Management Accountant

About this role

Anne Health is a not-for-profit organisation providing private gender-affirming healthcare to trans people across the UK. We believe in human-centred healthcare delivered by real professionals, transparent pricing, and making gender-affirming care accessible and affordable. Everything we do is grounded in warmth, dignity, and genuine care for our community. We operate remotely, with internal clinical and administrative employees supported by contracted prescribers across the EU.

Role Purpose The Management Accountant gives the Joint CEOs an accurate, timely and consolidated picture of Anne Health's financial performance and position. The role owns monthly management reporting across the group, keeps intercompany accounting clean, and turns financial information into clear insight that supports decisions. Key responsibilities and duties Prepare monthly management accounts for each group company, including profit and loss, balance sheet and cash flow.

Prepare consolidated group management accounts, including intercompany reconciliations, eliminations and currency translation. Produce variance analysis against budget and forecast, with clear commentary for the Joint CEOs. Develop and maintain key performance indicators, such as membership revenue, cost per member and debtor days. Lead the annual budget process and maintain rolling cash flow forecasts for each company and the group.

Model the financial impact of new services, pricing changes and other strategic decisions. Run a timely month-end close, including accruals, prepayments, journals and balance sheet reconciliations. Review aged debtors and support bad-debt provisioning. Recommend and implement improvements to financial controls, processes and systems. Work with bookkeeping support, payroll providers and external advisers on tax, VAT and statutory accounts, including preparing year-end schedules.

Help budget holders understand and manage their budgets. Any other duties that sit within the remit of the role. Management Accountant Person Specification A professional accounting qualification (CIMA, ACCA, ACA or equivalent). Experience of preparing consolidated management accounts for a group of companies, including intercompany eliminations. Experience of month-end close, budgeting and cash flow forecasting. Strong spreadsheet skills (Excel or Google Sheets) and experience of cloud accounting software, ideally Xero.