Finance Manager

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

• Prepare monthly management accounts, including income and expenditure reports, balance sheet reconciliations, cash flow analysis, variance commentary, and performance against budget;
• Produce financial reports for senior management, service leads, budget holders, and the Board;
• Monitor financial performance across healthcare contracts and identify risks, trends, cost pressures, and improvement opportunities;
• Provide variance analysis across actuals, budgets, forecasts, and contract assumptions;
• Maintain financial reporting timetables and meet internal, commissioner, and external reporting deadlines;
• Support month-end and year-end close processes, including journals, accruals, prepayments, deferred income, contract income, and reconciliations;
• Work with senior managers within the agreed governance framework;
• Lead annual budget setting for departments, services, and contracts;
• Prepare rolling forecasts and reforecasts;
• Support financial planning for NHS contracts, new services, contract extensions, mobilisation, demobilisation, and service redesign;
• Provide financial input into business cases, tenders, pricing models, investment proposals, and service development plans;
• Identify cost improvement, productivity, income protection, and resource optimisation opportunities without compromising patient care;
• Prepare short-term and medium-term cash flow forecasts;
• Monitor cash balances, receipts, supplier payments, payroll commitments, VAT, tax, and working capital movements;
• Ensure timely invoicing, credit control, debt management, and resolution of payment queries;
• Support aged debt, accrued income, deferred income, and contract income recognition management;
• Control and authorise payment runs in line with cash flow requirements;
• Escalate cash flow risks to senior finance leadership;
• Support financial management of NHS contracts and commissioned services;
• Assist with contract finance schedules, activity-based income reporting, contract reconciliations, and commissioner queries;
• Analyse service activity, performance metrics, utilisation, and the financial impact of under- or over-performance;
• Support financial reporting to NHS commissioners, Trust partners, Integrated Care Boards, and healthcare partners;
• Contribute to pricing, costing, and profitability reviews;
• Act as a finance business partner to service managers, operational leads, and senior managers;
• Advise and challenge budget holders on financial performance, expenditure controls, staffing costs, contract profitability, and resource allocation;
• Meet with budget holders to review performance, explain variances, agree corrective actions, and support decision-making;
• Translate financial information into practical insights for non-finance colleagues;
• Promote financial awareness and accountability;
• Train and guide managers on budgets, forecasts, financial processes, purchase ordering, invoicing, and financial controls;
• Manage, support, and develop a small finance team;
• Oversee purchase ledger, sales ledger, reconciliations, credit control, payment processing, and financial administration;
• Allocate work across the team and ensure deadlines are met;
• Review junior finance staff work and provide feedback and technical guidance;
• Maintain and improve financial controls, policies, and procedures;
• Ensure compliance with authorisation limits, procurement processes, payment controls, and governance requirements;
• Support audit preparation and respond to statutory audit, internal audit, commissioner review, and due diligence queries;
• Maintain accurate records and appropriate evidence for transactions, contract income, expenditure, and reconciliations;
• Support financial risk management, fraud prevention, and control improvements;
• Ensure finance processes comply with accounting standards, tax requirements, data protection obligations, and company policies;
• Use finance systems to produce accurate reports and improve efficiency;
• Develop and maintain reporting templates, dashboards, reconciliations, and analysis tools;
• Streamline month-end, budgeting, invoicing, purchase-to-pay, and reporting processes;
• Improve data quality, activity reporting, and links between operational performance and financial results;
• Support finance systems, reporting tools, and digital process implementation or improvement;
• Comply with policies and procedures relating to confidentiality, information governance, safeguarding, equality and diversity, health and safety, and financial governance;
• Maintain understanding of DMC Healthcare’s NHS service delivery model and the financial requirements of an independent healthcare provider;
• Support ad hoc projects, tenders, contract reviews, audits, and senior management requests;
• Promote DMC Healthcare’s values and contribute to safe, effective, high-quality patient services.

• Degree-level education;
• Part-qualified or fully qualified accountant, or qualification through significant relevant experience;
• Relevant accounting qualification or active study towards ACCA, CIMA, ACA, CIPFA, or equivalent;
• Strong 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;
• Nice to have: Fully qualified accountant, continuing professional development, NHS or healthcare finance, commissioner reporting, contract finance, NHS or independent healthcare experience, community services, diagnostics, outpatient services, insourced or outsourced clinical services, NHS contracts, activity-based income, healthcare service costing, tenders, business cases, mobilisation of new services, contract profitability reviews, multi-site or fast-moving healthcare environments.

• 25 Days of annual leave plus bank holidays, increasing with length of service;
• Access to NHS Discount Scheme;
• Collaborative and inclusive team culture across clinical and technical functions.