Healthcare Director of Finance

Pinnacle Health Care offers a finance leadership role with competitive pay, an annual performance bonus, and benefits that support your wellbeing and long-term stability. You will have access to multiple health insurance options, dental and vision coverage, paid time off, a 401(k) retirement plan with a 50% match, and life insurance. This is an in-person position in San Francisco, CA, supporting a home health and hospice organization across three branches. The role also includes convenient day-to-day touches like office coffee and snacks, plus access to electronic charting.

Responsibilities

• Lead company-wide budgeting, financial planning, and forecasting.
• Develop branch-level profit and loss (P&L) reports and analyze margin performance.
• Build and maintain financial controls, approval processes, and cost-tracking systems.
• Oversee core finance operations including accounts payable and receivable, payroll, reconciliations, and financial close.
• Manage cash flow, support banking activities, and maintain relationships with lenders.
• Review vendor agreements, insurance, and contracts to support operational and financial needs.
• Partner with billing and clinical leaders to improve collections, reduce denials, and manage accounts receivable.
• Oversee Medicare cost reporting and ensure financial compliance with Medicare, Medi-Cal, and state requirements.
• Present financial results, forecasts, and recommendations directly to ownership.
• Lead and develop the accounting team.

Requirements

• At least 5 years in a senior finance role with direct responsibility for profit and loss and team management.
• Experience building financial systems, reporting, and controls.
• Strong financial modeling skills and advanced Excel capabilities.
• Working knowledge of GAAP and experience with the financial close across multiple locations or entities.
• A Bachelor’s degree in finance, accounting, or a related field (or equivalent experience).
• A valid California driver’s license and reliable transportation, or another reliable way to travel between branches.

Compensation

USD 150,000 - 180,000 per year.

Application

• This is a full-time position. Are you willing and able to work full-time hours?
• What days and times are you available for a video interview?
• Describe your experience leading financial operations, managing a team, and building financial reporting or controls.
• What is your email address?