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.