Income Assistant Accountant

Income Assistant Accountant

Closing date is 27 January 2026

Hours: 37.5 hours per week. All MKUH roles will be considered for flexible working.

Hybrid working arrangement.

Reporting into the Head of Income and Contracting, the Income Assistant Accountant will be responsible for the reconciliation and reporting of income into the Trust to support optimal understanding of income sources. They will assist with preparation of monthly management accounts, projections, performance indicators, and analysis of significant variances and trends, providing suggestions for corrective action where appropriate. They will be a primary point of contact for external auditors, providing timely responses and information to support them in their work.

This role would suit a well‑rounded, Part‑Qualified and conscientious Accountant who is proactive in their approach to work. It requires sound knowledge of Management Accounting, activity, income and expenditure forecasts and well‑developed analytical skills to solve complex problems.

We are unable to offer sponsorship for this role.

Interview date: 24 February 2026.

• Monitor all income sources working closely with Commissioners and providing monthly income reconciliations, working closely with divisions and Finance Business Partners on income allocation.
• Assist in the preparation of monthly management accounts, reports, projections and performance indicators; analyze and investigate all significant variances, undertake trend analysis and make recommendations for corrective action where appropriate.
• Manage Sales ledger matching direct income to internal sales invoices.
• Raise ad hoc invoices including contract income with supporting schedules.
• Reconcile Commissioners payment schedules.

• Line manage the Private Patient Officer ensuring income is maximised and that Trust systems and processes are efficient and effective and up to date with the latest regulations.
• Support the personal and professional development of the Private Patient Officer.

• Provide support to the PLICs and costing team as required, including developing financial reporting systems and processes to provide information as required.

To work autonomously, within defined parameters, using own initiative to make operational decisions.

To provide technical advice as appropriate, in relation to accounting policies related to income.

To keep up to date comprehensive procedure notes to support all aspects of work performed.

The job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post holder.

Please refer to the job description for further details.

• Educated to degree level in a relevant subject (e.g. accountancy or financial discipline) or equivalent knowledge and experience.
• Part Qualified (CCAB) qualification or demonstrable equivalent experience plus knowledge, experience and expertise in a finance management role.
• Up‑to‑date knowledge and experience of the NHS income and contracts.
• 2 years’ finance experience in an NHS organization.

• Evidenced continuous professional development record.
• Highly developed and demonstrable knowledge of management accounting and accounting procedures within the NHS.
• Experience of developing activity, income and expenditure forecasts, including the modelling of different scenarios.
• Experience in staff line management and development.

• Advanced user of Microsoft Excel, required to design new and/or improve existing financial monitoring systems.
• Expert analytical skills to solve highly complex financial and non‑financial problems.
• Computer literate with experience of using Microsoft Office applications.
• Ability to interpret highly complex information, including national financial policies.
• Ability to manage extensive data sets, and detailed financial information.

• Excellent interpersonal and communication skills.
• Confident in dealing with people at all levels of the organisation.
• Ability to work as…