Manager of Fixed Asset Accounting and Capital Planning

Carmelite System

$80K — $100K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Accounting or Finance required.
  • Minimum of 5 years of progressive accounting experience.
  • Experience in health care accounting required; long-term care or skilled nursing strongly preferred.
  • Strong knowledge of GAAP related to fixed assets and depreciation.
  • Experience with Medicare/Medicaid cost reporting highly desirable.
  • Experience with Acumatica ERP system preferred.

Responsibilities

  • Oversee full lifecycle of fixed assets, including acquisition, capitalization, depreciation, transfers, and disposals.
  • Ensure proper classification of capital vs. expense items in accordance with GAAP.
  • Maintain and reconcile the fixed asset subledger to the general ledger.
  • Manage construction-in-progress (CIP) accounting and project closeouts.
  • Coordinate and oversee periodic physical inventory of fixed assets across facilities.
  • Ensure compliance with U.S. GAAP and CMS reimbursement regulations.
  • Review and approve capital expenditure requests based on operational performance and cash availability.

Benefits

  • Competitive Compensation
  • Health (Aetna), Dental, Vision, HSA with employer contribution
  • Flexible Spending Account
  • Fully paid Life and Long-Term Disability insurance
  • AFLAC and supplemental life insurances
  • Retirement Plan
  • Generous Paid-Time-Off with 12 Holidays
Full Job Description
Manager of Fixed Asset Accounting and Capital Planning.

  • This corporate level position is fully remote. Team members work in Eastern and Central Standard Time.
  • $80K to $100K based on skills and experience.


Manager of Fixed Asset Accounting and Capital Planning Introduction:

This role oversees all aspects of fixed asset accounting, capital expenditure reporting, and capital planning for a multi-site long-term health care organization. Responsibilities include accurate capitalization, depreciation, reconciliation, and reporting of property and equipment in compliance with GAAP, Medicare/Medicaid cost reporting requirements, and organizational policies.

The role requires strong technical accounting knowledge, experience in health care finance (preferably long-term care or skilled nursing), and the ability to manage processes across multiple facilities. Strong project management skills a benefit, since role will lead onboarding of new affiliate entities onto ERP Fixed Asset module.

Manager of Fixed Asset Accounting and Capital Planning Qualifications:

  • Bachelor's degree in Accounting or Finance required.
  • Minimum of 5 years of progressive accounting experience.
  • Experience in health care accounting required; long-term care or skilled nursing strongly preferred.
  • Strong knowledge of GAAP related to fixed assets and depreciation.
  • Experience with Medicare/Medicaid cost reporting highly desirable.
  • Experience with Acumatica ERP system preferred.


Manager of Fixed Asset Accounting and Capital Planning Job Summary:

Fixed Asset Management

  • Oversee full lifecycle of fixed assets, including acquisition, capitalization, depreciation, transfers, and disposals.
  • Ensure proper classification of capital vs. expense items in accordance with GAAP.
  • Maintain and reconcile the fixed asset subledger to the general ledger.
  • Manage construction-in-progress (CIP) accounting and project closeouts.
  • Coordinate and oversee periodic physical inventory of fixed assets across facilities.
  • Coordinate with facility preventative maintenance program to optimize capital spend and reduce emergency capital purchases.


Compliance & Reporting

  • Ensure compliance with U.S. GAAP and CMS reimbursement regulations.
  • Support preparation of Medicare and Medicaid cost reports related to capital assets and depreciation.
  • Assist with external audits, including preparation of fixed asset schedules and supporting documentation.
  • Develop and maintain capitalization policies and internal controls.


Capital Expenditures & Budgeting

  • Review and approve capital expenditure requests based on operational performance and cash availability.
  • Partner with facility administrators and operations teams on capital planning by facilitating quarterly meetings to review capital purchases and upcoming capital projects.
  • Manage and further enhance five-year capital planning process.
  • Track capital budgets versus actual spending.
  • Provide reporting and analysis on capital investments and asset utilization.


Team Leadership & Process Improvement

  • Support Accounts Payable in the identification of potential capital purchases and appropriate general ledger coding.
  • Identify and implement process improvements and automation opportunities.
  • Ensure standardized procedures across all facilities.
  • Provide training to accounting and operations personnel on capitalization policies.


This is a brief overview of job responsibilities and not intended to be all inclusive.

The Carmelite System Can Offer You:

  • Competitive Compensation
  • Health (Aetna), Dental, Vision, HSA with employer contribution
  • Benefits available 1st of the mo. following 30 days
  • Flexible Spending Account
  • Fully paid Life and Long-Term Disability insurance
  • AFLAC and supplemental life insurances
  • Retirement Plan
  • Student Loan Forgiveness Guidance
  • Employee Assistance Program with Discount Marketplace
  • Generous Paid-Time-Off with 12 Holidays


Please consider joining our team working where The Difference is Love!

#AppPA2026

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