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Fresenius Medical Care

Operates dialysis facilities and renal care

Director Operations

Full-TimeDeadline 11/30/26
No salary listed
Mid, Senior
Bachelor's, Master's
Hagerstown, MD, USA
In PersonRegular travel between assigned facilities is required; occasional out-of-area and overnight travel may be expected.
Business & Strategy

About the job

Requirements
  • A Bachelor's Degree or an equivalent combination of education and experience is required.
  • Three to five years of business operations management and leadership experience is required.
  • Demonstrated leadership and management competencies and skills, including financial competence, operational excellence, communication, and customer service, are required.
  • Strong business acumen is required.
  • Demonstrated practice of continuous quality improvement and relationship development is required.
  • Strong skills in team building, motivating employees, performance management, and decision making are required.
  • Strong interpersonal skills and the ability to communicate with all levels of management through diplomacy and tact are required.
Responsibilities
  • Direct, administer, and oversee the day-to-day operations and activities of dialysis facilities and programs within an assigned geographic area.
  • Ensure compliance with company and regulatory guidelines while providing high-quality dialysis service and patient care.
  • Implement divisional and company initiatives and strategies, including cost containment, profitability, and growth strategies.
  • Lead the development and implementation of area strategic plans, goals, objectives, quality goals, and action plans.
  • Provide leadership support and guidance to facility and program management, including clinical and home therapy managers and support staff.
  • Provide informal feedback and formal annual performance evaluations, and manage staffing through hiring, firing, and disciplinary actions in collaboration with Human Resources.
  • Mentor, guide, support, and provide subject matter expertise to direct supervisory reports.
  • Ensure employees receive required training, education, and ongoing compliance training.
  • Coordinate communications and meetings with managers and staff across the assigned area and division.
  • Maintain relationships with Medical Directors, Medical Advisory Board members, referring physicians, and other stakeholders.
  • Preside over facility Governing Body meetings.
  • Address adverse events and action thresholds within the area of responsibility.
  • Develop clinical and program budgets and monitor performance for efficient operations.
  • Manage profit and loss for assigned clinics, programs, and areas to achieve or exceed budgets and key performance indicators.
  • Manage payroll, oversee facility expenses and accounts payable, and implement cost containment strategies.
  • Review balance sheets and income statements to monitor revenue growth and commercial payer mix.
  • Determine the impact of proposed changes and improvements before implementation.
  • Implement and drive Staffing, ScheduleWise, and other business initiatives, including corrective action plans for underperforming clinics and programs.
  • Implement and achieve the business plan and key performance indicators, reviewing financial and productivity performance data and adjusting strategies as needed.
  • Coordinate and oversee logistics associated with patient care within the assigned area.
  • Support joint venture opportunities, merger and acquisition opportunities, joint venture operations, board meetings, and compliance activities.
  • Maintain current knowledge of community and regional healthcare markets and industry issues affecting the business.
  • Market company products and services and support business growth.
  • Work with clinical and program managers to increase home therapy utilization while balancing in-center and home programs.
  • Maintain environmental integrity and safety of facilities and water systems.
  • Maintain administrative policy and procedure manuals.
  • Oversee privacy and security compliance according to risk management and compliance requirements.
  • Prepare reports and audit procedures and processes to monitor operational efficiency.
  • Practice risk management strategies and collaborate with legal counsel to resolve legal issues and reduce company exposure.
  • Travel regularly between assigned locations, with occasional out-of-area and overnight travel.
Desired Qualifications
  • An advanced degree is preferred.
  • Multiple modality exposure is a plus.

About the company

F

Fresenius Medical Care

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Fresenius Medical Care North America runs a network of dialysis facilities and outpatient labs to deliver coordinated kidney care for hundreds of thousands of patients. It also offers specialty pharmacy and laboratory services and manufactures a wide range of dialysis equipment, disposables, and renal drugs. The company treats patients by providing dialysis and related care at its clinics, supported by the equipment, supplies, and medicines it develops and distributes. FMCNA differentiates itself through its size and integration as the world's largest fully integrated renal company, with a nationwide network covering care delivery, drugs, labs, and manufacturing, aiming to provide high-quality, convenient access to comprehensive services across North America.

Company Size

11-50

Company Stage

Late Stage VC

Total Funding

$40.2M

Headquarters

Waltham, Massachusetts

Founded

1996

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Simplify's Take

What believers are saying

  • Q2 2026 operating income rose 23%, showing transformation gains reached profitability.
  • FME25+ delivered EUR 67 million savings in Q2 2026 and targets EUR 1.2 billion.
  • Real-world evidence studies in July and August 2026 strengthen high-volume hemodiafiltration adoption.

What critics are saying

  • The August 2026 outlook disappointed investors after dialysis growth stalled and shares fell 10%.
  • FME25+ closed around 100 U.S. clinics in 2026, risking patient leakage to DaVita.
  • AB 290 litigation and premium-assistance rules threaten U.S. reimbursement economics and legal spend.

What makes Fresenius Medical Care unique

  • Fresenius Medical Care controls dialysis care, equipment, labs, and specialty pharmacy end-to-end.
  • Its 5008X CAREsystem reached around 100 clinics and 100,000 treatments by May 2026.
  • kinexus and TherapyWise deepen its software moat across home dialysis and kidney therapy.

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Benefits

  • Professional Development Budget
  • Conference Attendance Budget
  • Flexible Work Hours

Growth & Insights and Company News

Headcount

6 month growth

-3%

1 year growth

-3%

2 year growth

-3%
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