About AHN:

Africa Healthcare Network (AHN) is building the first dialysis chain across East Africa, providing high-quality, life-saving dialysis at an affordable cost to both the local patient population and patients from neighboring countries, which do not have centers of their own. AHN brings world-class technical expertise combined with practical operating experience to a region in dire need of quality dialysis treatment. In North America, over 97% of patients requiring treatment for kidney disease receive care; in East Africa, less than 5% receive care. AHN's goal is to increase access to high-quality care at a lower cost to patients, delivered through a sustainable business model. AHN is currently operating in Rwanda, Tanzania, Zambia and Kenya.

Job Summary:

The Finance Accountant oversees day-to-day financial management for the clinics, supporting the Country Director and CFO through accurate accounting, budgeting, cash flow management, and financial reporting. The role manages accounts payable and receivables, billing, audits, and ensures full compliance with government finance regulations, tax, and statutory, while maintaining strong financial controls. It also provides timely financial reports, KPIs, and insights to support efficient operations and informed decision-making. Your duties and responsibilities will include, but not be limited to, the following:

Policies, Procedures, Operations

• Support the Country Director and CFO in overseeing the financial management of the various clinics, including monthly cash flow and financial reporting, audits, cash allocations, and budgeting, forecasting, and planning.
• Ensure that billing for all dialysis centers is compliant with the company standards and the standards of our hospital and insurance partners.
• Monitor accounts receivable and liaise with relevant partners to minimize payment time
• Ensure that the company is compliant with taxation and statutory requirements, including preparing and generating the necessary statutory filings for PAYE, RRA, RSSB, and any other statutory requirements to ensure compliance with all tax law.
• Review work practices and financial procedures for better operational efficiency, minimizing and mitigating risk of fraud/leakage, and proactively raise management attention to potential issues in accounts, financial processes and controls. This includes doing audits at country level on a regular basis.
• Manage payroll policies, processes, and procedures in line with guidelines and cycle.
• Build and develop systems - setting up efficient financial systems that take into account the technical payment, cash management, payroll and financial operating systems of our operations. These systems need to be efficient or automated, data-driven, transparent and appropriate for Rwanda.

Strategy, Budgeting, Forecasting & Modelling:

• Work with the Country Director and CFO to assess the financial impact of strategic initiatives.
• Develop financial and non-financial key performance indicators and the appropriate reporting to assess financial and operational performance across the Company.

Accounting and Financial Reporting:

• Support in managing and coordinating the budgetary process for the business and financial forecast
• Leading in the preparation of management and financial accounts and provision of financial information to the Country Director and CFO for business decision making
• Ensuring compliance with regulatory reporting requirements, international financial reporting standards (IFRS) and International Accounting Standards (IAS), and other regulatory requirements.
• Implementing financial systems, procedures, policies for quality and expense control, and an administrative system.
• Accurately and proficiently maintain orderly accounts, including entering all financial transactions in SAGE 100 (or other future accounting software in use by the Company), ensuring Bank and Petty Cash reconciliation, and maintaining the fixed asset registrar and the accrued expense registrar.
• Maintain the filing system of all financial reports, field wire requests, bank reconciliations, field accounts review certifications, and other finance documentation.
• Coordinate with the supply chain officer/manager to ensure inventory balances are updated regularly for all additions, deletions, and changes in inventory.
• Manage the external audit process for financial statements; ensure that the Company complies with internal policies and relevant regulations.

Other

• Manage relationships with others across the Group to achieve agreed metrics in key business strategies and decisions.
• Any other tasks as assigned

• Support the Country Director and CFO in overseeing the financial management of the various clinics, including monthly cash flow and financial reporting, audits, cash allocations, and budgeting, forecasting, and planning.
• Ensure that billing for all dialysis centers is compliant with the company standards and the standards of our hospital and insurance partners.
• Monitor accounts receivable and liaise with relevant partners to minimize payment time
• Ensure that the company is compliant with taxation and statutory requirements, including preparing and generating the necessary statutory filings for PAYE, RRA, RSSB, and any other statutory requirements to ensure compliance with all tax law.
• Review work practices and financial procedures for better operational efficiency, minimizing and mitigating risk of fraud/leakage, and proactively raise management attention to potential issues in accounts, financial processes and controls. This includes doing audits at country level on a regular basis.
• Manage payroll policies, processes, and procedures in line with guidelines and cycle.
• Build and develop systems - setting up efficient financial systems that take into account the technical payment, cash management, payroll and financial operating systems of our operations. These systems need to be efficient or automated, data-driven, transparent and appropriate for Rwanda.
• Work with the Country Director and CFO to assess the financial impact of strategic initiatives.
• Develop financial and non-financial key performance indicators and the appropriate reporting to assess financial and operational performance across the Company.
• Support in managing and coordinating the budgetary process for the business and financial forecast
• Leading in the preparation of management and financial accounts and provision of financial information to the Country Director and CFO for business decision making
• Ensuring compliance with regulatory reporting requirements, international financial reporting standards (IFRS) and International Accounting Standards (IAS), and other regulatory requirements.
• Implementing financial systems, procedures, policies for quality and expense control, and an administrative system.
• Accurately and proficiently maintain orderly accounts, including entering all financial transactions in SAGE 100 (or other future accounting software in use by the Company), ensuring Bank and Petty Cash reconciliation, and maintaining the fixed asset registrar and the accrued expense registrar.
• Maintain the filing system of all financial reports, field wire requests, bank reconciliations, field accounts review certifications, and other finance documentation.
• Coordinate with the supply chain officer/manager to ensure inventory balances are updated regularly for all additions, deletions, and changes in inventory.
• Manage the external audit process for financial statements; ensure that the Company complies with internal policies and relevant regulations.
• Manage relationships with others across the Group to achieve agreed metrics in key business strategies and decisions.
• Any other tasks as assigned

• Accurate accounting
• Budgeting
• Cash flow management
• Financial reporting
• Accounts payable
• Accounts receivable
• Billing
• Audits
• Government finance regulations compliance
• Tax compliance
• Statutory compliance
• Financial controls
• KPI development
• Financial forecasting
• Financial modeling
• SAGE 100 proficiency
• Bank reconciliation
• Petty cash reconciliation
• Fixed asset registration
• Accrued expense registration
• Financial report filing
• Inventory balance coordination
• External audit management
• Interpersonal skills

• Experience in accounting and finance
• Experience in budgeting, cash flow management, and financial reporting
• Experience with accounts payable and receivables, and billing
• Experience with audits and ensuring compliance with government finance regulations, tax, and statutory requirements
• Experience in developing financial and non-financial KPIs
• Proficiency in SAGE 100 or similar accounting software
• Experience with bank and petty cash reconciliation
• Experience maintaining fixed asset and accrued expense registers
• Experience managing external audits