---
title: 'Director of Finance at Health Link'
canonical: 'https://feeny.ai/job/director-of-finance-health-link-san-francisco-nj0xq0f4nzgs'
type: 'job'
last_seen: '2026-09-16'
---

# Director of Finance at Health Link

- **Company:** Health Link
- **Location:** San Francisco, CA
- **Posted:** 2026-09-14
- **Last confirmed live:** 2026-09-16
- **Apply:** https://job-boards.greenhouse.io/healthlink/jobs/5424011008

## Job description

Health Link Home Health & Hospice

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.

Health Link Home Health & Hospice is an equal opportunity employer and does not discriminate on the basis of any characteristic protected by law. Qualified applicants with criminal histories will be considered in accordance with the California Fair Chance Act and the San Francisco Fair Chance Ordinance.

## About Health Link

## Company Overview
- **One-liner**: HealthLink organizes regional, self-funded provider networks and cost-management programs for employers and third-party administrators in Missouri, Illinois, and surrounding states.
- **Entity Type**: Private (subsidiary of publicly traded Elevance Health, Inc.)
- **Headquarters**: Saint Louis, Missouri, United States
- **Founded**: 1984
- **Founders**: Not publicly available

## Core Business
- **Primary industry**: Healthcare services – self-funded health plan networks and benefits administration support.
- **Target customers**: B2B – employers of all sizes, third-party administrators (TPAs), and payors of health benefits.
- **Mission / purpose**: To make health care access simple for employers by offering regional network advantages, flexible plan designs, and personalized support.

## Products & Services
- **HealthLink PPO**: A preferred provider organization network contracted specifically to serve Missouri and Illinois, with national wrap network solutions.
- **HealthLink Open Access**: An open access network option that supports employer-specific plan designs.
- **Wellness & Cost Management Programs**: A portfolio of wellness initiatives, high-cost claim management, provider transparency tools, and collective purchasing resources.
- **Specialty Insurance Products**: Life, disability, dental, vision, and workers’ compensation insurance marketed alongside core health plans.

## Market Standing
- **Valuation / Market Cap**: Not disclosed (subsidiary of Elevance Health, Inc., a Fortune 50 company)
- **Key Metric**: Annual revenue of ~$25.7 million (latest estimate)
- **Notable Investors / Partners**: Parent company Elevance Health, Inc. (formerly Anthem, Inc.); works with a variety of TPAs and employer groups.
- **Growth Signals**: Headcount grew 8.5% year-over-year (30 employees, +4 people); active job postings on Greenhouse indicate continued hiring.

## Competitive Advantages
- **Regional focus**: Deeply contracted provider networks in Missouri and Illinois allow lower costs for employers without paying for nationwide coverage they don’t need.
- **Local, accessible team**: Small, dedicated staff who can quickly resolve issues across departments – positioned as an extension of the client’s business.
- **Self-funding expertise**: Helps employers of all sizes adopt self-funded plans, which can be exempt from many costly health reform provisions and offer more control over plan design and costs.

## Strategic Focus
- **Expanding self-funded solutions**: Continuing to promote self-funding as a viable option for employers, supported by flexible network options and cost-management tools.
- **Enhancing digital engagement**: Recent video series and wellness content (e.g., “eHouseCall” articles) aim to help members take charge of their health and benefits.
- **Strengthening TPA relationships**: Working closely with third-party administrators to deliver tailored network solutions.

## Why Work Here
- **Small, collaborative environment**: With ~30 employees, staff work closely across departments, offering a tight-knit culture and direct access to leadership.
- **Stability with backing**: As a subsidiary of Elevance Health, HealthLink offers the resources of a large parent company while maintaining a local, independent feel.
- **Work policy**: Not explicitly stated; roles appear to be office-based in St. Louis (HQ at 1831 Chestnut St).
- **Job opportunities**: Active openings listed on Greenhouse (job-boards.greenhouse.io/healthlink) for various functions including account management and support.

## Sources
1. [HealthLink About Page](https://www.healthlink.com/about/)
2. [HealthLink Why HealthLink](https://www.healthlink.com/about/why-healthlink)
3. [HealthLink Careers on Greenhouse](http://job-boards.greenhouse.io/healthlink)
4. [HealthLink Contact Sales Team](https://www.healthlink.com/employer/contact)
5. [HealthLink LinkedIn Profile](https://www.linkedin.com/company/healthlink-inc-)

## Other roles at Health Link

- [Physical Therapist (PT) Home Health](https://feeny.ai/job/physical-therapist-pt-home-health-health-link-san-francisco-tx5tck6s8etq) — San Francisco, CA
- [Patient Experience Coordinator – Home Health & Hospice | San Francisco](https://feeny.ai/job/patient-experience-coordinator-home-health-hospice-san-francisco-health-link-6gk95gx2dhm5) — San Francisco, CA
- [Director of Patient Care Services (DPCS) — Home Health](https://feeny.ai/job/director-of-patient-care-services-dpcs-home-health-health-link-san-francisco-34w9bks0xmj6) — San Francisco, CA
- [Director of Human Resources](https://feeny.ai/job/director-of-human-resources-health-link-san-francisco-5zhdheh7y8wv) — San Francisco, CA
- [Medical Social Worker (MSW) - Walnut Creek](https://feeny.ai/job/medical-social-worker-msw-walnut-creek-health-link-walnut-creek-thxzb8v2x664) — Walnut Creek, CA
- [Home Health Intake/Scheduling Coordinator - Walnut Creek](https://feeny.ai/job/home-health-intake-scheduling-coordinator-walnut-creek-health-link-walnut-creek-mrq7ztvg88dm) — Walnut Creek, CA
- [Hospice Registered Nurse- Full Time/ Part Time](https://feeny.ai/job/hospice-registered-nurse-full-time-part-time-health-link-san-francisco-vj2ct2c03zz4) — San Francisco, CA
- [Remote Workforce Manager](https://feeny.ai/job/remote-workforce-manager-health-link-walnut-creek-x2hfjyhmnrh9) — Walnut Creek, CA
- [Home Health Operations Manager](https://feeny.ai/job/home-health-operations-manager-health-link-walnut-creek-k2nx1gcw13gw) — Walnut Creek, CA
- [Registered Nurse (RN) Home Health-$10,OOO $IGN ON BONU$](https://feeny.ai/job/registered-nurse-rn-home-health-10-ooo-ign-on-bonu-health-link-south-bay-q1z4cnpsk26f) — South Bay