GM, Skilled Nursing Facilities - Dialysis

Fresenius Medical Care•Waltham, MA

16h

About The Position

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.

Requirements

Bachelor’s degree required, Masters in Healthcare Administration, Business, or related field preferred.
12–15+ years of progressive leadership experience in skilled nursing, sub-acute, &/or post-acute healthcare
Expertise SNF market dynamics, and value-based care models, & dialysis operations (preferred).
Prior experience as one or more of the following: Regional VP, Division President, COO, Market President, Multi-site General Manager
Proven success in scaling healthcare operations across multiple locations
Direct experience driving de novo facility launches, program expansions, turnarounds and performance acceleration
Existing industry network across operators, owners, health systems, payers, referral networks
Demonstrated P&L ownership with accountability for revenue, margin, and growth
Demonstrated ability to structure agreements, write proposals, and manage geographically diverse partnerships.
Deep understanding of skilled nursing regulations, reimbursement models, staffing and labor economics, clinical quality benchmarks, & operational dynamics of skilled nursing facilities
Builder’s mindset – thrives in ambiguity, creates structure, scales fast.
Ability to translate vision into actionable growth initiatives.
Commercial operator – balances growth, margin, and clinical excellence
Enterprise-level strategic thinker with hands-on execution discipline
Highly relationship-driven with the credibility to open doors at scale
Data-driven decision maker who uses analytics to drive results
Exceptional communicator with the presence to influence at board and executive levels, negotiate, & build relationships
Financial acumen with the ability to develop and analyze business cases
Entrepreneurial mindset with a collaborative leadership style
Inspires followership through clarity, confidence, and accountability, leading cohesive & productive teams
Ability to travel extensively to meet with SNF partners, hospital systems, and payors.

Responsibilities

General Manager & P&L Ownership
Serve as the full business owner of the Skilled Nursing platform with end-to-end P&L responsibility
Set and execute the multi-year strategic growth plan to achieve 10x program expansion
Own forecasting, capital planning, margin expansion, and financial performance
Translate board-level strategy into operational execution at speed
Growth Strategy & Market Expansion
Lead expansion strategy across new geographies, facilities, and strategic partnerships
Leverage existing industry relationships to accelerate site development and commercial growth
Partner with Business Development to: identify and secure new facility partnerships, expand existing relationships, & drive payer, health system, and referral source alignment
Evaluate and execute organic growth, joint ventures, and strategic partnerships
Operations & Clinical Performance
Oversee all SNF operational performance through Area Operators and site leaders
Drive excellence across census growth, length of stay optimization, readmission reduction, staffing efficiency, quality and regulatory performance
Build scalable operational infrastructure to support rapid expansion
Standardize workflows, reporting, and performance management across all sites
Team Building & Leadership
Build and lead a high-performing leadership bench across operations, clinical, and growth
Attract, develop, and retain top operational and clinical talent
Create a culture of accountability, speed, innovation, and operational excellence
Act as a visible, hands-on leader in the field—not just at headquarters
Strategic Partner to Executive Leadership
Serve as the primary executive voice of the Skilled Nursing business line at the enterprise level
Present growth plans, financial results, operational performance, and market insights to executive leadership & investors / Board (as applicable)
Influence enterprise strategy through real-time market execution and performance data