Head of Finance

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.