Fresenius Medical Care North America
Regional Director, Operations
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Canton / Michigan
Employment type
Job description


Directs, administers and controls the day to day operations and activities of dialysis facilities and programs in an assigned area ensuring compliance with established company and regulatory guidelines and procedures in order to provide high quality dialysis services and outstanding patient care to the community.  Responsible for oversight of RRI and RTG research projects.  Actively participates in board meetings with Joint Venture partners.    Participates in the implementation of divisional and company initiatives and strategies. Practices cost containment strategies, maintaining profitability and growth of area while ensuring compliance with all pertinent company policies and regulatory requirements. In partnership with the Business Leadership team responsible for the development of new business opportunities to meet the business goals for treatment growth.   Supports FMCNA’smission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and Fresenius policy requirements.





•      Responsible for driving the RRI culture through values and customer service standards.

•      Accountable for outstanding customer service to all external and internal customers.

•      Develops and maintains effective relationships through effective and timely communication.

•      Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner.



  • Directs and oversees the dialysis business of assigned facilities within a defined area through effective leadership and management of customer service, quality patient care, marketing of RRI and responsible fiscal management. Coordinates operation strategies and activities to ensure the provision of outstanding quality patient care and dialysis services while adhering to regulatory and company guidelines and requirements ensuring efficiency and economy.

  • Works closely with RRI Research to review and implement clinical studies.  Ensure that the staff is properly educated on all new protocols.   Participate in Research staff meetings as needed.

  • Responsible for direct oversight of all RTG product research.  Coordinates market preference studies with RTG marketing.

  • Participates in all Board meetings with Joint Venture partners.  Prepares and reviews operations reports.

  • Participates in the development of area strategic plans, goals and objectives ensuring alignment with those of the region, division and company. Implements, disseminates and administers operations strategies and objectives to ensure the achievement of the division’s and company’s goals and objectives. Implements facility-specific and area quality goals and action plans in order to achieve RRI quality standards.

  • Collaborate with RTG sales, marketing and senior management in various programs and projects, in order to maximize earnings in FMC

  • Responsible for the development of new business opportunities.

  • Develop and maintain collaborative relationships with RTG Sales and Marketing departments to facilitate technology integration in RTG sponsored initiatives.

  • Identify and follow up leads for potential acquisitions, development of new business opportunities through de novos, joint ventures, and management agreements. Support establishment of new modalities within existing inventory.

  • Focuses on same store growth, de novo projects and the development of relationships with local market nephrologists to ensure treatment growth at or above market standards.

  • Provides leadership in formulating, representing, and implementing the business goals and objectives regarding treatment growth initiative.

  • Provides leadership for supporting evaluations and operational integration of innovative technologies. 

  • Provides leadership, support and guidance to facility management including clinical and technical managers and other support staff and the Operations Manager.  Provides informal feedback on an ongoing basis and formal feedback in the annual performance evaluation process.  Manages the staffing through the appropriate hiring, firing and disciplinary actions in collaboration with HR.

  • Responsible for aggressively addressing and acting upon adverse events and action thresholds in area of responsibility.

  • Mentors, guides, supports and provides subject matter expertise to Clinic Managers within region.

  • Collaborates with VP to develop clinic budgets, monitoring performance to ensure optimal, efficient and effective operations practices within regulatory and company guidelines.

  • Responsible for profit and loss management of each assigned facility/program including optimal performance of facility operations to achieve or exceed budgets and key performance indicators.

  • Works closely with Managed Care department to increase the payor mix and to retain commercial patients.

  • Manages the payroll and oversees facility expenses andaccounts payable for the assigned area practicing cost containment strategies as appropriate.

  • Reviews the balance sheet and income statement s regarding revenue growth and commercial payor mix on a frequent basis to understand the status of the business.

  • Determines impact of proposed changes and identified improvements prior to implementation to ensure a positive effect.

  • Accountable for implementing and driving the RRI business initiatives including the prompt implementation of corrective action plans for clinics with below threshold performance.

  • Ensures efficient and economical performance in accordance with clinic operating budgets and takes the appropriate actions to ensure the attainment of profit and year-end goals and objectives. Responsible for the implementation and achievement of the business plan and key performance indicators.  Reviews analysis of performance including financial and productivity data for area with VP and makes the appropriate changes in strategies, goals an objectives responding to current status and conditions. Coordinates and oversees all logistics associated with patient care within the assigned area.

  • Ensures all employees receive the appropriate training and education according to RRI policies and procedures including ongoing compliance training.

  • Acts as the primary liaison between the company and the Medical Directors, Medical Advisory Board members, and referring physicians, ensuring appropriate communication of company initiatives. Responsible for developing and maintaining strong Medical Director and physician relationships and facilitating  Clinical Manager and staff relationships with physicians.

  • Presides over facility Governing Body and maintains Administrative policy and procedure manuals.

  • Collaborates with the Vice President to respond to Joint Venture (JV) opportunities, to identify merger and acquisition opportunities and to participate in the related activities as appropriate. This may include but is not limited to providing oversight of the JV operations; participating in o JV Board meetings and JV Management meetings assuming Board positions as needed, and taking the appropriate steps to ensure the JVs are in compliance with all pertinent company and regulatory requirements.

  • Prepares reports and audits current procedures and processes to monitor efficiency of operations

  • Practices risk management strategies and collaborates with internal and external legal counsel as appropriate to resolve legal issues with goal of reducing company exposure.

  • Maintains current knowledge regarding community and regional healthcare market and industry issues which may impact business.  Utilizes current knowledge of FMCNA products, services and strategies to market the company and grow the business.

  • Ensures and promotes the development of the area management team/succession planning through coaching, training and leadership development.

  • Collaborates with the appropriate Corporate and local groups to ensure the growth of all modalities (Incenter, Inpatient, Home, Home Assist, CKD etc)

  • Ensures a strong and robust communications process between all managers and staff within the area and clinics, and across the division as needed by leading communications sessions and meetings with managers and ensuring the appropriate dissemination of communications to direct patient care and support staff within the area.

  • Responsible and accountable for facility maintenance of environmental integrity including safety of all facilities and water systems within designated area.

  • Oversees Privacy and Security compliance according to the FMCNA Risk Management and Compliance requirements.

  • Participates in all pertinent training and development opportunities to grow and develop business knowledge, and skills and leadership competencies.

  • Other duties as assigned.



The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.  The position requires travel between assigned facilities and various locations within the community.  Travel to Regional, Division and Corporate meetings may be required.  The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.



Bachelor’s degree required with concentration in Business, Finance or Healthcare preferred OR RN degree with equivalent (3 years) healthcare management experience in lieu of bachelor’s degree.



•      3 – 5 years of business operations management and leadership experience.

•      Demonstrated leadership and management competencies and skills including excellent financial competence, operational excellence, exceptional communication and customer service skills.

•      Demonstrated practice of continuous quality improvement and relationship development.

•      Results oriented.

•      Excellent skills for team building, motivating employees, performance management and decision making



Internal Contacts: RRI and divisional management team and financial groups, Corporate departments.


External Contacts: Medical Directors, Hospitals, non-affiliatedphysicians, government agencies.



Clinical Managers and other personnel as assigned.


Review and comply with the Code of Business Conduct and all relevant Company and Business Unit policies and procedures, and local, state, andFederal laws and regulations.   Ensure that employees understandand comply with the Code of BusinessConduct and all-relevant Company andBusiness Unit policies and procedures, and local, state, and Federal laws and regulations, and establish effective internal systems and controlsto promote such compliance.



Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.

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