Director of Income

University Hospitals of Derby and Burton NHS Foundation Trust; East Midlands; Hybrid; GBP 90,000 - 110,000; Full time

Job summary

University Hospitals of Derby and Burton NHS Foundation Trust seeks a strategic Director of Income & Contracting (Band 9) to lead income analytics, pricing, and negotiating high-value contracts. Reporting to the Deputy Chief Finance Officer, you will oversee income budgeting, contract monitoring, and monthly reporting while embedding new payment arrangements to improve care delivery across our NHS network.

The role requires CCAB-qualified accounting, extensive NHS contracting experience, and

Qualifications

• CCAB-qualified accountant with current professional membership and CPD evidence.
• Degree-level education and a Masters degree, or equivalent relevant experience.

Responsibilities

• Lead negotiations across a substantial commissioner portfolio, including our main contracts.
• Set the Trust's income budget and lead annual negotiations and forecasting.
• Develop new payment arrangements and embed pricing and income analytics.
• Collaborate with clinical and operational colleagues to align contracts with service plans and recovery plans.

Education

CCAB-qualified accountant

Degree-level education

Masters degree

Job description

University Hospitals of Derby and Burton NHS Foundation Trust

Director of Income

The closing date is 08 November 2026

Director of Income & Contracting - Band 9 University Hospitals of Derby and Burton NHS Foundation Trust Royal Derby Hospital, with hybrid working

An exciting opportunity has arisen for an experienced senior finance leader to join UHDB as Director of Income & Contracting. You will directly contribute to delivering the best possible outcomes for patients by securing contract and payment arrangements that appropriately fund our services and support improvements in care.Reporting to the Deputy Chief Finance Officer, you will be the Trust's most senior recognised income and pricing expert. You will lead negotiations across a substantial commissioner portfolio, including our £800m main contract, £260m second-largest contract and other material contracts, working across multiple ICBs and commissioning arrangements.

You will lead an integrated team covering income analytics and reporting, and negotiation and commissioning development. Your responsibilities will include setting the Trust's income budget, leading annual negotiations and continuous planning, and ensuring effective monthly reporting and contract monitoring. A key priority will be developing new payment arrangements and embedding pricing and income analytics to improve decisions, reduce unwarranted variation, increase productivity and support care closer to home. Working alongside clinical and operational colleagues, you will align contracts with deliverable service and recovery plans. You will also regularly deputise for the Deputy CFO. We are looking for a CCAB-qualified accountant with substantial senior NHS finance and contracting experience, expert knowledge of payment mechanisms and a strong record of leading complex negotiations. You will combine sound judgement and analytical ability with the confidence to influence senior colleagues, build constructive commissioner relationships and develop your team.

Closing date of applications: 8 November 2026

Interview date: 20 November 2026

About us

As a trusted organisation at the heart of our communities, we recognise the important role we can play in supporting the public, patients, our own people and local partners in achieving the best of health for the local population and the communities in which they live by providing Exceptional Care Together

Our fundamental Values of Compassion, Openness and Excellence underpin how we intend to work as a Trust and the associated behaviours are becoming embedded in all aspects of how we work.

In return we will offer:

• Development opportunities, both professional and leadership development
• On-going support from recruitment to when you join our team and beyond.
• Staff benefits including employee assistance programme, discounted gym membership, onsite fitness classes, car schemes

Key Facts:

• We see on average 4810 OP appointments a day.
• We are the 4th busiest Trauma & Orthopaedic outpatients department in England - an average of 2077 per week.
• An average of 1115 patients are seen in A&Es across our network every day - 3rd largest in the country.
• Our hospitals admit an average of 195 emergency patients daily.
• Last year we undertook almost 33,700 planned surgical operations in our 57 operating theatres.
• We are one of only 7 Trusts nationally with more than 50 operating theatres.
• We carry out more than 140 elective procedures each working day.
• UHDB is a research active University Hospital with a large and varied portfolio of clinical trials and research opportunities for all staff.

UHDB is committed to fair and transparent recruitment. We welcome authentic applications that reflect your own skills, experience and motivations for the role. While we understand that candidates may use AI tools for grammar, formatting or accessibility purposes, applications that appear to be substantially AIgenerated may be subject to additional review. If this applies to your submission, we will let you know and may ask for clarification. Please ensure your application accurately represents your experience and is written in your own words.

Your application (for shortlisting purposes) is assessed based on the Person Specification in the job advert (below).

Person Specification

Qualifications

• CCAB-qualified accountant with current professional membership and evidence of continuing professional development
• Degree-level education and a Masters degree, or equivalent relevant experience

Knowledge and technical skills

• Expert knowledge of NHS funding flows, payment mechanisms, the NHS Standard Contract, financial planning and regulatory requirements, including acute and specialised commissioning.

Experience

• Substantial senior finance leadership experience in the NHS or a large, complex public sector organisation, with significant NHS income, contracting and payment mechanism experience.
• Proven leadership of complex, high-value commissioner negotiations, including resolving disputes, managing material risks and securing agreement across organisational boundaries
• Experience of setting organisational income budgets, owning forecasting assumptions and delivering reliable income reporting, contract monitoring, reconciliations and financial controls.
• Experience of interpreting complex activity, pricing, income and cost information, overseeing analytical models and translating findings into clear recommendations for senior decision makers

Leadership

• Evidence of delivering challenging financial or service objectives, working with clinical and operational colleagues to develop and monitor deliverable service plans, including recovery plans where required.
• Experience of leading and developing finance teams, managing delegated budgets and establishing clear objectives, accountability and consistent standards
• Evidence of influencing senior stakeholders, providing Board or executive-level advice and exercising sound judgement within delegation, with the breadth of finance knowledge required to deputise regularly for the Deputy CFO

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer name

University Hospitals of Derby and Burton NHS Foundation Trust