Jobs at Fresenius Medical Care

Manage month-end close activities, record journal entries, reconcile balance sheet and bank accounts, process fixed assets, handle intercompany and foreign currency revaluations, ensure SOX compliance, support audits, and improve accounting processes in line with SLA and GAAP/IFRS.

Leads training, clinical quality improvement, compliance monitoring, audits, incident analysis, emergency preparedness, and patient education across dialysis clinics. Evaluates staff competency, tracks clinical outcomes and KPIs, supports regulatory compliance with NABH and ISO standards, coordinates with nephrologists and clinic managers, and delivers targeted interventions to improve patient safety, satisfaction, retention, and care outcomes. Maintains training, certification, audit, incident, and performance documentation while reporting progress and recommendations to management.

Perform in-depth analysis and month/quarter/year-end reconciliations of balance sheet accounts, ensure GAAP/IFRS compliance, support SOX controls and audits, recommend process improvements, mentor staff, and assist on accounting projects and system maintenance.

Supervises verification operations involving insurance, benefits, and patient account processes. Assigns workflows, manages schedules, monitors team performance, oversees reconciliation and monthly close activities, and ensures compliance with company procedures. Provides coaching, resolves complex issues, supports process improvements, coordinates with cross-divisional teams, and partners with Human Resources on employee matters. The role may directly supervise billing and collections staff.

Lead SAP S/4HANA Finance and Controlling enhancements focused on product costing, Material Ledger, actual costing, transfer pricing, valuation, and tax-related processes. Design and implement account determination and scalable solutions, facilitate workshops, manage requirements, testing, migration, cutover, incidents, and hypercare. Perform root cause analysis and support end-to-end integration across SAP Finance, Sales, Materials Management, and procurement within SLA-driven production support environments.

Configure, enhance, and support SAP S/4HANA Finance processes across General Ledger, Asset Accounting, RE-FX, and Controlling. Lead workshops, requirements analysis, testing, migration, cutover, and hypercare activities. Manage Finance incidents and changes within SLA, perform root cause analysis, support period-end close and regulatory reporting, and maintain documentation. Collaborate across SAP Finance, SD, and MM/PUR while contributing to global template harmonization, audit support, and continuous improvement.

Supports Quality Operations by reviewing and dispositioning batch and manufacturing records, managing finished-product lots in SAP, verifying parametric release requirements, reviewing monitoring and deviation records, administering containment holds, supporting batch release, maintaining quality-system documentation, and driving continuous improvement. Ensures compliance with regulatory, corporate, and site requirements for medical product manufacturing.

Configures, tests, documents, and supports SAP IBP supply chain planning solutions across integrated SAP landscapes. Analyzes business requirements, designs Demand Planning, S&OP, and Supply & Response solutions, supports international template rollouts, leads sub-project activities, and collaborates with global stakeholders. Provides testing guidance, post-go-live support, process optimization, mentoring, and issue escalation while integrating SAP IBP with SAP ERP and S/4HANA systems.

Senior Processes Engineer ensures ergonomic, safe, and efficient manufacturing processes. Performs workstation analysis, human factors studies, assembly machinery review, change control, validations, FMEA, risk analysis, CAPEX management, and leads lean/Six Sigma improvement projects to reduce injuries, errors, and costs while improving productivity and quality.

Lead enterprise IT training for a global SAP S/4HANA transformation. Own training strategy, governance, content, localization, deployment (TTT/EUT), metrics, stakeholder alignment, and continuous improvement across releases and regions.

Implement and support SAP Advanced Financial Closing (AFC): develop closing templates and tasks, gather requirements, support testing and data validation, provide day-to-day AFC user and month/quarter/year-end closing support, and drive process improvements and system rollouts.

Provide quality guidance to ensure new product designs meet safety and efficacy requirements. Develop and validate inspection and test methods per product specifications, design and qualify test equipment, perform method validations for accuracy/precision/stability/reproducibility, and generate detailed quality reports to track trends and process improvements.

Coordinate delivery of the Financial Close Transformation program by integrating BlackLine, SAP AFC, SAP S/4HANA and related finance apps. Manage cross-functional workstreams, roadmaps, risks, testing, cutover and go-live readiness, documentation, governance, and stakeholder communications while driving standardization and continuous improvement across international teams.

Manage and optimize the BlackLine platform globally, bridging Finance and IT to implement/configure modules, gather requirements, support SIT/UAT, data migration, go-live, and drive automation and continuous improvement across Record-to-Report processes.

Educate and assist dialysis patients with insurance and financial assistance options (Medicare, Medicaid, COBRA, indigent waivers), verify eligibility, complete applications, track insurance status, resolve billing discrepancies, prepare monthly reports, and travel locally to clinics.

Designs, installs, troubleshoots, and maintains industrial control systems (PLC/HMI/SCADA), integrates robotics and machine vision, leads automation projects, conducts feasibility and ROI analyses, manages multiple manufacturing projects, and documents processes while ensuring cGMP/FDA compliance.

Supervise Account to Report accounting activities for assigned countries, entities, or sub-processes, including fixed assets, intercompany, general ledger, reporting, and close processes. Ensure GAAP and policy compliance, timely service-level delivery, KPI achievement, issue resolution, and process quality. Lead improvement initiatives, migrations, and stabilization activities while coaching team members and collaborating with internal stakeholders to improve service delivery.

Manages sales performance across an assigned territory by retaining and expanding accounts, converting new customers, executing account plans, negotiating deals, analyzing market and sales data, and developing product, therapy, clinical, competitive, and key opinion leader relationships.

Support site quality initiatives under supervision: write and implement process validation and GMP procedures; investigate complaints and failures; perform statistical analyses (CpK, SPC); participate in audits, metrology/calibration, design control and risk analyses (FMEA, Fault Tree); assist training and quality documentation.

Record and reconcile general ledger transactions, prepare journal entries, perform balance sheet and bank reconciliations, process fixed assets, support month-end close, prepare consolidation reports, review BlackLine journals, maintain internal controls and SLA compliance, and resolve accounting issues.