Senior Management Accountant

NHS; City Of London; On-site; GBP 45,000 - 60,000; Full time

Job summary

A leading healthcare organization in London is seeking a Management Accountant to support financial management and strategic decision-making. Key responsibilities include preparing management accounts, analyzing performance, and ensuring compliance with financial regulations. The ideal candidate will be a part-qualified or qualified accountant with strong analytical skills and advanced Excel proficiency. This role offers an opportunity to significantly impact the financial strategy of the organization.

Qualifications

• Proven experience in management accounting or financial management.
• Experience in budgeting and forecasting.
• Understanding of confidentiality and data protection.

Responsibilities

• Prepare monthly and quarterly management accounts.
• Support annual budgeting and forecasting processes.
• Monitor NHS and non-NHS income streams.

Skills

Strong analytical skills

Advanced Excel skills

Communication of financial information

Attention to detail

Knowledge of NHS finance

Education

Part-qualified or qualified accountant (CIMA, ACCA, ACA, or equivalent)

Tools

Xero

QuickBooks

Sage

Job description

The Management Accountant will play a key role in supporting thefinancial managementand strategic decision-making of the GP Practice. This role involves preparingaccurateandtimelyfinancial reports, analysing performance, managing budgets, and ensuring the practice meets its financial and statutory obligations.

You will work closely with the Practice Managers, GP Partners, andDirectorstoprovidefinancial insight that supports efficient, compliant, and sustainable operations.

Main duties of the job

Key Responsibilities

Prepare monthly and quarterly management accounts, including P&L, balance sheets, and cash flow forecasts.

Analyse variances andprovideactionable insights to improve performance.

Support annual budgeting and forecasting processes.

Monitor NHS and non-NHS income streams and manage PCN funding.

Ensure compliance with NHS financial regulations andmaintainrobust internal controls.

Advise on cost efficiency and funding opportunities.

About us

Bromley by Bow Health Partnership is a forward-thinking GP practice committed to delivering high-quality care and innovative services to our community. We are looking for a skilledSenior Management Accountantto join our team and play a key role in shaping our financial strategy and supporting sustainable operations.

Job responsibilities

Key Responsibilities

Prepare monthly and quarterly management accounts, including profit and loss statements, balance sheets, and cash flow forecasts.

Reconcile the monthly transactions for each cost centre, liaise with budget holdersto clarify the expenditure and any queries on categorisation

Analyse variances between actual and budgeted results,identifyingtrends and areas for improvement, report to Director of Finance and Corporate Services.

Ensure that invoicing,accrualsand prepayment schedules are in order and calculations areaccurate

Prepare year-end accounts, including all reconciliations and resolving queriesand liaise with external accountants for finalisation and audit preparation.

Assistwith creating a new set of management accounts pack including setting the coding in the accounting software and designing the reports

Budgeting & Forecasting

Support the annual budget-setting process in collaboration with the Practice Managers,Partnersand Directors

Prepare budget templates which are user-friendly, well- developed to accommodate any changes and efficient.

Develop financial forecasts andmonitorperformance against budgets.

Provide financial modelling and analysis to support decision-making and long-term planning.

Income & Expenditure Management

Monitor NHS and non-NHS income streams (e.g. GMS/PMS payments, enhanced services, QOF, private income).

Track and reconcile PCN payments and reimbursements, including setting automated templates to track the invoicing.

Manage staff allocationsin payroll journals, provide staff cost reports to budget holders,

Financial Compliance & Controls

Ensure compliance with NHS financial regulations, tax obligations, and payroll legislation.

Maintain strong internal financial controls and procedures

Assistwith providing the documentation of the processes, review financepoliciesand procedures, ensuring that the accounting principles are applied consistently.

Assistwith data analysis and compliance metrics for Practice Managers

Operational Support

Advise on cost efficiency, service profitability, and funding opportunities.

Track and report onPCN funding including reimbursements, shared roles, and service income.

Provide financial data and insights for CQC inspections, business cases, and funding bids.

Person Specification

Part-qualified or qualified accountant (CIMA, ACCA, ACA, or equivalent).

Proven experience in management accounting orfinancial management.

Strong analytical andadvancedExcel skillsincluding complex formulas and Power Query

Experience in budgeting and forecasting

Excellent attention to detail and accuracy.

Ability to communicate financial information clearly to non-financial colleagues.

Understanding of confidentiality and data protection.

Experience in primary care, healthcare, or NHS finance.

Familiarity with accounting software (e.g. Xero, QuickBooks, Sage).

Knowledge of GP Practice funding streams and NHS contracts.

Person Specification

Qualifications

• Part-qualified or qualified accountant (CIMA, ACCA, ACA, or equivalent).
• Proven experience in management accounting or financial management.
• Strong analytical and advanced Excel skills including complex formulas and Power Query
• Experience in budgeting and forecasting
• Excellent attention to detail and accuracy.
• Ability to communicate financial information clearly to non-financial colleagues.
• Understanding of confidentiality and data protection.
• Experience in primary care, healthcare, or NHS finance.
• Familiarity with accounting software (e.g. Xero, QuickBooks, Sage).
• Knowledge of GP Practice funding streams and NHS contracts.

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.

Director of Finance and Corporate Services