Job Objective/ Purpose:

To provide full-spectrum financial and team leadership to the Avenue Hospital Business Unit by overseeing its financial operations, supply chain, revenue cycle management, budgeting, internal controls, compliance, CAPEX deployment and strategic financial planning in order to ensure sustainable profitability, financial integrity, and alignment with the Group’s standards of Quality, Integrity, Respect, Passion, and Innovation.

Main Responsibilities

Budget and Reforecasting

• Lead the preparation and consolidation of the hospital’s annual operational and Capex budgets, working closely with departmental heads to ensure alignment with operational plans and strategic objectives.
• Support periodic reforecasts based on performance trends and changing business conditions.
• Monitor adherence to approved budgets and highlight significant deviations
• Work with the strategic units to drive roll outs of budgetary initiatives to ensure budgets are achieved.

Financial Reporting & Analysis

• Prepare timely and accurate monthly management accounts and variance analysis.
• Monitor departmental financial performance and enforce accountability.
• Ensure completeness and accuracy of expense recognition by enforcing timely PO receipting and reviewing month-end accruals
• Evaluate and analyse capital expenditure proposals, ensuring alignment with hospital strategy and financial feasibility
• Monitor the performance of existing projects against financial models, including ROIC and payback period.
• Ensure compliance with IFRS and Group standards.

Capital Planning, Reporting & Project Performance

• Prepare papers for capital projects and other financial approvals.
• Develop robust business cases including: ROI analysis, IRR and payback calculations, Sensitivity analysis and Risk assessment
• Track and report post-investment performance against approved projections.
• Maintain capital expenditure register and performance dashboards.
• Monitor internally raised capital deployment to ensure governance and return realization.

Revenue Cycle Management (Receivables Leadership)

• Monitor claims submission, reconciliation, rejection analysis and collections.
• Drive reduction of Days Sales Outstanding (DSO).
• Ensure pre-authorizations and benefit validations compliance.
• Implement revenue assurance controls to prevent income leakage.
• Review adjustments, cancellations, and discounts to ensure they are properly authorized and captured.

Payables Management

• Ensure supplier payment discipline aligned to cashflow.
• Monitor creditor ageing.
• Maintain healthy supplier relationships while protecting liquidity.

Inventory Governance & Stock Control (Balance Sheet Custodian)

• Oversee inventory valuation accuracy.
• Ensure regular cycle counts and periodic full stock takes.
• Implement controls to minimize expiries, shrinkage, and obsolescence.
• Monitor inventory turnover ratios.
• Reconcile physical stock to system records.
• Ensure optimal stock holding levels aligned to service demand.

Asset Management & Fixed Asset Control

• Maintain accurate fixed asset register.
• Ensure proper capitalization vs expense classification.
• Oversee tagging and physical verification of assets.
• Monitor asset utilization and depreciation accuracy.
• Lead asset audits and impairment assessments.

Procurement & Supply Chain Oversight

• Ensure procurement processes comply with policy and governance requirements.
• Review and approve procurement requests for: Budget alignment, Proper documentation and Competitive quotation compliance
• Monitor supplier performance and cost efficiency.
• Drive cost optimization through strategic sourcing.
• Align procurement planning with budget and cashflow forecasts.

Efficiency, Optimization Measures & Working Capital Management

• Monitor actual performance against budget, analyse variances, drive cost control measures to ensure efficient use of resources and protection of margins.
• Implementation and coordination of cost management initiatives, through review of the costing systems
• Optimize and manage stock levels to prevent overstocking and improve stock turnover
• Work with Procurement to have supplier competitiveness reports and procurement benefits tracking.
• Supervise the Hospital credit teams to ensure timely collections and reconciliations of individual debtor’s accounts.

Internal Controls, Risk & Audit

• Strengthen financial control environment. Identify and mitigate financial and operational risks.
• Lead preparation for internal and external audits.
• Ensure statutory compliance.
• Enforce documentation standards for procurement and capital expenditure.

Service and Product pricing

• Develop and maintain hospital pricing structures in line with strategic objectives and market benchmarks.
• Tracking of unit costs and prices and highlighting instances where price reviews are necessary
• Monitor changes in costs, insurance agreements and arrangements to update pricing appropriately.

Automation & Systems

• Identify opportunities to automate financial, billing, and reporting processes to improve efficiency and accuracy.
• Ensure data integrity and accurate integration between HSMIS and the ERP
• Monitor system performance, troubleshoot issues, and coordinate with IT for improvements.
• Develop automated reports, dashboards, and analytics to support timely decision-making.

Leadership & Team Development

• Lead, mentor and performance-manage direct reports.
• Build a culture of accountability and financial discipline.
• Develop financial literacy among operational managers.
• Embed data-driven decision making across departments.

Academic & Professional Qualifications

• Bachelor’s degree in Finance, Accounting, Economics or related field.
• Master’s degree in Finance, Accounting, Business Administration (MBA) or related field
• CPA (K), ACCA or equivalent professional qualification will be an added advantage.
• Strong knowledge of IFRS, tax regulations and financial governance.
• Certification in risk management, internal audit, corporate governance or financial analysis.
• Membership in recognised professional bodies (ICPAK, ACCA, CFA Institute etc.).

