Audit Manager​/Director; Healthcare

Cleveland, United States | Posted on 09/28/2026

Rust Belt Resources has partnered with a fast-growing, mid-sized regional public accounting firm with over 170 professionals and a expanding national client base. With established offices across the Midwest, Mid-Atlantic, and Southeast, the firm combines the resources and technical sophistication of a national practice with a flexible, people-first workplace culture.

We are seeking experienced leaders at the Manager or Director level to join the firm's Healthcare Audit practice, specializing in skilled nursing facility (SNF) clients.

This position offers exceptional flexibility and can be based out of offices in Northeast Ohio (Hybrid - Cleveland or Akron area),
Central/Shore New Jersey (3-4 days in office), or performed fully remotely
.

In this role, you will play a critical part in leading complex audit engagements, managing client relationships, mentoring high-performing teams, and driving practice growth. The firm provides strong administrative resources, flexibility, and firm-level support necessary to advance your career toward partner track while maintaining a sustainable work-life balance.

• Engagement Leadership: Lead and oversee complex healthcare audit engagements from planning through issuance, ensuring compliance with GAAP and industry assurance standards.
• Review & Technical Quality: Conduct high-level reviews of financial statements, audit documentation, and internal control evaluations for healthcare and SNF entities.
• Team Development & Mentorship: Direct, mentor, and train staff and seniors, facilitating performance reviews and fostering continuous technical development.
• Practice Management: Oversee engagement budgets, billing, resource allocation, and project timelines across multiple simultaneous engagements.
• Client Relationship Management: Serve as a primary point of contact for executive-level client management, offering technical insights and proactive advisory.
• Business Development (Director Level): Identify growth opportunities, lead proposal efforts, and actively support practice expansion and business development initiatives.
• Technical Expertise: Oversee technical research on emerging healthcare accounting standards, GAAP updates, and regulatory requirements.

• Bachelor’s degree in Accounting or Finance;
  Master’s or advanced degree preferred.
• Active CPA certification required for Manager/Director.
• 6 to 10+ years of public accounting audit experience, with demonstrated management experience.
• Healthcare audit experience required; specialized expertise in skilled nursing facilities (SNF) is a plus.
• Proven track record of team leadership, engagement economics management, and client relationship building.
• Exceptional communication, strategic thinking, and executive presence.

Arizona, Arkansas, Colorado, Florida, Georgia, Illinois, Indiana, Michigan, Missouri, Nebraska, New Jersey, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin.

Note:

We are unable to offer employment or consider applicants residing outside of these approved states at this time.

Genuine commitment to manageable busy season hours and reasonable workload distribution.

Hybrid options in Northeast Ohio or New Jersey offices, or 100% full-time remote capability.

Direct exposure to executive leadership with structured pathways to partner track and equity opportunities.

Consistently recognized regional top employer with an emphasis on career development, mentorship, and retention.