Our client is a well-established, high-growth home health and hospice provider that has served the San Francisco Bay Area for over two decades. Operating across multiple branches, they deliver patient-centered clinical care and are backed by strong operational systems and consistent community trust. We are hiring a Director of Finance to own the company's overall financial performance across all operating branches. This is a build-and-own role. You'll design the reporting, controls, and forecasting the business runs on, direct the full accounting function, and sit directly where executive decisions get made - owning financial outcomes rather than just reporting on them. What You'll Own Financial Strategy & P&L: Company-wide planning, budgeting, and forecasting, plus branch-level P&L and margin reporting. Controls & Workflows: Financial controls, approval workflows, and cost-tracking systems, ensuring appropriate segregation of duties. Accounting Function: The entire accounting engine - AP/AR, payroll processing, reconciliations, and month-end close - including direct management of the team. Cash & Treasury: Cash flow optimization, banking and lender relationships, and vendor, insurance, and contract reviews. Revenue Cycle Management (RCM): Revenue cycle performance alongside billing and clinical leadership: tracking A/R days, denials, collections, and Medicare cost reporting. Compliance & Reporting: Compliance of financial practices with Medicare, Medi-Cal, and state regulatory requirements, delivering regular performance reporting and forecasts to ownership.
What You'll Need
Experience:
5+ years in a senior finance or controllership role with direct P&L ownership and team management. Systems Building: Demonstrated track record of building financial systems, reporting tools, and internal controls -not just operating existing ones.
Technical Skills:
Advanced financial modeling, expert Excel skills, and working knowledge of GAAP and multi-site or multi-entity close.
Education:
Bachelor's degree in Finance, Accounting, or a related field (or equivalent experience). Mobility: Valid California driver's license and reliable transportation to travel between local branches as needed.
Preferred Qualifications:
Experience in healthcare, home health, hospice, or other regulated service environments. Familiarity with healthcare billing, reimbursement models, audit processes, or Medicare cost reports. Active CPA or MBA.
Benefits:
Medical insurance (with dental, vision, and life coverage available). 401(k) retirement plan. 10 days accrued paid vacation + paid sick leave per California and San Francisco requirements.
