Finance Manager

The ideal candidate will provide strategic and operational financial leadership, working closely with senior management to develop and implement financial strategies that support organizational goals. This role combines high-level strategy with hands-on execution, including preparing financial statements, budget reports, forecasts, cost analyses, and profit and loss statements.

The position ensures strong accounting and reporting standards across the country, oversees effective internal controls, and provides regular, data-driven financial insights to guide decision-making. Acting as a key business partner, the Finance Manager will advise leadership on strategic initiatives, identify opportunities for cost optimization, and strengthen financial systems to support a rapidly scaling, multi-unit healthcare operation.

Responsibilities

Financial Planning & Strategy

• Develop and manage budgets, forecasts, and long-term financial plans in collaboration with the Country Director and CFO.
• Assess the financial impact of strategic initiatives, including capital needs for facilities, equipment, and staffing.
• Align financial decisions with organizational goals and support fundraising, proposal development, and budgeting.
• Direct investment and cash management strategies to ensure optimal use of resources.
• Build scalable, automated, and transparent financial systems suitable for multi-unit healthcare operations.
• Direct resource allocation to support organizational growth and service delivery.

Budgeting & Cost Control

• Lead the preparation and monitoring of departmental and organizational budgets.
• Implement cost-control measures to improve resource utilization and reduce inefficiencies.
• Monitor accounts receivable and liaise with partners to minimize payment delays.
• Support financial planning by coordinating cash allocations, monthly cash flow management, and forecasting.

Financial Reporting & Analysis

• Prepare and present accurate financial and management reports to leadership, boards, and external stakeholders.
• Ensure compliance with IFRS, IAS, and regulatory reporting requirements.
• Conduct financial analysis and develop KPIs to measure operational and financial performance.
• Maintain orderly accounts, including reconciliations, fixed asset registers, and accrued expense registers.
• Coordinate with supply chain to ensure accurate inventory balances.
• Provide timely, data-driven insights to support strategic and operational decision-making.

Compliance & Risk Management

• Ensure compliance with taxation and statutory requirements (PAYE, NSSF, NHIF, and other local obligations).
• Prepare and file statutory returns accurately and on time.
• Lead internal audits and coordinate external audits, ensuring adherence to internal policies and healthcare regulations.
• Strengthen financial procedures, processes, and controls to minimize fraud and leakage.
• Proactively identify risks and raise management attention to potential issues.

Revenue Cycle & Payment Systems

• Oversee billing, collections, and reimbursement processes to ensure accuracy and timeliness.
• Ensure billing across all dialysis centers complies with company, hospital, and insurance standards.
• Negotiate with insurance providers and hospital partners to optimize payment terms.
• Streamline payment and billing systems to improve both cash flow and patient experience.

Payroll & Staff Management

• Oversee payroll policies, processes, and procedures in line with company guidelines.
• Ensure payroll accuracy, compliance, and timely execution within the financial cycle.
• Mentor, train, and develop finance team members to build capability and ensure compliance with policies and procedures.

Stakeholder Engagement

• Collaborate with clinical, administrative, and supply chain teams to align financial and operational goals.
• Communicate financial insights clearly to non-financial stakeholders.
• Manage relationships with Group leadership, external auditors, and strategic partners to achieve agreed outcomes.

Qualifications

• Bachelor's degree required; Master's degree preferred in Accounting or Business Administration, or equivalent business experience;
• With a CPA (K)/ACCA qualification or its equivalent.
• At least 10 years of work experience in the private sector, with increasing levels of responsibility and leadership.
• Strong understanding of Kenyan tax and labor laws.
• Proven success stories of how your work has been used to make critical business decisions that have delivered real business value.
• Exceptional written and oral communications skills.
• Ability to work through sensitive political contexts and develop strong relationships with government officials and multilateral organizations.
• Ability to work with limited budgets and human resources without extensive structural or operational support.
• Demonstrated strong analytical and problem-solving skills.
• Strong work ethic and flexibility, respectful of local norms and culture, ability to work with humility and urgency.
• Comfortable with International Finance Reporting Standards working across multiple countries (e.g. Kenya, Mauritius, Tanzania, Rwanda).
• High levels of proficiency in Microsoft Word, Excel, PowerPoint, accounting software (e.g. Sage, ETC) and HR management software.
• Passion for AHN's Mission