Business Manager; Primary Care

Join Hanham Health as a Business Manager and help shape the future of Primary Care.

Were looking for a dynamic and experienced Business Manager with a passion for Primary Care finance to take a leading role in driving our financial strategy, business growth, and contractual excellence. This is a fantastic opportunity to make a real impact at both practice and PCN level, working at the heart of a forward-thinking healthcare organisation.

In this influential leadership role, you'll collaborate closely with the Senior Practice Manager and Head of Nursing and AHPs to ensure strong financial governance, transparent reporting, and a clear strategic vision for sustainable success. You'll be at the forefront of decision-making, providing expert insight into financial performance while supporting innovation and service development.

With your in-depth knowledge of Primary Care funding streams, PCN finance (including ARRS), and contract management, you'll play a pivotal role in shaping new opportunities, optimising resources, and ensuring full compliance with NHS financial frameworks.

If you're a proactive, strategic thinker who thrives on driving change and delivering results, we'd love to hear from you.

The Business Manager role at Hanham Health is a senior position responsible for leading financial management, governance, and strategic development across the practice and Primary Care Network (PCN). The post holder will ensure financial stability through effective budget management, cashflow forecasting, and delivery of clear financial reporting, including variance analysis for senior leadership and the Finance, Risk & Strategy Committee.

The role includes oversight of payroll, banking, reconciliations, and the implementation of robust financial controls and procedures. A key responsibility is managing Primary Care funding streams, including GMS/PMS/APMS, QOF, PCN DES, and ARRS, ensuring accurate monitoring, reconciliation, and maximisation of income, alongside timely submission of claims and invoices.

The Business Manager will oversee external contracts and service agreements, supporting reviews and ensuring value for money, while acting as a key liaison with accountants and auditors. They will contribute to business planning through financial modelling, support service development, and identify opportunities for efficiency.

Working closely with senior leaders, the role promotes financial transparency, manages finance staff, ensures NHS compliance, and mitigates financial risk while maintaining accurate, auditable records.

Hanham Health is a large, forward-thinking GP practice in South Gloucestershire operating over four sites Hanham Surgery and Oldland Surgery, Almondsbury Surgery and Pilning Surgery.

We offer a high standard of service to our patients and embrace different ways of working and new initiatives.

We invest heavily in our team members and training opportunities are encouraged.

Key Responsibilities

• Lead on the day-to-day financial management of the practice/PCN, ensuring financial stability and sustainability.
• Maintain live budgets and cashflow forecasts, providing regular updates to the Senior Practice Manager and partners.
• Oversee payroll processes, working closely with the Finance Administrator to ensure accuracy, compliance, and timeliness.
• Manage bank accounts, authorisations, reconciliations, and cashflow monitoring.
• Ensure robust financial controls, policies, and procedures are in place and adhered to.
• Prepare financial reports for the Finance, Risk & Strategy Committee (FRSC), including variance analysis and financial forecasts.

PCN & Primary Care Contracting

• Lead on PCN ARRS budgeting, workforce funding monitoring, and reconciliation of income and expenditure.
• Ensure full understanding and correct application of Primary Care funding streams, including GMS/PMS/APMS, QOF, PCN DES, and other enhanced services. Oversight of PCSE statements for verification of income and expenditure.
• Oversee invoice processing and claims submissions, ensuring timely and accurate claims to NHS commissioners and other bodies.
• Monitor contract income and expenditure, ensuring compliance with contractual requirements and maximising income recovery.

External Contracts & Stakeholder Management

• Maintain oversight of external contracts, service level agreements, and procurement arrangements.
• Lead on contract reviews and renegotiations where appropriate, ensuring value for money and contractual compliance.
• Act as a key point of contact for external accountants, auditors, and financial advisors.
• Support year-end accounts, audits, and financial returns, working closely with accountants and senior management.

Business Planning & Development

• Contribute to the development and implementation of new business initiatives and service developments.
• Provide financial modelling and business case development for new services, investments, and growth opportunities.
• Support strategic planning by providing clear…