Director of Finance

Health Link; San Francisco (CA); On-site; USD 150,000 - 180,000; Full time

Benefits offered by this job

401(k)

Paid sick leave

Health, dental, and vision insurance

Life insurance

Job summary

Health Link seeks a Director of Finance to own financial performance across all three branches in the San Francisco Bay Area. This full-time role sits in a high-impact position, shaping reporting, controls, and forecasting, while guiding the accounting team and strategic decision-making.

The ideal candidate has 5+ years in senior finance with direct P&L ownership, strong GAAP knowledge, and proven ability to design financial systems and processes.

Qualifications

• 5+ years in a senior finance role with P&L ownership and team management.
• Experience building financial systems, reporting, and controls.
• Strong financial modeling and advanced Excel skills.
• Working knowledge of GAAP and multi-site or multi-entity close.

Responsibilities

• Own company-wide planning, budgeting, and forecasting with branch-level reporting.
• Develop financial controls, approval workflows, and cost-tracking systems.
• Direct the accounting function: AP/AR, payroll, reconciliations, close, and team.
• Manage cash flow, banking, lender relations, and vendor/insurance contracts.
• Oversee revenue cycle performance: A/R days, denials, collections, Medicare reporting.
• Ensure compliance with Medicare, Medi-Cal, and state requirements.
• Provide regular performance reporting and forecasts to ownership.

Skills

Financial modeling

Advanced Excel

GAAP knowledge

P&L ownership

Team management

Education

Bachelor's degree in finance or accounting

Job description

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.

Medical, with dental, vision, and life available.

401(k).

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.