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