Full-Time

Director – Global Internal Controls

Care Delivery Segment

Posted on 8/29/2025

Deadline 9/26/25
Fresenius Medical Care

Fresenius Medical Care

11-50 employees

Operates dialysis facilities and renal care

No salary listed

Waltham, MA, USA

Remote

Candidates must be based in the United States.

Category
Accounting (4)
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Requirements
  • Bachelor’s or Master’s degree in Accounting, Finance, Business Administration, or a related field.
  • Minimum 10 years of relevant experience in Public Accounting, Internal Audit, or Internal Controls, with recent experience in a Big Four external audit environment strongly preferred.
  • Deep technical expertise in IFRS and technical accounting, with demonstrated ability to apply accounting standards to complex business scenarios.
  • Proven experience managing global teams and working in a matrixed, multinational environment.
  • Demonstrated success in leading internal control programs in complex, multi-region organizations.
  • Proven ability to design, implement, and evaluate internal controls in accordance with Sarbanes-Oxley (SOX) and other regulatory frameworks.
  • At least 5 years of experience managing professional staff in audit, internal controls, or a matrixed organization.
  • Excellent communication skills—both verbal and written—with the ability to present complex technical topics to senior leadership.
  • Highly organized and capable of managing multiple priorities in a fast-paced, dynamic environment.
  • Experience with ERP systems (e.g., SAP S/4HANA), GRC tools, and process automation technologies.
  • Ability to influence and collaborate effectively across functions and cultures.
  • Fluent in English; additional languages are a plus.
Responsibilities
  • Lead the global internal controls strategy for the Care Delivery Segment.
  • Serve as the primary liaison between the Care Delivery Segment and the VP, Global Internal Controls – Head of Operational Excellence.
  • Lead a global team of ICS subject matter experts responsible for designing internal controls across end-to-end business processes within the Care Delivery Segment.
  • Provide strategic guidance to Global Process Owners and Control Owners on the design and implementation of internal controls over financial reporting.
  • Act as advisor on ICS-related matters, supporting business transformation and operational excellence initiatives.
  • Lead risk assessments and ensure risks are appropriately documented and mitigated through effective control design and walkthrough documentation for SOX-relevant processes.
  • Drive global standardization of internal controls and promote automation and digitalization of control activities in collaboration with the Strategy and Governance Pillar and other Operational Excellence team members.
  • Identify and eliminate redundant or non-value-added controls; champion the use of technology to enhance control effectiveness and efficiency.
  • Manage and mentor a global team of Internal Control Experts and Senior Experts, fostering a high-performance culture and professional development.
  • Oversee the continuous improvement of internal controls across all Care Delivery business processes.
  • Collaborate with the Strategy and Governance Pillar to support the design and implementation of business process controls as part of enterprise system transformation initiatives, including ERP implementations.
  • Partner with the Global ICS Testing Team to oversee the SOX testing program for the Care Delivery Segment, ensuring timely execution, quality, and remediation of deficiencies.
  • Ensure accurate and timely reporting of ICS-related developments in the GRC system.
  • Collaborate with global process owners, compliance, internal audit, IT, and external auditors to ensure alignment and transparency.
  • Represent the Care Delivery Segment in global ICS forums and cross-functional initiatives.
  • Lead the development and delivery of ICS training programs for internal stakeholders.
  • Communicate key updates, changes, and expectations related to internal controls across the organization.
Desired Qualifications
  • CPA, CIA, or equivalent professional certification preferred.
Fresenius Medical Care

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

Simplify Jobs

Simplify's Take

What believers are saying

  • $130k Mississippi grant funds VR for rural home dialysis patient education.
  • NxStage System One adopted by top U.S. hospitals for acute renal therapy.
  • Speedswap enables quick filter changes, reducing downtime and nursing workloads.

What critics are saying

  • NxStage Speedswap recall causes blood leaks, triggering lawsuits in 3-6 months.
  • DaVita expands low-cost home dialysis, eroding NxStage share in 12-18 months.
  • 6.4TB data breach on February 5, 2026, exposes patient records to 0APT.

What makes Fresenius Medical Care unique

  • FMCNA operates world's largest integrated renal care network with dialysis facilities.
  • FMCNA manufactures comprehensive dialysis equipment, disposables, and renal pharmaceuticals.
  • FMCNA provides specialty pharmacy and laboratory services for chronic conditions.

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