An established and growing healthcare organisation is seeking an experienced Finance and Administration Manager to take ownership of financial management while supporting the wider operational needs of a small, expanding SME within the healthcare sector.Location: Predominantly remote, with occasional attendance at a central London office (Baker Street) Contract: Full timeThis is a hands-on, autonomous role suited to a finance professional who enjoys responsibility, variety, and working closely with senior stakeholders to support strategic decision-making. While the role is primarily home-based, occasional attendance at the London site will be required for meetings, training, and operational needs.Key Responsibilities Oversee and manage all financial operations, including accounting, payroll, cash flow, and expenditure Prepare accurate monthly management accounts and financial reports Provide financial analysis, forecasts, and insights to support strategic planning and business decisions Prepare, monitor, and manage annual departmental budgets Track performance against budget, highlighting variances, risks, and opportunities Support year-end accounts and liaise with external accountants and advisers Ensure compliance with financial, regulatory, and internal control requirements Maintain accurate financial records and continuously improve internal financial processes Provide general administrative and operational support in a flexible SME environment Attend the London office as