmagic.ai/jobs/accounting-manager-peregrine-health-corporate-2b6dd0

## Requirements

- Bachelor's degree in Accounting

## Description

**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