Tax Manager - Healthcare & Private Equity

Team: Healthcare TaxLocation: Charlotte, NC; Chattanooga, TN; Raleigh, NC; Columbia, SC; Charleston, SC; Nashville, TN; Greenville, SC

Experience: 5–7+ years of public accounting experience

Certification: Active CPA required; EA candidates may be considered, with a strong preference for CPACompany OverviewThe client provides forward-thinking tax, assurance, and consulting services with a strong focus on workplace culture, inclusivity, collaboration, and professional growth.

Role Overview: The Tax Manager – Healthcare will lead tax strategy and compliance for healthcare clients, serving as a technical expert for private equity-backed healthcare entities. This person will also serve as a key integrator for new business coming through the pipeline and will be responsible for onboarding large-scale practice groups, ensuring seamless integration from proposal through filing.

Core Responsibilities: Develop and maintain strong relationships with privately held and private equity-backed healthcare companies, serving as a trusted primary tax advisor. Perform technical reviews of federal, state, and local tax returns of varying complexity. Provide tax modeling and consulting for mergers, acquisitions, and equity transactions. Review operating agreements, LOIs, purchase agreements, and other legal documents to identify tax efficiencies and mitigate risk. Lead onboarding and integration of large healthcare practice groups ranging from 20 to 100+ locations. Monitor engagement economics, including budgeting, billing, and collections. Recruit, develop, and motivate team members while building a pipeline of "ready-now" leaders. Partner with internal departments to provide comprehensive business solutions and identify growth opportunities. Build and leverage a professional network within the healthcare and private equity communities. Manage multiple complex engagements while consistently meeting client expectations.

Ideal Candidate: ProfileActive CPA strongly preferred. Candidates with an EA may be considered, but CPA is the preference for this level.5–7+ years of public accounting experience, with a strong focus on Partnerships (Subchapter K) and flow-through entities. Experience in Healthcare and/or Private Equity tax strongly preferred. Experience with multi-state healthcare practice groups is desirable. Strong technical tax review skills, including the ability to perform "cold checks" on complex tax returns and transactional documents.3+ years of experience managing staff and overseeing the financial performance of a client portfolio. Proven ability to develop junior and mid-level professionals into "ready-now" leaders through coaching and technical training. Strong professional network or demonstrated ability to build relationships within the healthcare community. Excellent communication, interpersonal, analytical, and organizational skills. Bachelor's degree in Accounting required; MST or MAcc preferred, but not required.

What Makes This Role Attractive: Generous PTO and paid firm holidays, including the week between Christmas and New Year's. Flexible work schedules.16 weeks of paid maternity and adoption leave.8 weeks of paid parental leave.4 weeks of paid caregiver leave once eligible. Comprehensive health and wellness benefits. Wellness coaching and mental health counseling. One-on-one professional coaching. Leadership and career development programs. Access to a professional and personal growth program offering experiences designed to support career and life development. Recruiter Screening PrioritiesCPA/EA: Confirm active CPA first; EA can be considered, but CPA is strongly preferred. Public Accounting: Confirm 5–7+ years of public accounting experience. Firm Size: Verify the candidate's previous firm had 500+ employees. Top 50 Firm: Prioritize candidates from a Top 50 tax/public accounting firm. Partnership Tax: Subchapter K and flow-through experience are critical. Healthcare/PE: Look for healthcare and/or private equity tax experience. Management: Confirm 3+ years of people management experience. Technical Expertise: Validate experience with complex returns, technical reviews, tax modeling, M&A, and transactional documents. Client Management: Look for experience managing client relationships and engagement economics.