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Finance Operations Manager High-Growth Health Tech Start-up (London)

Second Nature


Job Location:

London - UK

Monthly Salary: Not provided by the employer
Posted: 21 July 2026 (30+ days ago)
Application Deadline: 7 November 2026
Vacancies: 1 Vacancy

Department:

Finance

Job Summary

Description
About the Role

Were a venture-backed health-tech business on a mission to help people take control of their health with strong growth behind us and big plans ahead. As we build out our finance function were looking for someone sharp organised and brilliant with systems to run the operational engine of our finance team.

Reporting to the Finance Lead youll own the day-to-day running of finance and support decision-making across the business. Youll work closely with our B2B team a fast-growing side of the business with big expectations ahead.

We care far more about how you think than which exams youve passed. If youre a natural problem-solver who spots what isnt working and fixes it whos ruthless about accuracy and who loves making a process better well teach you the accounting. This is a role you can grow into and over time well beyond.

Were a small team that supports each other but we also need someone who can work independently and take the initiative. Youll have real ownership of your work with the freedom to improve how things are done broad exposure across the business and room to grow all while doing genuinely meaningful work.

Responsibilities
    • Run the day-to-day finance function keeping things accurate timely and well-controlled.
    • Own the month-end close and monthly management accounts including balance sheet reconciliations and revenue recognition.
    • Deliver monthly reporting and commercial analysis including variance analysis and ad hoc deep-dives to present performance and insight clearly.
    • Act as finance business partner to the B2B team and ops leads supporting their finance needs ensuring on-time payment and no revenue leakage with revenue reporting at the contract level.
    • Support the budgeting forecasting and FP&A cycle partnering with the Finance Lead on planning and decisions.
    • Manage the annual audit acting as the main point of contact for auditors and ensuring a smooth close.
    • Design build and improve the processes systems and controls the finance function needs as the business scales.
    • Work across teams to provide insight drive efficiency and support decision-making.


Requirements

The right person:

  • Takes ownership spotting what isnt working and driving it to a better outcome without being asked.
  • Is a sharp critical thinker who questions assumptions and digs into the why.
  • Works independently and makes the call while knowing when to pull in support.
  • Is commercially-minded linking the numbers to whats happening in the business.
  • Is ruthless about accuracy and attention to detail and gets things right first time.
  • Is adaptable staying effective as priorities shift.
  • Communicates clearly with finance and non-finance people alike.
  • Is organised and reliable juggling priorities and hitting deadlines.

Skills and experience:

  • Strong numeracy and a genuine aptitude for working with financial data.
  • Advanced Excel skills and a love of using systems and tools to work faster and better.
  • Experience with accounting or finance software (Xero preferred) and comfort learning new systems quickly.
  • Some experience in a finance operations or analytical role ideally in a fast-paced startup or scale-up.
  • A good grasp of how a business makes and spends money and an interest in the commercial side.

Nice to have not required:

  • Studying towards or an interest in studying towards an accounting qualification (ACA ACCA or CIMA). Well support you if you want to.
  • Prior exposure to month-end FP&A or audit processes.

Why Second Nature

The Challenge

Obesity has become a global epidemic; in the UK we spend 9 billion a year alone on diseases like type 2 diabetes (thats 10% of the NHS budget). Whats shocking is most of this is preventable through sustained lifestyle and habit change.

Enter Second Nature.

Were here to help people take control of their health. By bringing together behavioural science technology and incredible people our grand mission is to eradicate the global epidemic of chronic lifestyle diseases once and for all.

Our digital habit change programme delivered digitally through mobile and web apps helps people to improve their lifestyle lose weight and ultimately reduce their risk for conditions such as type 2 diabetes.

About us:

  • Weve positively changed the lives of 300000 people through accessible evidence-based healthcare.
  • Were rated Excellent on Trustpilot by over 8000 of our members.
  • Were the UKs largest digital health provider to the NHS
  • Were a leading B2C provider of GLP-1 medication-assisted weight loss programmes and 1 of 5 NICE-approved providers to deliver these services within the NHS in the future
  • Our team members stay with us for an average of 4.3 years


Benefits
  • A competitive market salary generous share options and bi-annual performance reviews to recognise your contributions
  • Hybrid working policy: 2 days/week in our West London office the rest of the week remote working
  • 25 days of holiday plus national holidays
  • Quarterly company meet-ups and socials
  • A budget of 200/year to spend on professional development
  • Option to join the Salary Sacrifice scheme and Cycle to Work scheme

Required Experience:

Manager


About Company

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Denisa Ratulea is a Health Coach, Healer, Plant-Based Chef and author of Cooking from Your Heart. Denisa uses food and spiritual teachings as a way to raise consciousness and achieve a beautiful state and relationship with ourselves. Whether you join a free challenge, watch recipe vi ... View more

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