Finance Director Jobs in San Francisco, CA
Finance Director jobs in San Francisco concentrate in fintech, venture-backed technology, healthcare systems, and professional services, with demand strongest in the Financial District, SoMa, and Mission Bay. Employers hiring right now include CRUSOE, City and County of San Francisco, and University of California - San Francisco. Scan the live roles below and apply to whichever ones fit.
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The Network Finance Director serves as a key strategic partner to the Network’s administrative leadership team, providing expert financial direction, guidance, and operational support across the UCSF Health Network. This role places particular emphasis on the Community Hospitals, driving the optimization of financial systems, processes, and resources to shift from reactive reporting to a proactive, forward-looking finance function that supports operational excellence.
Initial key responsibilities include:
- Partner closely with Network administrative leaders to deliver strategic financial leadership, decision support, and actionable recommendations that align with organizational goals.
- Lead and strengthen financial performance at the community hospitals by maximizing the value of existing systems, tools, and data infrastructure.
- Oversee productivity and labor management initiatives, including workforce analytics, staffing efficiency, and cost-control strategies.
- Direct revenue cycle reviews and performance improvement efforts to enhance collections, reduce denials, and optimize cash flow.
- Co-own month-end close responsibilities, ensuring timely, accurate, and compliant financial close processes across the Network.
- Develop and deliver higher-level analytics, dashboards, and insights that enable proactive decision-making.
- Conduct ad-hoc business reviews, scenario modeling, and special projects to support strategic initiatives, volume growth, service-line performance, and operational efficiency.
- Promote a culture of financial accountability, internal controls, transparency, and continuous improvement throughout the Network.
This position is instrumental in elevating the financial maturity of the UCSF Health Network—particularly its community hospital portfolio—by translating data into strategy and ensuring the organization extracts maximum value from its people, processes, and systems.
This role serves as key strategist with the VP/CFO, Network in initiating and developing new financial strategic direction, long- and short-range plans and innovative initiatives. Has high level authority to make official commitments and to broadly represent the VP/CFO, Network’s interests across the organization. Responds to issues with little or no precedence. May manage and administer independent program(s), typically with Network Business Unit-wide impact, particularly within the Community Hospitals. May in the future manage professional staff handling diverse administrative functions such as human resources and budgetary planning. Uses advanced Finance concepts and organizational objectives to resolve highly complex issues. Regularly works on highly complex issues or problems which require analysis of unique issues / problems without precedent and / or structure. Exercises a high level of judgment in selecting methods, techniques and evaluation criteria for obtaining results.
Required Qualifications:
- Bachelor's degree in related area and / or equivalent experience / training.
- Minimum of fifteen (15) years of progressive/combined in healthcare finance
- Advanced knowledge of the organization's processes, protocols and procedures.
- Advanced skills in short- and long-range planning, program and project management, facilitation and collaboration.
- Sound strategic thinking and consulting skills in guiding the organization toward workable strategies and solutions.
- Proven ability to focus on priorities, strategies, and vision.
- Advanced ability to coach, facilitate and influence people at all levels.
- Advanced ability to build and maintain relationships with a broad range of staff and members of the community.
- Knowledge of common organization-specific and other computer application programs.
- Financial analysis and reporting techniques.
- Demonstrates breadth and/or depth of professional/technical skills and capabilities required for position; shares knowledge; sets or contributes to the Company’s direction within area of expertise.
- Managing Expenses, Labor productivity and Finances: Knowledge of the principle and methodology of finance management and ability to use the functions, tools and processes needed to manage financial assets and liabilities throughout the organization.
- Budget Management: Knowledge of the principles and methodology of budget management and ability to utilize the tools, techniques and procedures needed to establish and monitor budgets.
- Financial Analysis: Knowledge of tools and approaches of financial analysis; ability to read, interpret and draw accurate conclusions from financial and numerical material.
- Cost-Benefit Analysis: Knowledge of the principles and tools used in cost-benefit analysis and ability to analyze the purpose and scope of a producer, product, process, or project in terms of cost and benefits.
- Financial Forecasting and Modeling: Knowledge of processes, tools and techniques of financial forecasting and modeling; ability to explore and evaluate alternative financial scenarios and results.
Preferred Qualifications:
- Advanced degree preferred.
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Find Finance Director JobsFinance Director Job Market in San Francisco
Who's Hiring
- CRUSOE22

- City and County of San Francisco16

- University of California - San Francisco16

- Vaco11

- Airwallex11

Top Industries Hiring
- Technology & Software27
- Government & Public Sector11
- Banking & Financial Services11
- Education5
- Staffing & Recruiting5
Finance Director Jobs in San Francisco: Frequently Asked Questions
How do I get a finance director job in San Francisco?
The strongest path in San Francisco is building deep exposure to high-growth technology or fintech companies, where most local demand concentrates. Controllers and senior finance managers at Series B and C startups in SoMa and Mission Bay regularly step into director roles as those companies scale. Candidates who can speak to capital raises, board reporting, and unit economics stand out in this market over those with purely operational backgrounds.
Which companies hire finance directors in San Francisco?
San Francisco finance director roles are posted by CRUSOE, City and County of San Francisco, and University of California - San Francisco and others right now, based on current listings on Migrate Mate as of September 2026. The local market includes a dense mix of venture-backed startups, publicly traded technology firms, regional health systems, and financial services companies headquartered in or near the Financial District.
Are there remote finance director jobs in San Francisco?
Yes, though finance director roles are less remote than individual-contributor finance positions because they require close collaboration with executive teams and boards. About 68% of finance director openings tied to San Francisco are remote or hybrid as of September 2026, with hybrid arrangements being far more common than fully remote. Strategic and analytical work, such as FP&A oversight and investor reporting, tends to be the most location-flexible part of the role.
How can I get a finance director job in San Francisco with little or no experience?
The most realistic entry path is moving through senior manager or controller roles at San Francisco's mid-stage startups, which often promote faster than large corporations. Companies in SoMa and the Financial District hiring for Series A through C growth frequently need finance managers who can grow with the business. Building experience in equity compensation accounting, GAAP close cycles, and board deck preparation gives candidates a concrete edge when applying for their first director title locally.
Which industries hire the most finance directors in San Francisco?
Most finance director openings in San Francisco sit in Technology & Software, Government & Public Sector, and Banking & Financial Services, per current listings on Migrate Mate as of September 2026. San Francisco's concentration of venture capital, technology headquarters, and regional healthcare networks makes those sectors the primary drivers of local finance director hiring throughout the year.
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