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.