Job description

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.

Requirements

Must-haves

Health Link Home Health & Hospice
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

Nice-to-haves

San Francisco, CA (HQ-based) | Full-time | Reports to CEO | $150,000–$180,000 per year, DOE, plus a discretionary annual performance bonus
Preferred: healthcare, home health, or other regulated services experience; familiarity with healthcare billing and reimbursement; audit or cost-report experience; CPA or MBA.

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Benefits

Benefits detected in the listing.

Dental

Vision

401(K)