Director of Finance

Health Link

$150K — $180K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years in a senior finance role with direct P&L ownership and team management
  • Experience building financial systems and controls from the ground up
  • Strong financial modeling and advanced Excel skills
  • Familiarity with GAAP and multi-site financial reporting
  • Bachelor's degree in finance, accounting, or a related field
  • Valid California driver's license and reliable transportation for branch travel

Responsibilities

  • Manage company-wide planning, budgeting, and forecasting processes
  • Develop financial controls and approval workflows
  • Oversee the accounting function including AP/AR and payroll
  • Handle cash flow, banking, and lender relationships
  • Monitor revenue cycle performance with billing and clinical teams
  • Ensure compliance with Medicare, Medi-Cal, and state financial regulations
  • Regularly report performance and forecasts to ownership

Benefits

  • Medical coverage with dental, vision, and life insurance options
  • 401(k) retirement plan
  • 10 days of accrued paid vacation per year
  • Paid sick leave per California and San Francisco laws
  • Benefits subject to plan documents
Full 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.
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.

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