Operations & Finance Manager

WellNest; Cape Town; On-site; ZAR 1,200,000 - 1,800,000; Full time

Job summary

WellNest in Cape Town is seeking an Operations & Finance Manager to build the financial and operational foundations for a growing integrated healthcare provider. You will own cash flow, budgeting, supplier and stock controls, and monthly reporting, working with accountants, clinicians and the tech team to enable scalable patient care and international expansion.

You will manage day-to-day financial discipline, analytics and reporting, while supporting expansion initiatives and automation with

Qualifications

• A relevant tertiary qualification in finance, accounting, business or a related discipline.
• Hands-on experience with cash forecasting, budgeting, reconciliations and month-end reporting.
• Evidence of improving performance or reliability of a growing service business.
• Strong spreadsheet skills and practical experience with accounting and operational systems.

Responsibilities

• Maintain rolling cash-flow forecasts, budgets and spending plans; explain variances and flag decisions early.
• Coordinate month-end close and management accounts with the accountant, providing complete reconciliations and supporting records.
• Oversee patient billing, collections, refunds and reconciliation across booking, payment and accounting systems.
• Maintain supplier records, purchase approvals and payment controls within agreed authority and separation of duties.
• Coordinate payroll inputs, checks and statutory finance deadlines with the payroll provider or accountant.
• Track stock movements, expiry, wastage and replenishment with clinical and laboratory leads.

Skills

Cash forecasting

Budgeting

Reconciliations

Month-end reporting

Operational controls

Spreadsheet skills

Data quality

Education

Relevant tertiary qualification in finance/accounting/business

Job description

# Operations & Finance Manager* Operations & Finance* Bree Street, Cape Town* Leadership appointment* On-site## About the roleHelp build the financial and operational foundations of a future market leader in integrated healthcare and healthspan. At WellNest, we’re connecting medicine, diagnostics, prevention and recovery under one roof and one group, with technology, AI and reliable data at the heart of how we intend to grow.You will own day-to-day operational discipline and financial coordination: keeping cash, billing, suppliers, stock and reporting accurate, timely and useful. Working with our accountant, clinicians and technology team, you’ll build systems that support a consistent patient experience today and a larger, internationally connected business over time.The Operations Manager – Clinic & Laboratory Expansion leads the launch programme and wider expansion delivery. You will work together on project affordability and commitments, while owning ongoing financial controls, commercial reporting and daily operating discipline.Apply with your CV, a brief cover letter and the five application answers. Include your exact qualification, awarding institution and field of study; expected annual cost to company (CTC) in ZAR; notice period; earliest start; and Cape Town availability or relocation needs. A photograph and current CTC are optional and are not required for assessment.## This role is likely to suit you if you* You enjoy working with both numbers and people, close to the detail.* You take ownership, meet tight deadlines and maintain high standards.* You investigate discrepancies, communicate problems early and follow through.* You can improve commercial performance while respecting clinical decisions and patient needs.* You keep learning, question established processes and turn useful new knowledge into measurable improvements.## Key responsibilities* Maintain rolling cash-flow forecasts, budgets and spending plans; explain variances and flag decisions early.* Coordinate month-end close and management accounts with the accountant, providing complete reconciliations and supporting records.* Oversee patient billing, collections, refunds and reconciliation across booking, payment and accounting systems.* Maintain supplier records, purchase approvals and payment controls within agreed authority and separation of duties.* Coordinate payroll inputs, checks and statutory finance deadlines with the payroll provider or accountant.* Track stock movements, expiry, wastage and replenishment with clinical and laboratory leads.* Build useful reporting on service costs, margins, capacity and commercial performance.* Improve daily workflows, maintain clear responsibilities and protect confidential patient, employee and financial information.* Partner with WellNest’s technology team on connected billing, accounting, stock and management reporting; define requirements, test outputs and lead adoption.* Evaluate automation and AI for forecasting, reconciliation and exception detection. Measure accuracy and time saved, with traceable records and human approval of financial decisions and payments.* Build a working bridge with our overseas sister company through shared reporting definitions, planning and operating improvements, working with local professional advisers on country-specific requirements.## Essential requirements* A relevant tertiary qualification in finance, accounting, business or a related discipline, supported by demonstrated finance competence.* Hands-on experience with cash forecasting, budgeting, reconciliations, month-end reporting and operational controls.* Evidence of personally improving the performance or reliability of a growing service business.* Strong spreadsheet skills and practical experience with accounting and operational systems.* Evidence of improving a digital workflow with technical colleagues, checking data quality and helping teams adopt it.* Clear communication, sound judgement and the ability to work on-site in Cape Town.## Advantageous, not compulsory* Healthcare or diagnostic-laboratory experience.* Patient billing and medical-aid processes.* Stock and service-cost analysis.* Implementing automation or AI with appropriate controls.* Working across sites, countries or group companies.## What success looks like* Now and during expansion: establish a reliable financial baseline, cash forecast, controls and operating rhythm for the existing clinic; give expansion leaders clear affordability and commitment information.* Through launch and the following year: integrate new services into billing, stock, reporting and staffing routines. Improve unit economics, capacity and patient experience, and replace avoidable manual work with tested digital workflows.* As the group grows: help shape financial planning, comparable performance measures and operating controls across services and prospective international locations. Develop the team and transfer proven practices with our overseas sister company. Responsibility can broaden with demonstrated delivery and approved growth plans.* Leadership has a clear view of cash, commitments and performance. Reconciliations are timely, discrepancies resolved and payments controlled. Technology improves the reliability of information and releases time for care. Teams understand their responsibilities, and the business has repeatable foundations for sustainable growth.## Why join WellNest* We’ve assembled clinicians, technologists and innovators determined to help shape the future of healthcare. Bring ideas, learn across disciplines and help turn promising innovations into practical improvements. We move fast, work to tight deadlines and take excellence personally. Passion, curiosity and a drive to exceed expectations matter here. Our longer-term ambition is to make better healthcare more inclusive and accessible.## Hiring process1. ### Apply online Complete the application for the role that fits you.2. ### Initial application review We review every application against the requirements of the role.3. ### Introductory conversation A short conversation with a member of the WellNest team.4. ### Role-specific assessment Depending on the role, a practical assessment and verification of any qualifications or credentials.5. ### Panel interview A panel interview with the WellNest leadership team. Candidates who reach this stage should be confident representing WellNest.6. ### References, decision and offer Final references, our decision, and, if we are a match, an offer.Stages may vary by role. Only shortlisted candidates may be contacted for an interview.## Fair recruitmentWellNest is committed to fair, role-relevant recruitment and equal opportunity. Candidates are assessed on capability, relevant experience, professional requirements and alignment with our patient-first values. Applications are processed in accordance with our Privacy Notice.Apply for this roleDepartment: Operations & FinanceLocation: Bree Street, Cape TownEmployment type: Leadership appointmentWorking arrangement: On-site in Cape TownPosted: 8 October 2026 · Open until filledCompensation: Market-related remuneration