Finance Manager

Job responsibilities

The Person

The successful candidate will bring strong accounting and financial management expertise, producing clear and accurate financial reports to support decision-making across the organisation. They will possess excellent analytical skills, attention to detail, and the ability to identify risks, explain variances, and recommend corrective actions.The role requires a confident and constructive communicator who can work effectively with clinical, operational, and senior management teams. The Finance Manager will be commercially aware and able to balance financial performance with service quality and the delivery of high-quality, patient-focused care. They will provide clear and practical financial advice, build trust with managers, and support transparency, accountability, and continuous improvement ensuring that there is a tight governance process encompassing the above.

The successful candidate will be proactive, hands-on, and solutions-focused, with strong organisational skills and the ability to manage competing deadlines in a changing and growing organisation. They will be able to work independently while also contributing as a collaborative team member, and will have the capability to manage, motivate, and develop a small team. A high level of integrity, discretion, and professionalism will be essential.

Key Responsibilities

Financial management and reporting

• 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.

Budget setting, forecasting, and business planning

• 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.

Cash flow and working capital management

• 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.

NHS contract and commissioner finance support

• 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.

Budget-holder support and business partnering

• 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.

Team management and leadership

• Manage, support, and develop a small finance team, ensuring clear objectives, regular supervision, appropriate training, and high ...