Jobs in Underhill

Vision RT is a fast-growing MedTech company transforming radiation therapy for cancer patients by helping make it more accurate, effective, and comfortable. The company is the inventor of, and a market leader in, Surface Guided Radiation Therapy (SGRT). This technology uses advanced 3D cameras to track surface data, providing enhanced guidance across every step of the radiotherapy workflow.
Vision RT’s SGRT solutions are in 24 out of the 25 “Best Hospitals for Cancer,” as tracked by US News & World Report.
The company is recognized as one of Britain’s fastest-growing private tech companies, as featured in the 2025 Sunday Times 100 Tech list. Vision RT is also a recipient of the 2026 King’s Award for Enterprise, our fifth in 10 years. It is the UK’s most prestigious accolade for business excellence.
With around 300 employees globally and offices in the UK, Poland, and the USA, Vision RT operates independently as part of the Danish company William Demant Invest A/S, one of the world’s largest investors in healthcare companies. Employees benefit from the security and reach of being part of a large global enterprise, combined with the agility and innovation of a startup.
Vision RT is a company with strong values, a clear mission, and a bright future. It is an exciting and rewarding organization in which to work.
About the role
We are seeking a highly motivated and detail-oriented Senior Management Accountant to join our finance team. This role plays a critical part in delivering accurate financial insights, supporting strategic decision-making, and driving business performance.
As a Senior Management Accountant, you will be responsible for preparing monthly management accounts, performing financial analysis, and partnering with key stakeholders across the business. You will ensure the integrity of financial reporting while identifying opportunities to improve processes, efficiency, and profitability.
Working closely with senior leadership, you will provide meaningful commentary on financial performance, budgets, and forecasts, helping to guide business strategy. This role also involves mentoring junior team members and contributing to the continuous development of the finance function.
This is an excellent opportunity for a qualified accountant looking to take on a high-impact role within a dynamic and fast-paced environment.
Key responsibilities will include
• Preparing the monthly Management Accounts for subsidiaries. We currently have subsidiaries based in the UK, USA, Germany, China, Australia, Poland, India, Spain, Korea, Canada and Japan.
• Carrying out month-end tasks such as revenue recognition, cost of sales workings, accruals, prepayments, and maintenance of the fixed asset register.
• Balance Sheet reconciliations
• Bank reconciliations
• Debtor, creditor, and bank revaluations.
• Intercompany reconciliations
• Analyse the financial results to produce commentary for senior management for both internal and external reporting
• Carrying out project work such as improving files, systems, and processes.
• Responsible for VAT/GST Returns including any other Monthly/Quarterly local tax returns and ensure deadlines are always met
• Work with the local accountants/advisors to ensure the subsidiaries’ account balances are aligned with ours
• Responsible for any other applicable returns in the Subsidiaries as and when required
• Assist with the preparation and filing of the Statutory Accounts in the Subsidiary countries in line with IFRS/local GAAP requirements
• Assist with Year-End duties and annual audit
• Other ad hoc duties as and when required by the Financial Controller and Finance Director.
Essential Skills & Experience
• 5+ years of experience in an accounting environment, with knowledge of IFRS and UK GAAP
• Qualified Accountant
• International Experience
• Good Academics
• Month End Experience including Prepayments, Accruals, Revenue Recognition
• Strong analytical skills, with high attention to detail
• Good Excel skills including Vlookups, Pivot tables and Sumifs
• Able to work to strict deadlines
• Able to work independently and take the initiative in solving problems
• Solid understanding of basic accounting payable principles, including a good knowledge of VAT
• Proven ability to calculate, post and manage accounting figures and financial records
• Ability to communicate and work at all levels with a large number of stakeholders i.e. junior staff to senior management.
Desirable Skills & Experience
• Experience in leading teams and managing junior staff
• Experience using Sage 200, Credit Hound and TM1 – Apliqo
• Experience using Paperless
• Experience using WebExpenses
• Audit experience from a Big 4 or mid-tier firm