Second Nature
Management Accountant - High-Growth Health Tech Start-up (London)
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Management Accountant - High-Growth Health Tech Start-up (London)
Finance Team: Head of Commercial Finance
About the Role
We’re a venture-backed health-tech business committed to empowering people to regulate their health. With rapid growth and bold ambitions ahead, we’re expanding our finance function and are searching for a commercially minded Finance professional to help define its direction.
Reporting to the Finance Lead, you’ll assume primary responsibility for day-to-day financial operations, collaborating closely with our B2B team—a high-growth division with significant future potential.
This is a small, agile team where independent work and initiative are valued, yet we thrive on mutual support. You’ll have real ownership over your projects, the freedom to refine processes, and broad exposure across the company—all while making a real impact on meaningful work.
Responsibilities
- Oversee the day-to-day finance operations, ensuring accuracy, timeliness, and strong controls.
- Lead the month-end close and monthly management accounts, including balance sheet reconciliations and revenue recognition.
- Manage cash flow.
- Present clean, powerful monthly reporting and commercial analysis, including variance analysis and specialist deep-dives.
- Partner with the B2B team, ensuring:
- On-time payments and no revenue leakage.
- Contract-level revenue tracking.
- Support the budgeting, forecasting, and FP&A cycle, directly aid the Finance Lead in planning and decision-making.
- Streamline the annual audit, acting as the primary auditor liaison and streamlining the closing process.
- Develop and enhance finance function procedures and controls as the team scales.
- Collaborate across departments to deliver actionable insights and refine decision-making.
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The Ideal Candidate
A self-starter who:
- Takes ownership, spotting inefficiencies and driving actionable improvements without prodding.
- Employs critical thinking, questioning assumptions and pursuing the truth beneath data.
- Balances independence with collaboration, making decisive calls while knowing when to assemble support.
- Integrates a commercial mind, connecting financial results with the wider strategic narrative.
- Demonstrates adaptability, staying effective amid shifting priorities.
- Content owner: Communicates effectively with both financial and operational echelons.
- Organise and deliver, juggling multiple priorities while consistently hitting deadlines.
Technical Requirements
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Accounting Governance & Software:
- Partially or fully qualified (prefer ACA, ACCA, CIMA).
- Rigorous grasp of accounting principles, financial reporting, and internal controls.
- Advanced Excel fluency.
- Experience with modular accounting software (Xero preferred).
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Operational Experience:
- Proven ability to drive an end-to-end month-end close.
- Hands-on track record with budgeting, forecasting, and FP&A.
- Track in startup or scale-up environments.
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Start-Up-Specific Attributes:
- Tailored to meet the fluency and pace of a dynamic early-stage business.
Why Second Nature?
The Challenge
Obesity dominates today’s healthcare crisis—5% of the UK’s NHS budget (£9 million) vanishes annually due to preventable shrewder lifestyle diseases. Prevention is the answer. We’re here to flip that script.
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Our Mission
Second Nature is a health-tech disruptor. We seamlessly combine behavioural science, cutting-edge tech, and pioneering people to tackle global obesity through easier habit-building. We empower real change—digital habit descriptors via app and web integration, helping users adopt healthy nutrition, exercise, and ultimately reduce type 2 diabetes risk.
Our Impact
- Reached and transformed over 250,000 lives.
- Rated 'Excellent' by 7,000+ members on Trustpilot.
- A profitable, scalable business.
Our Partners
One of a finite group of consumer health platforms to earn NHS recommendations and Vitality Health legislature commitments. We’re top-tier B2C supplier for effective GLP-1 medication-aided weight loss programs, named one of five NICE-endorsed NH providers.
Our Team
Retention rate: 4.3 years average.
What We Offer
- Market-competitive compensation + generous employee share options with bi-annual performance reviews.
- Hybrid work model: Office 2 days/week in London; the rest remote.
- 33 days holiday (including national holidays).
- Qualified for NHS-related econometric studies.
- Progress Agenda: Professional development budget of £200/year.
- Employee wellness options: Access to a Cycle to Work scheme and Salary Sacrifice.
Ready to Drive Positive Change?
Apply if you want to join a fast-growing, socially impactful team where your financial acumen directly supports progress.
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