Cost Accountant
At Fresenius Medical Care, we are the global leader in kidney care, committed to improving the lives of patients with chronic kidney disease. Our mission is to deliver high-quality, innovative products, services, and care across the entire healthcare journey.
Guided by our vision—“Creating a future worth living. For patients. Worldwide. Every day.”—we work with purpose and compassion, supported by a global team of over 110,000 employees.
Within our Care Enablement segment, we develop and provide life-sustaining medical products, digital health solutions, and therapies that empower clinical teams and improve patient outcomes. Our FME Reignite strategy drives transformation through innovation, efficiency, and sustainable growth.
Our values guide how we work:
- We Care for our patients, each other, and our communities
- We Connect across teams and borders to deliver excellence together
- We Commit to doing things the right way—growing with purpose and leading kidney care with integrity and innovation
At our Reynosa plant in Mexico, we are committed to the highest standards in the production of disposable medical products for dialysis treatments. With a dedicated team of more than 3,000 employees across four manufacturing sites, the plant focuses on manufacturing essential components such as hemodialysis disposables, peritoneal dialysis (PD) disposables, hemodialysis (HD) machines, and PD cycler machines.
By utilizing advanced technologies to ensure the highest standards in dialysis product manufacturing, we’re not only driving innovation—we’re also creating meaningful change for patients worldwide. Join our passionate team and be part of this global impact.
The Cost Accountant is responsible for supervising, coordinating, planning, and analyzing manufacturing costs and financial information to support business decisions, product costing, budgeting, forecasting, and compliance requirements. This role ensures accurate cost accounting processes, financial reporting, inventory reconciliation, internal controls, and adherence to corporate policies, SOX requirements, and audit standards.
Your Responsibilities
• Analyze and supervise manufacturing costs, preparing reports comparing standard costs versus actual costs.
• Support new product introductions by developing cost estimates and providing product costing information to Product Development (R&D).
• Prepare and present management reports related to product costs, profitability, absorption, volume, revenue, and key business indicators.
• Coordinate month-end closing activities, including VOP, cost per unit, absorption, MUV, PPV calculations, General Ledger journal entries, Flash reporting, and SAP report validation.
• Analyze the impact of changes in product design, raw materials, and manufacturing processes on product costs.
• Maintain inventory account reconciliations and support General Ledger accuracy.
• Participate in Annual Standard Cost, Budget, and Forecast preparation processes.
• Support CAPEX projects, ensuring compliance with corporate policies and procedures.
• Participate in SOX, Internal Control, iPACE, GIA, PwC, and corporate compliance activities, including audits, reconciliations, and quarterly certifications.
• Review operating expenses, investigate budget and forecast variances, and recommend corrective actions.
• Support monthly U.S. and Mexican accounting close processes, treasury reporting, cash flow reporting, payroll, taxes, and vendor payments.
• Monitor MUV, PPV, MRB adjustments, cyclical counts, quality waste trends, and supplier recovery activities.
• Prepare Plant Key Performance Indicators (KPIs) and other corporate financial reports.
Your Profile
• Certified Public Accountant (CPA) or Bachelor's Degree in Business Administration.
• Minimum 3 years of experience in a manufacturing or assembly plant environment.
• Strong knowledge of Cost Accounting, Budgeting, Forecasting, Inventory Accounting, and Financial Analysis.
• Advanced knowledge of SAP, Excel, Word, and PowerPoint.
• Strong numerical, analytical, communication, leadership, decision-making, and teamwork skills.
• Bilingual English/Spanish required.
• Valid U.S. Visa required.
Our Offer for You
There is a lot you can discover at Fresenius Medical Care, regardless of the field of expertise or level of experience—everything is dedicated to supporting your professional journey.
• Whether in front of or behind the scenes, you help make better medicine available to more people worldwide
• Individual opportunities for self‑determined career planning and professional development
• A corporate culture that encourages innovative thinking—finding the best solution together, not just the fastest one
• A team of committed professionals with diverse skills, talents, and experiences
• The strength of a successful global corporation combined with the collegial culture of a mid‑sized company.
Skills Required
- Certified Public Accountant (CPA) or Bachelor's Degree in Business Administration
- Minimum 3 years of experience in a manufacturing or assembly plant environment
- Strong knowledge of Cost Accounting, Budgeting, Forecasting, Inventory Accounting, and Financial Analysis
- Advanced knowledge of SAP
- Advanced knowledge of Excel
- Advanced knowledge of Word
- Advanced knowledge of PowerPoint
- Bilingual English/Spanish
- Valid U.S. Visa required
- Experience with SOX, internal controls, audits (iPACE, GIA, PwC) and compliance activities
- Strong numerical, analytical, communication, leadership, decision-making, and teamwork skills
Fresenius Medical Care Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Fresenius Medical Care and has not been reviewed or approved by Fresenius Medical Care.
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Leave & Time Off Breadth — PTO is described as ample for 3x12-hour shifts and is complemented by paid caregiver leave, holidays, and sick time. This range of time-off options provides meaningful flexibility for many roles.
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Healthcare Strength — Medical coverage includes 100% preventive care, office-visit copays, prescription coverage, and disability insurance, while dental covers preventive, basic, and major restorative services up to an annual limit. Vision benefits are also available.
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Wellbeing & Lifestyle Benefits — Wellness programs feature the Rally app with fitness rewards, virtual therapy, and an Employee Assistance Program with free counseling. Additional offerings like digital physical therapy and expert medical opinions broaden holistic support.
Fresenius Medical Care Insights
What We Do
Fresenius Medical Care is the world’s leading provider of products and services for individuals with renal diseases. We aim to create a future worth living for chronically and critically ill patients – worldwide and every day. Thanks to our decades of experience in dialysis, our innovative research and our value-based care approach, we can help them to enjoy the very best quality of life. Our portfolio encompasses a comprehensive range of high-quality health care products and services as well as various dialysis treatment options for both in-center and home dialysis that are individually tailored to our patients’ needs.








