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About the Role

The Finance Manager will provide comprehensive financial management services to DMC Healthcare, supporting the organization's delivery of NHS community services and outsourced/insourced secondary care contracts. This hands-on role requires strong technical accounting skills, commercial awareness, NHS-sector understanding, and the ability to support operational managers with financial decision-making.

Responsibilities

• Prepare accurate and timely monthly management accounts, including income and expenditure reports, balance sheet reconciliations, cash flow analysis, and variance commentary.
• Produce clear financial reports for senior management, service leads, budget holders, and the Board.
• Monitor financial performance across various healthcare contracts, identifying risks, trends, and opportunities for improvement.
• Provide meaningful variance analysis, explaining differences between actuals, budgets, forecasts, and contract assumptions.
• Maintain robust financial reporting timetables and ensure deadlines are met for internal, commissioner, and external reporting.
• Support month-end and year-end close processes, ensuring accurate completion of journals, accruals, prepayments, and income recognition.
• Work with senior managers to ensure DMC operates within the agreed governance framework.
• Lead the annual budget-setting process, working with operational and clinical leads to ensure realistic and evidence-based budgets.
• Prepare rolling forecasts and reforecasts, highlighting financial risks, income assumptions, and cost pressures.
• Support the development of financial plans for NHS contracts, new services, and service redesign.
• Work with managers to understand activity, workforce, estates, clinical supplies, subcontractor costs, and overhead assumptions.
• Provide financial input into business cases, tenders, pricing models, investment proposals, and service development plans.
• Identify opportunities for cost improvement, productivity gains, income protection, and better resource utilization.
• Prepare and maintain short-term and medium-term cash flow forecasts.
• Monitor cash balances, expected receipts, supplier payments, payroll commitments, VAT, tax, and other key working capital movements.
• Work with the finance team to ensure timely invoicing, credit control, debt management, and resolution of payment queries.
• Support the management of aged debt, accrued income, deferred income, and contract income recognition.
• Ensure payment runs are appropriately controlled, authorised, and aligned with cash flow requirements.
• Escalate cash flow risks promptly to senior finance leadership.
• Support financial management of NHS contracts, including community services, elective care, diagnostics, insourcing, and outsourcing.
• Assist with contract finance schedules, activity-based income reporting, contract reconciliations, and commissioner queries.
• Work with operational teams to understand service activity, performance metrics, and the financial impact of performance.
• Support financial reporting to NHS commissioners, Trust partners, Integrated Care Boards, and other healthcare partners.
• Contribute to pricing, costing, and profitability reviews for NHS and healthcare contracts.
• Ensure financial information supports contract compliance, service performance monitoring, and commercial decision-making.
• Act as a finance business partner to service managers, operational leads, and senior managers.
• Provide advice and challenge to budget holders on financial performance, expenditure controls, staffing costs, contract profitability, and resource allocation.
• Meet regularly with budget holders to review financial performance, explain variances, agree corrective actions, and support informed decision-making.
• Translate financial information into clear, practical insights for non-finance colleagues.
• Promote financial awareness and accountability across the organisation.
• Provide training and guidance to managers on budgets, forecasts, financial processes, purchase ordering, invoicing, and financial controls.
• Manage, support, and develop a small finance team, ensuring clear objectives, regular supervision, and appropriate training.
• Oversee day-to-day finance operations, including purchase ledger, sales ledger, reconciliations, credit control, payment processing, and financial administration.
• Allocate work effectively across the team and ensure deadlines are met.
• Review work prepared by junior finance staff, providing feedback and technical guidance.
• Support a culture of continuous improvement, collaboration, accountability, and customer service within the finance function.
• Maintain and improve financial controls, policies, and procedures across DMC Healthcare.
• Ensure compliance with internal authorisation limits, procurement processes, payment controls, and financial governance requirements.
• Support audit preparation and respond to audit queries, including statutory audit, internal audit, commissioner reviews, and due diligence exercises.
• Maintain accurate records and ensure appropriate evidence is retained for financial transactions, contract income, expenditure, and reconciliations.
• Support the Finance Director / Head of Finance in managing financial risk, fraud prevention, and control improvements.
• Ensure finance processes comply with relevant accounting standards, tax requirements, data protection obligations, and company policies.
• Use finance systems effectively to produce accurate reporting and improve efficiency.
• Develop and maintain reporting templates, dashboards, reconciliations, and analysis tools.
• Identify opportunities to streamline month-end, budgeting, invoicing, purchase-to-pay, and reporting processes.
• Work with operational teams to improve data quality, activity reporting, and the link between operational performance and financial results.
• Support implementation or improvement of finance systems, reporting tools, and digital processes.
• Comply with DMC Healthcare policies and procedures, including those relating to confidentiality, information governance, safeguarding, equality and diversity, health and safety, and financial governance.
• Maintain a strong understanding of DMC Healthcare’s NHS service delivery model and the financial requirements of operating as an independent healthcare provider.
• Work flexibly to meet the needs of the organisation, including supporting ad hoc projects, tenders, contract reviews, audits, and senior management requests.
• Promote DMC Healthcare’s values and contribute to the delivery of safe, effective, high-quality patient services.

Requirements

• Educated to degree level.
• Part-qualified or fully qualified accountant or qualified by significant relevant experience.
• Relevant accounting qualification or active study towards ACCA, CIMA, ACA, CIPFA, or equivalent.
• Strong general education, including numeracy and literacy.
• Experience preparing monthly management accounts, budgets, forecasts, and variance analysis.
• Experience managing cash flow, working capital, invoicing, credit control, or payment processes.
• Experience supporting budget holders and explaining financial information to non-finance colleagues.
• Experience managing or supervising finance staff.
• Strong experience with Excel, finance systems, reconciliations, and financial reporting.
• Experience working to month-end and year-end deadlines.
• Experience improving finance processes and internal controls.
• Fully qualified accountant (desirable).
• Evidence of continuing professional development (desirable).
• Experience of NHS finance, healthcare finance, commissioner reporting, or contract finance (desirable).
• Experience in the NHS, independent healthcare sector, community services, diagnostics, outpatient services, or insourced/outsourced clinical services (desirable).
• Experience of NHS contracts, commissioner reporting, activity-based income, or healthcare service costing (desirable).
• Experience supporting tenders, business cases, mobilisation of new services, or contract profitability reviews (desirable).
• Experience working in a multi-site or fast-moving healthcare environment (desirable).

Skills

• Technical accounting skills
• Commercial awareness
• NHS-sector understanding
• Financial decision-making
• Analytical skills
• Attention to detail
• Communication skills
• Excel proficiency
• Finance systems proficiency
• Reconciliation skills
• Financial reporting skills
• Process improvement
• Internal controls
• Team management
• Leadership

Location

• Head Office - London, SE15

Work Type

• Full Time

Experience Level

• Significant relevant experience

Education Level

• Degree level
• Part-qualified or fully qualified accountant
• Relevant accounting qualification (ACCA, CIMA, ACA, CIPFA, or equivalent)

Benefits

• 25 days of annual leave, in addition to bank holidays (increasing with length of service)
• Access to NHS Discount Scheme
• A collaborative and inclusive team culture across clinical and technical functions

About the Company

• DMC Healthcare delivers NHS community services and outsourced/insourced secondary care contracts.
• Operates as an independent healthcare provider.