NHS Kent & Medway
Director of Commissioning Finance

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Director of Commissioning Finance
Director of Commissioning Finance
The Director of Commissioning Finance is a senior leadership role within the Integrated Care Board (ICB), acting as deputy to the Chief Finance Officer and providing strategic leadership across the commissioning finance portfolio.
The post holder will provide strategic and operational leadership across commissioning finance, ensuring high quality financial management, reporting and governance across centrally commissioned services and delegated budgets.
- Provide senior leadership for the commissioning finance function and co-lead the finance senior leadership team with the Director of Strategic Finance.
- Act as the overall financial lead for centrally commissioned services and HCP delegated budgets.
- Lead the delivery of monthly management accounts at HCP footprint level for inclusion in ICB reporting.
- Support senior financial and non-financial managers in devolved commissioning teams with risk management and decision making.
- Support the CFO in delivering system-based revenue and capital processes through the ICS, ensuring financial sustainability across the ICB and ICS.
- Provide senior financial leadership for delegated co-commissioning and other primary care budgets.
- Work with the Director of Primary Care to develop and deliver a Primary Care strategy, including estates and IT.
- Lead the financial accounting team and oversee the production of the annual statutory accounts.
- Provide senior oversight of internal and external monthly reporting for the ICB.
- Act as the financial link with NHS England for operational finance matters.
- Line manage the senior finance team, ensuring high quality outputs and professional development.
- Lead the organisational and professional development of the finance directorate with the CFO and Director of Contracting.
Reasons to use Rodeo
I’m in my final year doing Economics and I don’t know whether to apply for grad schemes now or do a masters first. What do you think?
Honest answer — it depends on where you want to end up. A lot of top grad schemes (Big 4, civil service, banking) don’t need a masters. Let’s look at the ones you’d be competitive for now, and we can decide if a masters actually adds anything.
Also worth knowing: most autumn 2026 applications are open now. Timing matters more than you think.
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Graduate Consultant — 2026 Scheme
Why you're a good match
StrongYour economics background and your summer at a regional bank line up with what PwC looks for on the consulting scheme. Applications close in four weeks.
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Every day your agent scans the market matching roles against what actually matters to you, not just keywords on a CV.
Why you're a good match
You’ve got the grades and the economics background, and your bank internship is exactly the experience this scheme looks for. Apply soon — deadlines close within the month.
Experience fit
Your summer at the bank plus your econometrics coursework map directly to the day-one responsibilities on this scheme — client modelling, market briefings, and deal support.
Only hits
No noise. No "maybe this fits." Just roles with a clear explanation of why they're right — and where to focus when applying.
We are committed to a culture that supports all staff at NHS Kent and Medway to be the best version of themselves.
Our ability to improve outcomes for our population depends on how effectively clinical, operational, financial and strategic professionals work together to make informed commissioning decisions. That’s why our workforce works a minimum of two days-a-week on-site, with the expectation that all one-to-ones are held face-to-face and that colleagues will regularly visit the services we are commissioning to understand more about them.


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We believe regular on-site working supports stronger collaboration, faster problem-solving, peer learning, visible leadership and the integration of colleagues into our organisation. We also know that culture is built through shared experiences and day-to-day interactions.
We are a flexible working friendly organisation; we aim to support you to work flexibly in a way that will suit you and us.
We work with staff to agree objectives through regular supervision, annual appraisal and access to training opportunities.
We are committed to equal opportunities and diversity. In order to reflect the diversity of our population, we positively encourage applications from all areas of the community regardless of gender, race, faith, disability, age or sexual orientation.
For further details / informal visits contact:
- Name: Gemma Waters
- Job title: Executive Assistant CFO
- Email address: gemma.waters@nhs.net
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