Healthcare, Health Insurance, Managed Care

Director of Finance

San Francisco, CAOnsiteFull TimeDirector$150,000–$180,000 /yrPosted 1 month agoVisa sponsorship available

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Required skills

P&L ownership
financial systems
reporting
controls
forecasting
financial modeling
advanced Excel
GAAP
multi-site
multi-entity close

Nice to have

healthcare
home health
regulated services
healthcare billing
reimbursement
audit

Role summary

Health Link Home Health & Hospice is seeking a Director of Finance to oversee the financial performance of its three branches in the Bay Area. This role involves designing and implementing financial systems, reporting, controls, and forecasting. Responsibilities include managing the accounting function, cash flow, banking relationships, and revenue cycle performance, ensuring compliance with Medicare, Medi-Cal, and state regulations. The ideal candidate will have 5+ years of senior finance experience with P&L ownership and team management, a strong background in building financial systems, and advanced Excel skills. Experience in healthcare or regulated services is preferred.

Health Link Home Health & Hospice

San Francisco, CA (HQ-based) | Full-time | Reports to CEO | $150,000–$180,000 per year, DOE, plus a discretionary annual performance bonus

The role

Health Link Home Health & Hospice has served the Bay Area for over two decades with strong systems and consistent growth. We're hiring a Director of Finance to own the company's financial performance across all three branches.

This is a build-and-own role. You'll design the reporting, controls, and forecasting the business runs on, direct the accounting function, and sit where the decisions get made — owning outcomes rather than reporting on them.

What you'll own

Company-wide planning, budgeting, and forecasting, plus branch-level P&L and margin reporting

Financial controls, approval workflows, and cost-tracking systems, with appropriate segregation of duties

The accounting function — AP/AR, payroll processing, reconciliations, and close — including the team

Cash flow, banking and lender relationships, and vendor, insurance, and contract review

Revenue cycle performance alongside billing and clinical leadership: A/R days, denials, collections, and Medicare cost reporting

Compliance of financial practices with Medicare, Medi-Cal, and state requirements

Regular reporting of performance, forecasts, and recommendations to ownership

What you'll need

5+ years in a senior finance role with direct P&L ownership and team management

Demonstrated experience building financial systems, reporting, and controls — not only operating existing ones

Strong financial modeling and advanced Excel skills

Working knowledge of GAAP and multi-site or multi-entity close

Bachelor's degree in finance, accounting, or a related field, or equivalent experience

Valid California driver's license and reliable transportation, or another reliable way to travel between branches

Preferred: healthcare, home health, or other regulated services experience; familiarity with healthcare billing and reimbursement; audit or cost-report experience; CPA or MBA.

Benefits

Medical, with dental, vision, and life available.

401(k).

10 days accrued paid vacation.

Paid sick leave per California and San Francisco requirements.

All benefits subject to plan documents.

Health Link Home Health & Hospice is an equal opportunity employer and does not discriminate on the basis of any characteristic protected by law. Qualified applicants with criminal histories will be considered in accordance with the California Fair Chance Act and the San Francisco Fair Chance Ordinance.

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