F

Fresenius Medical Care

Operates dialysis facilities and renal care

Account-to-Report Subject Matter Expert

Full-TimeDeadline 10/30/26
No salary listed
Senior
Bachelor's
Taguig, Metro Manila, Philippines
HybridFlexible split between office and remote work, subject to supervisor agreement.
AccountingFinancial Accounting

About the job

Requirements
  • Bachelor's degree in Accountancy, Accounting, or a related Finance discipline.
  • Minimum of 5–8 years of progressive experience in Record-to-Report (R2R) or Account-to-Report (A2R) processes within a Shared Services, Global Business Services, or BPO environment.
  • Demonstrated experience in process migration, transition management, stabilization, and process transformation initiatives.
  • Proven track record in process improvement, stakeholder management, issue resolution, and operational excellence projects.
  • Strong working knowledge and hands-on experience in general ledger accounting, account reconciliations, intercompany accounting, fixed assets accounting, lease accounting, month-end and year-end close, financial reporting and consolidation, journal entry preparation and review, balance sheet substantiation, variance analysis, and internal controls and compliance.
  • Advanced proficiency in Microsoft Office applications.
  • Working knowledge of SQL, VBA/macros, Power BI, and data analytics tools.
  • Experience with SAP ERP.
  • Strong analytical and problem-solving skills.
  • Ability to communicate and present in English.
  • Ability to influence stakeholders and work effectively across multiple functions and geographies.
  • Strong project management and organizational skills.
  • Ability to work independently with minimal supervision.
  • Experience leading trainings, mentoring team members, and driving knowledge-sharing initiatives.
  • Ability to manage competing priorities in a fast-paced environment.
  • Demonstrated success in crisis management, process improvement, and stakeholder engagement.
Responsibilities
  • Provide expert support in A2R operations, including review and approval of journal entries, reconciliations, reports, and accounting transactions involving complex accounting scenarios.
  • Serve as the primary escalation point for process-related issues, accounting inquiries, and exception handling to ensure timely resolution and minimal business disruption.
  • Support newly migrated entities, stabilize transitioned processes, and provide functional expertise during transition, migration, and transformation activities.
  • Ensure transactions, reconciliations, and reports are completed accurately and comply with GAAP, IFRS where applicable, company accounting policies, and internal control requirements.
  • Perform root cause analysis for recurring issues, identify process gaps, and implement corrective and preventive action plans.
  • Lead and support continuous improvement initiatives, automation projects, and standardization efforts to improve efficiency, quality, controls, and service delivery metrics.
  • Monitor operational KPIs, SLAs, and quality metrics, identify trends, and recommend performance improvement actions.
  • Perform internal control reviews and ensure documentation complies with iPace, SOX, and company control requirements where applicable.
  • Coordinate and act as a key point of contact for internal and external audit requests, ensuring timely submission of audit requirements and closure of audit findings.
  • Review, update, and maintain Standard Operating Procedures (SOPs), process maps, desktop procedures, and knowledge management documents for accuracy and compliance.
  • Deliver process training, mentoring, coaching, and knowledge transfer sessions to team members and newly onboarded resources.
  • Partner with stakeholders, business units, and cross-functional teams to resolve operational challenges and drive process improvements.
  • Participate in month-end, quarter-end, and year-end closing activities to support timely and accurate financial reporting.
  • Support system enhancements, testing activities (UAT), and process change implementations impacting A2R operations.
  • Contribute to the management, strategic initiatives, and development of the A2R/R2R Tower to support organizational goals and objectives.
  • Support business continuity plans and provide operational coverage during critical periods, transitions, and resource constraints.
Desired Qualifications
  • CPA designation is preferred but not required.
  • Experience with SAP S/4HANA is preferred.
  • Familiarity with automation and continuous improvement tools such as Power Apps, BlackLine, or similar systems is an advantage.

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

6 month growth

-3%

1 year growth

-3%

2 year growth

-3%
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