Accounting Manager

Talna Hospice Care is a Medicare-certified hospice based in Murrieta, California. Since 2018, we’ve cared for patients and families across Murrieta, Temecula, Menifee, Wildomar, Lake Elsinore, and the rest of southwest Riverside County, in homes, assisted living and skilled nursing communities, and hospitals. Our care is guided by compassion, connection, and dignity, and those values extend to how we run the agency. Accurate books, a clean close, and clear reporting help keep care steady for the families who depend on us.

About the Role

We’re looking for an Accounting Manager to lead our accounting team and own the month-end close from start to finish. You’ll supervise a team of accountants, review and approve their work, prepare and review our financial statements, and make sure our books are accurate, audit-ready, and compliant with Medicare and healthcare reporting requirements. You’ll work closely with our Administrator, billing team, and outside accountant/CPA, and you’ll be a trusted partner to leadership in understanding the agency’s financial performance each month. Hospice finances work differently from most businesses. Revenue comes primarily from per-diem Medicare and Medi-Cal payments tied to levels of care, some costs pass through to partner facilities, and federal caps and cost reporting add their own layer. Healthcare experience is a strong plus, and we’ll support you in learning the hospice-specific pieces. What You’ll Do Team Leadership Supervise, coach, and develop a team of accountants and bookkeeping staff Assign and review work, set priorities, and keep the team on track with close deadlines Hold regular check-ins and support each team member’s professional growth Build a culture of accuracy, accountability, and clear communication across a remote team Month-End and Year-End Close Own the monthly close calendar and make sure every step is completed on time Review and approve journal entries, accruals, and adjustments prepared by staff Review balance sheet reconciliations, including bank, payroll, payables, and room and board pass-through accounts Lead year-end close and prepare the books for the annual financial review or audit Financial Reporting and Analysis Prepare and review monthly financial statements (balance sheet, income statement, and cash flow statement) Review expense variance analysis and budget-to-actual reports, and explain significant variances to leadership Track revenue, cost, and margin by level of care: routine home care, continuous home care, general inpatient, and respite Monitor key performance metrics such as cost per patient day, days sales outstanding, and cash position Support the annual budget and forecasting process with the Administrator and department leads Compliance, Audit, and Tax Support preparation of the annual Medicare Hospice Cost Report with our outside accountant/CPA Oversee data used to monitor the Medicare hospice aggregate cap and inpatient cap Prepare tax provision support, workpapers, and schedules for federal and California business tax filings with our outside CPA Coordinate audits, Medicare reviews, and tax filings, and keep records organized and audit-ready Maintain and strengthen internal controls, accounting policies, and procedures Ensure remittances and any records containing protected health information (PHI) are handled in line with HIPAA and Talna’s privacy policies Special Projects Lead ad hoc projects, including process improvements, system enhancements, profitability analysis, and other financial analysis requested by leadership What You Bring Required Bachelor’s degree in Accounting, Finance, or a related field 5+ years of progressive accounting experience, including at least 2 years supervising accounting staff Hands-on experience running the month-end close and preparing financial statements Strong knowledge of GAAP and accrual accounting Experience reviewing journal entries and balance sheet reconciliations Strong working knowledge of QuickBooks or a comparable accounting system Advanced Excel or Google Sheets skills (pivot tables, lookups, reconciliations) Discretion with confidential financial and health information A quiet, private workspace, reliable high-speed internet, and comfort leading a team remotely Preferred CPA or CMA Experience in hospice, home health, skilled nursing, or another healthcare setting Familiarity with Medicare and Medi-Cal remittances, per-diem reimbursement, or room and board pass-through Experience supporting Medicare cost reports, business tax filings, or external audits Exposure to hospice or home health software such as WellSky, HCHB, or Axxess

Compensation and Benefits

Salary: $90,000 to $110,000 per year, based on experience and qualifications, plus discretionary bonuses and profit-sharing Medical, dental, and vision insurance 401(k) retirement plan with employer contribution Paid time off, paid holidays, and paid sick leave Life insurance and short- and long-term disability coverage FSA and/or HSA options Employee Assistance Program (EAP) Professional development and continuing education support Equal Opportunity Employer Talna Hospice Care is an Equal Opportunity Employer. All employment decisions are based on qualifications, merit, and business need, and we do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. In line with applicable fair chance laws, including the California Fair Chance Act where it applies, we will consider qualified applicants with arrest or conviction records. As a Medicare-certified provider, Talna completes background checks and federal and state exclusion screenings after a conditional offer. If your experience doesn’t match every qualification but you believe you’d do great work here, we encourage you to apply.