Costello Medical is a healthcare-focused scientific consultancy supporting pharmaceutical and medical device companies across a range of therapy areas. Its work spans market access, medical communications, health economics, medical education, evidence development, health technology assessment, and real-world evidence analysis. Founded in 2008, the company has grown to more than 300 people working across the UK, Singapore, China, and the US. Costello Medical’s multidisciplinary teams contribute research and communication expertise to projects intended to support better healthcare decisions. The company has also received a 3-star Best Companies™ accreditation and B Corp certification recognizing its social and environmental performance.
Financial Accountant - US Accounting and Group Reporting - Costello Medical
Lead US accounting, tax compliance, and group reporting for Costello Medical, a global healthcare agency. Support finance operations across the UK, North America, and Asia-Pacific.
Description
- Lead the US accounting function, covering month-end close, group audit support, US tax reporting, and applicable nationwide filings.
- Coordinate sub-group consolidations and deliver accurate, timely reporting for US and other group entities.
- Manage US tax responsibilities, including estimated payments and liaison with external tax advisers.
- Support cash flow forecasting, financial planning, and risk assessment.
- Prepare balance sheet reconciliations, journal entries, prepayments, and accruals.
- Maintain accurate intercompany accounting, reconciliations, and invoicing across multinational operations.
- Keep general ledger records accurate and support reporting across multiple entities.
- Assist with year-end close, internal and external audits, and continuing compliance work.
- Work with international teams and external advisers on process improvements and change initiatives.
- Provide accounting support across the wider group, including operations in the UK, Singapore, China, and Australia.
Requirements
- ACA, ACCA, US CPA, or equivalent accounting qualification, either recently completed or nearing completion.
- Strong numerical and analytical capability.
- Clear and effective written and verbal communication skills.
- Highly organised, with meticulous attention to detail.
- Ability to plan, prioritise, and manage competing deadlines.
- Willingness to learn new systems and understand company processes.
- Proficiency with Microsoft Office applications.
- Post-qualification professional experience is preferred.
- Understanding of US GAAP; familiarity with IFRS or other accounting frameworks is advantageous.
- Experience or knowledge in US tax compliance and reporting is preferred.
- External audit experience is preferred.
- Experience working in multinational organisations with foreign regulations and entities is preferred.
- Experience supporting change management and process improvement initiatives is preferred.
- International experience, particularly in Singapore, China, Australia, or Canada, is advantageous.
- Interest in contributing to wider tax and controllership activities.
- CV and cover letter required.
- Proof of the right to work in the UK required.
- Security or background checks may be required.
Benefits
- Discretionary profit-share bonus paid twice annually.
- Hybrid and flexible working arrangements.
- 25 days of annual leave in addition to bank and public holidays.
- Option to buy or sell annual leave.
- Flexible working hours.
- Ability to work from home for up to half of working time after probation.
- Flexible benefits scheme with cash payments and additional pension contributions.
- Private medical insurance.
- Paid study leave.
- Funding for external qualifications.
- Critical illness cover.
- Income protection.
- Life assurance.
- Paid and unpaid sabbaticals based on length of service.