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Humber and North Yorkshire Integrated Care Board (857) seeks a Head of Contract Financial Management to oversee planning, reporting and costing for a portfolio of NHS contracts. The role leads the contract finance team and ensures payments align with national guidance and value-for-money objectives.
The post involves senior-level collaboration with Contracting, Analytics, and Strategic Commissioning to deliver outcome-based and fixed-sum payment models across a large population.
Humber and North Yorkshire Integrated Care Board (857)
The closing date is 25 November 2026
This is an exciting opportunity to take a leading role in shaping contract financial management across NHS Humber and North Yorkshire ICB. You will be at the heart of how we manage significant provider contracts, strengthen financial oversight and develop payment approaches that deliver better value and outcomes for our population. We are looking for someone who brings strong financial and contract management insight, commercial thinking, sound judgement and the confidence to work collaboratively with senior colleagues and NHS providers. You will join a supportive and ambitious team at an important point in the development of our strategic commissioning and contracting arrangements, with real scope to influence how we work in the future.
You will lead the financial planning, monitoring, forecasting and reporting of a complex portfolio of NHS and other provider contracts, providing clear assurance on expenditure, activity, performance, risks and delivery against agreed financial envelopes. You will ensure the NHS Payment Scheme and national contracting guidance are applied consistently; lead financial input to contract negotiations, reconciliations and dispute resolution; and develop robust costing models and payment mechanisms, including fixed, blended, risk-share and outcomes-based arrangements. Working closely with Contracting, Insight and Analytics, Strategic Commissioning and provider colleagues, you will turn complex financial and activity data into practical advice for senior decision-makers. You will also lead and develop the contract finance team, strengthen controls and reporting, and promote collaborative, evidence-based contract management.
NHS Humber and North Yorkshire Integrated Care Board (ICB) is the strategic commissioner of NHS services for a population of 1.7 million people. We plan and arrange services to meet our populations diverse health needs, focusing on improving health outcomes, reducing inequalities and making the best use of available resources. Our area reaches over 1,500 square miles and includes the cities of Hull and York and large rural areas across East Yorkshire, North Yorkshire and Northern Lincolnshire.
Our role is to make sure health services work well and are of high quality. We also work to join up health and care services, improve the health and wellbeing of local people and reduce health inequalities across our area.
The ICB adopts a Purposeful Presence model as the default way of working. Subject to any reasonable adjustments that may be required, this means:
Individual work is undertaken remotely and digitally in almost all Circumstances.
Collaborative work is predominantly delivered through digital platforms.
In-person working is reserved for situations where outcomes cannot be achieved effectively through digital means.
Contractual bases are determined by post category. This post is designated as:Agile Post
This means the appointed postholder may choose either Health House, Willerby or home as their contractual base (please note that the Purposeful Presence principles still apply if Health House is chosen)
This role is pivotal in ensuring thefinancial integrity and sustainability of provider contracts, supporting theICBs transition to a value-based, outcomes-driven commissioning model as setout in the Model ICB Blueprint. It ensures financial planning, reporting,contract monitoring, and costing are robust, transparent, and grounded indetailed analytical insight aligned to population health needs and strategicgoals.
The Headof Contract Financial Management leads the financial oversight, monitoring, andassurance of the ICBs provider contracts, working in close partnership withContracting colleagues, Insight and Analytics teams, and StrategicCommissioning. The role ensures contracts are financially robust, support thetransition to fixed sum payments, blended and outcomes-based contracts, and arefully aligned with national policy, the commissioning cycle, and populationhealth priorities.
Thepostholder drives the application of national payment guidance, developsadvanced contract costing and financial models, and collaborates with Analyticsand Contracting teams to ensure contract values and payment mechanisms reflectactivity, need, and value for money. This is integral to supporting the ICBsfunction as an intelligent healthcare payer, able to commission effectivelythrough evidence-based and analytically driven decision-making.
Thepostholder works autonomously, leading the team, through the guidance ofnational policies and financial frameworks. The postholder will applyinterpretation of these to service delivery to ensure the ICB has a strong andeffective contracting service that supports strategic commissioningnegotiations and enactment of contracts.
KeyRelationships
To deliver these key responsibilities the postholder will need to developed effective relationship with the following businessunit teams, stakeholders and organisations:
Assistant Director of Finance - ContractFinancial Management
Director of Finance
Strategic Commissioning Teams
Contracting and Performance teams
Insight and Analytics teams
Provider Contract and Finance Leads
NHS England Payment and Finance Teams
Clinical Leadership and Programme Leads
Budget Holders and ICB Senior Leadership
Internal and External Auditors
CoreFunctions
Lead the planning, monitoring and reporting ofall NHS provider contracts, including expenditure and ensuring robust alignmentwith fixed sums, blended payments, outcomes-based models, and local populationhealth needs.
Produce high-quality, detailed financialreports, including planning, forecasts, variance analysis, and contractperformance reports that support contract decision-making and governance.
Ensure consistent, correct application of NHSPayment Scheme rules, national tariff guidance, and financial policies withinall contracts.
Work proactively and collaboratively withContracting, Insight and Analytics, and Strategic Commissioning teams to ensurecontract values are based on accurate activity modelling, demand forecasting,and costed population need.
Develop, test, and oversee innovative paymentmechanisms (e.g., risk-sharing, gainshare, outcome-based contracts), includingfull costing models and financial risk arrangements.
Champion the use of advanced analyticalapproaches and costing methodologies to inform contract negotiations, renewals,and performance management.
Take the lead finance role in negotiating andmanaging NHS contracts with colleagues, working with the Contracting andProcurement Team for the ICB
The role will require contract negotiation andpersuasive skills and the ability to develop relationships with other NHS providerorganisations.
Lead the financial input into contractgovernance, compliance, and assurance processes, ensuring robust stewardship,audit readiness, and accountability.
Lead, manage, and develop a team of contractfinance staff, fostering high performance, analytical rigour, and collaborativeworking across functions.
Humber and North Yorkshire Integrated Care Board (857)