Thompson Brain & Mind Healthcare – Maroochydore QLD

Thompson Brain & Mind Healthcare (TBMH) is a not-for-profit mental health organisation established on the Sunshine Coast, Queensland, with a vision to reconceptualise mental healthcare. Our mission is to minimise the burden of mental illness through person centred-care and world-class treatment. Founded on a commitment to pioneering research and precision medicine, we strive to harness the potential of technology and innovation to deliver improved patient outcomes.

TBMH is a young but fast growing organisation. We are committed to delivering meaningful improvements in client outcomes by grounding all programs in a neuroscience-informed approach, leveraging precision diagnostics and personalised treatment strategies to guide care. Our integrated model is designed to reduce fragmentation in mental healthcare, foster early intervention, and support clients with tailored, multidisciplinary treatment pathways.

Position Summary

Thompson Brain and Mind Healthcare is seeking to appoint a Senior Management Accountant to establish and operate the management accounting function across TBMH and its associated entities.

TBMH does not yet have dedicated internal management accounting capability and therefore the successful candidate will be required to help structure and standardise the finance function, and then produce reliable monthly, quarterly and annual management reporting for the business.

The role will suit a commercially minded accountant who is comfortable operating in a fast growing, commercially nimble, healthcare organisation. The position requires both technical accounting discipline and practical business partnering capability.

Key to the success of this position is mapping the operating units of the business from a financial perspective, to enable divisional planning and reporting. Success will involve liaising with colleagues across the business to understand and forecast plans across the business.

Key Objectives of the Role

The Management Accountant will be responsible for:

- Establishing the management accounting framework for TBMH and associated entities.
- Improving the structure, accuracy and usability of financial information.
- Producing timely management reports that support operational and strategic decision‑making.
- Supporting budgeting, forecasting, cash flow management and performance analysis.
- Providing financial insight to management regarding revenue, costs, margin, utilisation, service line performance and entity-level performance.
- Working with the bookkeeper/payroll function to ensure transactional finance processes support accurate management reporting.

Key Responsibilities

1. Finance Function Build and Structuring

The initial phase of the role will involve helping TBMH build a fit-for-purpose finance structure.

Responsibilities will include:

- Reviewing the current trial balance, chart of accounts, entity structure, cost centres and reporting categories
- Recommending and implementing improvements to ensure the finance system supports management reporting
- Establishing consistent financial reporting processes across TBMH and associated entities
- Developing reporting templates, management packs, dashboards and KPI reporting
- Improving the quality,



consistency and timeliness of financial data
- Working with the existing payroll/bookkeeping function to ensure transactional inputs are complete, accurate and coded appropriately
- Identifying gaps in current finance processes and recommending practical improvements
- Supporting the development of internal controls appropriate for a growing healthcare organisation.

2. Management Reporting

The Management Accountant will be responsible for producing appropriate financial reports that give management a clear view of business performance. This will include:

- Review and analyse the monthly trial balance as part of the month‑end close process
- Preparing monthly, quarterly and annual profit and loss reports, balance sheet summaries and cash flow reporting as required
- Preparing budget versus actual reporting and variance analysis
- Reporting by entity, location, service line and cost centre where applicable
- Analysing revenue, direct costs, contribution margin and overheads
- Preparing commentary on key financial movements, risks and performance drivers
- Tracking financial KPIs relevant to healthcare operations, including revenue per service line, practitioner utilisation, labour costs, treatment volumes and contribution by service line
- Preparing monthly management packs for the executive team as required
- Supporting management meetings with explicit financial analysis and explanation

3. Budgeting and Forecasting

The role will support the development and maintenance of TBMH’s budget and forecasting processes. Responsibilities will include:

- Assisting with preparation of annual budgets
- Developing rolling forecasts where required
- Modelling revenue, cost, workforce and utilisation assumptions
- Preparing scenario analysis for current services, clinics, contracts or commercial initiatives
- Monitoring actual performance against forecast and identifying required corrective actions
- Supporting cash flow forecasting and working capital planning
- Assisting management to understand the financial impact of operational decisions

4. Business Partnering and Commercial Analysis

The Management Accountant will act as a finance business partner to management and operational leaders. Responsibilities will include:

- Providing financial insight to support decision‑making across clinical, operational and commercial areas
- Analysing service line profitability and contribution
- Supporting assessment of pricing, capacity, clinician utilisation and margin
- Assisting with financial modelling for new initiatives, including new services, premises, partnerships and commercial projects
- Supporting the evaluation of investment cases, acquisitions or expansion opportunities where required
- Helping management understand financial trade‑offs and operational consequences
- Translating financial information into clear, practical recommendations





Skills & Experience

The successful candidate should have:

- Prior experience in a management accounting, commercial accounting or finance business partnering role
- Strong understanding of management reporting, budgeting, forecasting and variance analysis
- Ability to design and improve financial reporting processes
- Strong Excel and financial modelling skills
- Experience working with accounting systems such as Xero, MYOB, QuickBooks, NetSuite or similar
- Ability to work with imperfect or incomplete financial data and improve it over time
- Strong analytical capability and attention to detail
- Ability to communicate financial information clearly to non‑finance stakeholders at all levels of the business
- Practical understanding of balance sheet, cash flow, profit and loss and working capital management
- Capacity to operate independently in a new role without a large finance team around them
- High integrity and discretion when dealing with confidential financial and payroll information

The following experience would be advantageous:

- Experience in healthcare, medical services, allied health, specialist clinics, mental health, disability, insurance‑funded care or similar service‑based environments
- Experience with multi‑entity financial reporting
- Experience reporting by site, service line, clinician, project or cost centre
- Experience supporting a growing private company, founder‑led business or scaling healthcare organisation
- Familiarity with payroll, contractor payments, Medicare, private billing, insurer‑funded services or healthcare revenue cycles
- CA, CPA, CIMA or equivalent qualification, or progress toward one of these qualifications

Key Capabilities

- Structured and disciplined, but pragmatic
- Comfortable building processes from the ground up
- Commercially curious and interested in how the business actually operates
- Able to challenge financial assumptions respectfully
- Detail‑oriented without losing sight of business priorities
- Proactive rather than reactive
- Comfortable working in a growing organisation where processes may not yet be fully mature
- Able to work with clinicians, executives, bookkeepers and external advisors
- Clear, concise and reliable in communication

Our commitment to inclusion

At TBMH, our work matters and so does every member of our team. We are committed to fostering a respectful, inclusive workplace where all individuals feel valued and supported.

TBMH is an Equal Employment Opportunity employer. We consider qualified applicants for all positions without regard to race, religion, sex, gender identity, age, disability, sexual orientation, marital or veteran status, or any other legally protected characteristic.

We believe diversity strengthens our team and enhances the care we provide to our community.

Applications will be reviewed on a rolling basis, and interviews will be conducted as suitable candidates are identified. We encourage interested applicants to apply early.

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📌 Senior Management Accountant (Maroochydore)
🏢 Thompson Brain & Mind Healthcare
📍 Maroochydore