Finance and Accounting Services

Director, Global Internal Controls - Care Delivery Segment

Address: Remote

Job ID: R0214442

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As a Clinic Manager at Fresenius Medical Care, you’ll manage the daily operations of our outpatient centers. More importantly, you’ll be the key driver in carrying out our mission: To deliver superior care that improves the quality of life of every patient, every day, setting the standard by which others in the health care industry are judged. This is accomplished by hiring, developing and inspiring a multi-disciplinary team, collaborating with physicians, tracking and delivering superior patient outcomes and monitoring regulatory and safety requirements. Strong management skills are required and prior direct patient care experience is needed for occasions when the team needs a helping hand.

A female nurse examining her patient

Patient Care Technicians (PCTs) at Fresenius Medical Care support and collaborate with RNs to provide dialysis treatment to several patients at a time while maintaining the functionality of the clinic. This involves prepping and testing equipment, reviewing treatment sheets, and opening the clinic at 4am for first shift. PCTs have a combination of technical skills and genuine passion needed to develop deep relationships with patients and improve their quality of life. Qualified candidates have prior customer service, healthcare and direct patient care experience, and will have the opportunity to learn the discipline of dialysis.

A female nurse examining her patient

Fresenius Medical Care nurses are on the front line of patient care, improving the quality of life of every patient, every day. That means providing dialysis care to 10-12 patients at any given time, and collaborating with our multi-disciplinary team to deliver a unique care plan to each one of them. This role is all about relationships and the bond you’ll create with patients and their families. Prior dialysis nursing experience is helpful, but many successful candidates come from a background in ICU, PCU and/or surgery.

A female nurse examining her patient

Inpatient RNs at Fresenius Medical Care perform dialysis treatments on an acute patient population in a hospital setting, including ICU, ER, Rehab, and Med/Surg units. What makes this role truly unique is the level of autonomy you’ll enjoy. Inpatient nurses are specifically accountable for administering and assessing each patient’s treatment plan. And because dialysis is a critical treatment for many hospital procedures and health conditions, you’ll have the opportunity to work with a wide variety of patients. Ideal candidates possess leadership skills and independence needed to make quick decisions in a fast-paced environment. Must be capable of educating patients and providing exceptional customer service to our partners. Six months to one year of dialysis experience or some form of critical care nursing experience are also required.

A female nurse examining her patient

Job Description

Position location: You will be able to work from your home location within the United States.

PURPOSE AND SCOPE:

The Director, Global Internal Controls – Care Delivery Segment is responsible for overseeing internal controls across all business processes within the Care Delivery Segment. This role ensures the design, implementation, and continuous improvement of a robust internal control framework aligned with regulatory requirements (e.g., SOX, COSO) and company objectives. The Director leads a global team of Internal Control Experts and Senior Experts, driving operational excellence, risk mitigation, and process standardization across all Global Care Delivery business units. This position reports to the VP, Global Internal Controls – Head of Operational Excellence.

The Operational Excellence Pillar of the Global Internal Controls (ICS) team is accountable for ensuring robust, efficient, and standardized internal controls across all global end-to-end business processes impacting internal controls over financial reporting (ICFR). Acting as internal control subject matter experts (SMEs), the team supports the organization in embedding effective controls, driving standardization and automation, and ensuring compliance with internal and external requirements. This function serves as a key partner to global process owners, control owners, and other stakeholders to continuously improve and govern the ICS framework.

PRINCIPAL DUTIES AND 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.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

This position requires occasional international and domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISION:

Direct supervision of global Internal Control Experts and Senior Experts.

EDUCATION:

  • Bachelor’s or Master’s degree in Accounting, Finance, Business Administration, or a related field.
  • CPA, CIA, or equivalent professional certification preferred.

EXPERIENCE AND REQUIRED SKILLS:

  • 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.

If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (smartsheet.com)

EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
 

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable laws.

Position location: You will be able to work from your home location within the United States.

EOE, disability/veterans

Success Profile

What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.

Success profile proportion

Success Profile

What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.

Success profile proportion

Success Profile

What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.

Success profile proportion

Success Profile

What makes a successful member of our team? Check out the top traits we are looking for and see if you have the right mix.

Success profile proportion
“I successfully completed the RN program and went on to hold the position of Staff RN, Charge Nurse, and finally Clinical Manager.”
Rosalyn,
Clinical Manager
“Every day I walk in I am changing lives for the better and working to inspire my patients.”
Andrew,
Patient Care Technician
“I am a member of an outstanding team that helps patients gain more control, achieve tangible goals, and live better lives.”
Tony,
Outpatient Services RN
“My goal is to make sure that our patients keep their mobility and quality of life. This goal is really personal for me. My own father always had really bad vasculature in his leg and never had access to the kind of care we offer — eventually he lost blood flow and mobility. Knowing what he went through makes me even more committed to our mission.”
Warren J.
Azura Regional Vice President

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We fully believe that dedication and passion should be recognized and rewarded. That’s why we offer a competitive compensation and benefits package to all of our employees. Our benefits provide the flexibility, choice and support you need to be at your best as you play a vital part in helping patients live longer, better and healthier lives.

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