Work Experience & Skills

• Minimum 5 years of progressive experience in finance leadership roles.
• Proven experience leading budgeting, financial reporting, audits and financial controls in medium-to-large organisations.
• Strong experience in revenue cycle management, pricing strategy and financial modelling.
• Demonstrated ability to improve financial outcomes (EBITDA, PAT, revenue growth, cost optimisation).
• Strong analytical, commercial, negotiation and stakeholder management skills.
• Expertise in implementing financial systems, ERPs and reporting dashboards.
• Experience in healthcare, private equity environments or high-growth organisations will be an added advantage.
• Experience supporting expansion projects, mergers, acquisitions or fundraising.
• Exposure to supply chain, procurement or cost-reduction initiatives.
• Public representation experience with auditors, investors, financiers or regulators.

• Lead the preparation and consolidation of the hospital’s annual operational and Capex budgets, working closely with departmental heads to ensure alignment with operational plans and strategic objectives.
• Support periodic reforecasts based on performance trends and changing business conditions.
• Monitor adherence to approved budgets and highlight significant deviations
• Work with the strategic units to drive roll outs of budgetary initiatives to ensure budgets are achieved.
• Prepare timely and accurate monthly management accounts and variance analysis.
• Monitor departmental financial performance and enforce accountability.
• Ensure completeness and accuracy of expense recognition by enforcing timely PO receipting and reviewing month-end accruals
• Evaluate and analyse capital expenditure proposals, ensuring alignment with hospital strategy and financial feasibility
• Monitor the performance of existing projects against financial models, including ROIC and payback period.
• Ensure compliance with IFRS and Group standards.
• Prepare papers for capital projects and other financial approvals.
• Develop robust business cases including: ROI analysis, IRR and payback calculations, Sensitivity analysis and Risk assessment
• Track and report post-investment performance against approved projections.
• Maintain capital expenditure register and performance dashboards.
• Monitor internally raised capital deployment to ensure governance and return realization.
• Monitor claims submission, reconciliation, rejection analysis and collections.
• Drive reduction of Days Sales Outstanding (DSO).
• Ensure pre-authorizations and benefit validations compliance.
• Implement revenue assurance controls to prevent income leakage.
• Review adjustments, cancellations, and discounts to ensure they are properly authorized and captured.
• Ensure supplier payment discipline aligned to cashflow.
• Monitor creditor ageing.
• Maintain healthy supplier relationships while protecting liquidity.
• Oversee inventory valuation accuracy.
• Ensure regular cycle counts and periodic full stock takes.
• Implement controls to minimize expiries, shrinkage, and obsolescence.
• Monitor inventory turnover ratios.
• Reconcile physical stock to system records.
• Ensure optimal stock holding levels aligned to service demand.
• Maintain accurate fixed asset register.
• Ensure proper capitalization vs expense classification.
• Oversee tagging and physical verification of assets.
• Monitor asset utilization and depreciation accuracy.
• Lead asset audits and impairment assessments.
• Ensure procurement processes comply with policy and governance requirements.
• Review and approve procurement requests for: Budget alignment, Proper documentation and Competitive quotation compliance
• Monitor supplier performance and cost efficiency.
• Drive cost optimization through strategic sourcing.
• Align procurement planning with budget and cashflow forecasts.
• Monitor actual performance against budget, analyse variances, drive cost control measures to ensure efficient use of resources and protection of margins.
• Implementation and coordination of cost management initiatives, through review of the costing systems
• Optimize and manage stock levels to prevent overstocking and improve stock turnover
• Work with Procurement to have supplier competitiveness reports and procurement benefits tracking.
• Supervise the Hospital credit teams to ensure timely collections and reconciliations of individual debtor’s accounts.
• Strengthen financial control environment. Identify and mitigate financial and operational risks.
• Lead preparation for internal and external audits.
• Ensure statutory compliance.
• Enforce documentation standards for procurement and capital expenditure.
• Develop and maintain hospital pricing structures in line with strategic objectives and market benchmarks.
• Tracking of unit costs and prices and highlighting instances where price reviews are necessary
• Monitor changes in costs, insurance agreements and arrangements to update pricing appropriately.
• Identify opportunities to automate financial, billing, and reporting processes to improve efficiency and accuracy.
• Ensure data integrity and accurate integration between HSMIS and the ERP
• Monitor system performance, troubleshoot issues, and coordinate with IT for improvements.
• Develop automated reports, dashboards, and analytics to support timely decision-making.
• Lead, mentor and performance-manage direct reports.
• Build a culture of accountability and financial discipline.
• Develop financial literacy among operational managers.
• Embed data-driven decision making across departments.

• Strong knowledge of IFRS, tax regulations and financial governance.
• Certification in risk management, internal audit, corporate governance or financial analysis.
• Minimum 5 years of progressive experience in finance leadership roles.
• Proven experience leading budgeting, financial reporting, audits and financial controls in medium-to-large organisations.
• Strong experience in revenue cycle management, pricing strategy and financial modelling.
• Demonstrated ability to improve financial outcomes (EBITDA, PAT, revenue growth, cost optimisation).
• Strong analytical, commercial, negotiation and stakeholder management skills.
• Expertise in implementing financial systems, ERPs and reporting dashboards.
• Experience in healthcare, private equity environments or high-growth organisations will be an added advantage.
• Experience supporting expansion projects, mergers, acquisitions or fundraising.
• Exposure to supply chain, procurement or cost-reduction initiatives.
• Public representation experience with auditors, investors, financiers or regulators.

• Bachelor’s degree in Finance, Accounting, Economics or related field.
• Master’s degree in Finance, Accounting, Business Administration (MBA) or related field
• CPA (K), ACCA or equivalent professional qualification will be an added advantage.
• Membership in recognised professional bodies (ICPAK, ACCA, CFA Institute etc.).