Overview
This is a high impact role within medneo UK, a fast-growing, private equity backed healthcare business transforming access to diagnostic imaging across the UK. Reporting to the Head of FP&A, the Management Accountant will play a critical role in delivering accurate, insightful, and decision-relevant financial information to support operational performance, growth, and value creation.
Responsibilities
- Month-end close: Lead the month-end close process, including preparation of management accounts, balance sheet reconciliations, accruals and prepayments, and first-pass variance analysis, with review and sign-off by the Head of FP&A.
- Balance sheet control: Maintain day-to-day ownership of key balance sheet accounts, including deferred income, contract-related balances, and other healthcare-specific accruals, ensuring accuracy and appropriate documentation.
- Revenue & activity analysis: Support revenue recognition and analysis across multiple payer types (e.g. NHS, insurer and self-pay), ensuring appropriate cut‑off and understanding timing differences between activity, billing, and cash.
- Performance reporting: Produce KPI reporting, including labour productivity, utilisation, and other operational metrics relevant to business units' performance.
- Financial insight: Deliver regular financial analysis to highlight trends, risks and opportunities, supporting operational and strategic decision-making.
- Business partnering: Act as a key finance contact for managers, providing clear financial information, challenge, and support aligned to operational performance.
- Cost & margin analysis: Analyse cost performance and contribution by service line, identifying drivers of margin movement, cost pressures and efficiency opportunities.
- Payroll & labour costs: Review and analyse payroll and labour-related costs, including headcount, overtime, agency usage, and related accruals, ensuring consistency with operational activity.
- Cashflow forecasting: Oversee the weekly cashflow forecast tool, monitoring movements in working‑capital and highlighting risks or variances.
- Budgeting & forecasting: Support the monthly forecasting process and annual budgeting cycle, working with operational stakeholders to develop reliable and well‑understood forecasts.
- Capital & fixed assets: Support fixed asset accounting, including capitalisation, depreciation and tracking of capital expenditure.
- Audit & compliance: Support external audits by preparing documentation, responding to queries and ensuring audit trails and supporting schedules are maintained.
- Financial governance: Maintain and update financial standards, procedures and documentation, ensuring alignment with operational practices and internal control requirements.
- Process & systems improvement: Work closely with the Financial Controller and Finance team to support improvements to processes and systems, with a focus on automation, efficiency and data quality.
- Ad‑hoc analysis: Undertake additional financial analysis and projects as delegated by the Head of FP&A.
Values
- Act With Courage – We speak up, take responsibility, and do the right thing, always.
- Patient & Customer Satisfaction – Patients are at the heart of every scan we do.
- Responsible & Accountable – We own our actions and honour our commitments.
- Service Quality – We’re always improving, always learning.
- Great Teamwork – We celebrate difference, lift each other up and listen without judgement.
Qualifications
- Part‑qualified or qualified accountant (CIMA, ACCA or ACA), with study support available where required.
- Proven experience (minimum 3 years) owning month‑end close and preparing management accounts in a deadline‑driven environment.
- Strong analytical capability, with advanced Excel skills used to interrogate data, build insight and support decision‑making; Power BI experience desirable.
- Hands‑on experience with finance systems, with Microsoft Business Central or Navision knowledge advantageous.
- Background in healthcare, services or similarly operationally complex environments beneficial.
- High attention to detail combined with a proactive, hands‑on, solutions‑focused approach and the ability to manage competing priorities to tight deadlines.
- A clear and confident communicator, able to translate financial information into practical insight for non‑finance stakeholders.
Remuneration & Benefits
- Up to £50,000.
- Remote working with monthly meetings in London (ideally a maximum 1‑hour commute from London).
- 25 days holiday + bank holidays + up to 3 extra for long service.
- Private Medical Insurance (Bupa) – includes pre‑existing conditions.
- Add‑On Family Health Options and Life Assurance (x5).
- Dedicated Wellbeing Tools.
- Career Growth: Paid CPD, structured development and internal promotions.
- 24/7 GP Access and Mental Health First Aiders.
- True Team Culture – You’re supported, heard and never just a number.
- Blue Light Card, gym discounts, cycle to work, cashback plans, Tastecard, Denplan, tech vouchers and more.
- Discount for friends & family MRI scans in the London centre.
- Inclusive, values‑led culture that celebrates you.