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GM, Skilled Nursing Facilities - Dialysis

Fresenius Medical Care - Waltham, MA

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Job Description

The Role We are seeking a General Manager of Skilled Nursing Facilities to lead our Skilled Nursing business line, creating and executing strategies to expand dialysis services within Skilled Nursing Facilities. This executive will have full ownership of strategy, growth, and operations for a rapidly scaling platform currently operating 33 programs with a targeted 10x expansion. This is not a traditional corporate role. This is a build-from-the-ground-up leadership opportunity requiring a proven operator with a deep network in the sub-acute/post-acute space, strong commercial instincts, and the ability to scale high-performing clinical operations with financial discipline. This role will focus on developing partnerships with SNFs, health systems, and payors to deliver integrated care models that improve patient outcomes, reduce hospital re-admissions, and enhance facility census. The GM will leverage deep knowledge of operations, post-acute care, and value-based payment models to structure agreements and drive sustainable growth. The General Manager will lead both growth and execution, fully accountable for P&L, market expansion, operational infrastructure, quality, and scalability. Key Responsibilities General Manager & P&L Ownership u2022 Serve as the full business owner of the Skilled Nursing platform with end-to-end P&L responsibility u2022 Set and execute the multi-year strategic growth plan to achieve 10x program expansion u2022 Own forecasting, capital planning, margin expansion, and financial performance u2022 Translate board-level strategy into operational execution at speed Growth Strategy & Market Expansion u2022 Lead expansion strategy across new geographies, facilities, and strategic partnerships u2022 Leverage existing industry relationships to accelerate site development and commercial growth u2022 Partner with Business Development to: identify and secure new facility partnerships, expand existing relationships, & drive payer, health system, and referral source alignment u2022 Evaluate and execute organic growth, joint ventures, and strategic partnerships Operations & Clinical Performance u2022 Oversee all SNF operational performance through Area Operators and site leaders u2022 Drive excellence across census growth, length of stay optimization, readmission reduction, staffing efficiency, quality and regulatory performance u2022 Build scalable operational infrastructure to support rapid expansion u2022 Standardize workflows, reporting, and performance management across all sites Team Building & Leadership u2022 Build and lead a high-performing leadership bench across operations, clinical, and growth u2022 Attract, develop, and retain top operational and clinical talent u2022 Create a culture of accountability, speed, innovation, and operational excellence u2022 Act as a visible, hands-on leader in the fieldu2014not just at headquarters Strategic Partner to Executive Leadership u2022 Serve as the primary executive voice of the Skilled Nursing business line at the enterprise level u2022 Present growth plans, financial results, operational performance, and market insights to executive leadership & investors / Board (as applicable) u2022 Influence enterprise strategy through real-time market execution and performance data What Success Looks Like (12u201336 Months) u2022 A clearly defined and executable 10x growth roadmap u2022 Accelerated program expansion with strong unit-level economics u2022 Consistent improvement in census, margins, and clinical outcomes u2022 A scalable leadership structure supporting rapid geographic growth u2022 Strong strategic partnerships with national and regional operators u2022 Skilled Nursing positioned as a core enterprise growth engine Required Experience & Background u2022 Bacheloru2019s degree required, Masters in Healthcare Administration, Business, or related field preferred. u2022 12u201315+ years of progressive leadership experience in skilled nursing, sub-acute, &/or post-acute healthcare u2022 Expertise SNF market dynamics, and value-based care models, & dialysis operations (preferred). u2022 Prior experience as one or more of the following: Regional VP, Division President, COO, Market President, Multi-site General Manager u2022 Proven success in scaling healthcare operations across multiple locations u2022 Direct experience driving de novo facility launches, program expansions, turnarounds and performance acceleration u2022 Existing industry network across operators, owners, health systems, payers, referral networks u2022 Demonstrated P&L ownership with accountability for revenue, margin, and growth u2022 Demonstrated ability to structure agreements, write proposals, and manage geographically diverse partnerships. u2022 Deep understanding of skilled nursing regulations, reimbursement models, staffing and labor economics, clinical quality benchmarks, & operational dynamics of skilled nursing facilities Executive Competencies & Leadership Profile u2022 Builderu2019s mindset u2013 thrives in ambiguity, creates structure, scales fast. u2022 Ability to translate vision into actionable growth initiatives. u2022 Commercial operator u2013 balances growth, margin, and clinical excellence u2022 Enterprise-level strategic thinker with hands-on execution discipline u2022 Highly relationship-driven with the credibility to open doors at scale u2022 Data-driven decision maker who uses analytics to drive results u2022 Exceptional communicator with the presence to influence at board and executive levels, negotiate, & build relationships u2022 Financial acumen with the ability to develop and analyze business cases u2022 Entrepreneurial mindset with a collaborative leadership style u2022 Inspires followership through clarity, confidence, and accountability, leading cohesive & productive teams u2022 Ability to travel extensively to meet with SNF partners, hospital systems, and payors. EOE, disability/veterans

Created: 2026-04-04

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