Finance Manager Job at DMC Healthcare (London)

Job Description

The Finance Manager will provide a comprehensive, accurate, and timely financial management service to DMC Healthcare, supporting the organisation’s delivery of NHS community services and outsourced/insourced secondary care contracts. The postholder will be responsible for budget setting, monthly management accounts, cash flow management, financial reporting, forecasting, variance analysis, and supporting operational managers with financial decision-making within an agreed governance framework. The role will also manage a small finance team and help ensure that DMC Healthcare maintains and operates within strong financial controls, contract-level reporting, that provides value-for-money across its healthcare services. This is a hands-on finance role requiring strong technical accounting skills, commercial awareness, NHS-sector understanding, and the ability to work closely and hold to account the operational, clinical, and senior management teams.

Job Responsibility

Prepare accurate and timely monthly management accounts for DMC Healthcare, including income and expenditure reports, balance sheet reconciliations, cash flow analysis, variance commentary, and performance against budget
Produce clear, practical financial reports for senior management, service leads, budget holders, and the Board as required
Monitor financial performance across community, outpatient, diagnostic, insourced, and outsourced secondary care contracts, identifying risks, trends, cost pressures, 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 reporting, commissioner reporting, and external stakeholder requirements
Support month-end and year-end close processes, ensuring journals, accruals, prepayments, deferred income, contract income, and reconciliations are completed accurately
Work with senior managers to ensure DMC operates within the agreed governance framework
Lead the annual budget-setting process for relevant departments, services, and contracts, working with operational and clinical leads to ensure budgets are realistic, evidence-based, and aligned to activity plans
Prepare rolling forecasts and reforecasts, highlighting financial risks, income assumptions, cost pressures, workforce trends, and expected contract performance
Support the development of financial plans for NHS contracts, new services, contract extensions, mobilisation, demobilisation, 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 use of resources without compromising quality of patient care
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 commissioner or customer 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, diagnostic pathways, insourcing, outsourcing, and other commissioned services
Assist with contract finance schedules, activity-based income reporting, contract reconciliations, and commissioner queries
Work with operational teams to understand 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 other healthcare partners where required
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, appropriate training, and high standards of accuracy and professionalism
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 where required
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

Nice to have

Fully qualified accountant
Evidence of continuing professional development
Experience of NHS finance, healthcare finance, commissioner reporting, or contract finance
Experience in the NHS, independent healthcare sector, community services, diagnostics, outpatient services, or insourced/outsourced clinical services
Experience of NHS contracts, commissioner reporting, activity-based income, or healthcare service costing
Experience supporting tenders, business cases, mobilisation of new services, or contract profitability reviews
Experience working in a multi-site or fast-moving healthcare environment

What we offer

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

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