Duke Health Total Rewards Program
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Your health
Team members have access to comprehensive health insurance that consistently receives the highest possible rating for its coverage and affordability. We offer a choice of medical plan options for full-time or part-time team members and their dependents, administered by Cigna Heathcare.
All plans include pharmacy coverage through Express Scripts.
*Team members must enroll in health benefits within their first 30 days of employment. Premiums are paid on a pre-tax basis.
All plans include pharmacy coverage through Express Scripts.
*Team members must enroll in health benefits within their first 30 days of employment. Premiums are paid on a pre-tax basis.
Duke provides a choice of three comprehensive dental plans for team members that work at least 20 hours per week through Ameritas that include coverage for cleanings, as well as basic, major, and orthodontia services.
Duke provides a stand-alone plan that covers annual exams, eyeglass lenses/contacts every 12 months, and frames every 24 months through United Healthcare.
Team members may contribute up to $3,400 pre-tax each year to pay for eligible health expenses such as copays, deductibles, and medical supplies.
If enrolled in the Duke Advantage HDHP medical plan, up to $4,400 (single coverage) or $8,750 (family coverage) may be contributed to this account. This includes all combined contributions. Duke also makes a contribution to this account.
Your well-being matters, both inside and outside the workplace. Our wellness resources include confidential counseling through the Personal Assistance Service (PAS) for in-state team members and Business Health Services (BHS) for those out of state.
We support you with free care management program through DukeWELL with enrollment in a Duke medical plan.
Supports the mental and behavioral health needs of team members by providing medication management, therapy, and substance abuse treatment virtually or in-person at Duke Regional Hospital.
Your time
PTO is accrued to cover time away for holidays, sick time, and vacation. Time accrued is based on years of service and on biweekly or monthly paid status.
If hired before December 31, 2025
Starting accrual for biweekly paid team members is typically 9.23 hours per pay period (30 days per year).
Starting accrual for monthly paid team members is typically 2.91 days per month (35 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
If hired before December 31, 2025
Starting accrual for biweekly paid team members is typically 9.23 hours per pay period (30 days per year).
Starting accrual for monthly paid team members is typically 2.91 days per month (35 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
PTO is accrued to cover time away for holidays, sick time, and vacation. Time accrued is based on years of service and on biweekly or monthly paid status.
If hired after January 1, 2026
Starting accrual for biweekly paid team members is typically 7.69 hours per pay period (25 days per year).
Starting accrual for monthly paid team members is typically 2.5 days per month (30 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
If hired after January 1, 2026
Starting accrual for biweekly paid team members is typically 7.69 hours per pay period (25 days per year).
Starting accrual for monthly paid team members is typically 2.5 days per month (30 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
In addition to PTO, full-time team members are eligible for three days of bereavement leave for the loss of someone in a direct familial relationship or in the event of pregnancy loss. Bereavement leave may be taken more than once a year if more than one loss occurs.
Following the birth or adoption of a child, Duke provides up to six consecutive weeks of 100% paid leave to eligible parents in a full-time role after completion of one year of service.
The benefit applies to both parents, if they both work at Duke.
The benefit applies to both parents, if they both work at Duke.
Your community
Forming deeper connections
We are proud to have a team with people of unique skills, talents, experiences, and perspectives who have helped us build a rich community. At Duke Health, we sponsor opportunities for team members across our health system to form community and a deeper sense of connection with those that have like interests and their allies through Affinity Groups.
Your family
Priority placement to team members at 30+ partnership centers. Many offer monthly discounts and/or waived registration fees. Partnership centers must maintain a four or five star license and be in good standing with the state of North Carolina and the Child Care Services Association.
10 annual days of back-up care at discounted rates using Bright Horizons’ network of caregivers who provide temporary care when you have a disruption in your regular care. You can use these 10 days either in-home for both children and adults at $6 per hour, or at a Bright Horizons center at $15 per child per day or $25 per family.
Two of Duke’s medical plans provide coverage for team members and their covered spouse at the Duke Fertility Center after two years of continuous service. Out-of-state team members have access to other providers.
Team members may contribute up to $7,500 each year pre-tax to pay for eligible dependent care expenses such as daycare, before- or after-school programs, summer day camp, or intercession day camp.
Your Community
Team Member Referral Program
Team members are the best voices for what makes a career at Duke Health so rewarding. When you join Duke Health, you have the opportunity to earn monetary bonuses and prizes by referring talent you know to Duke. It’s a great way to make an impact from day one and be rewarded for it.
Your career
Duke supports your education goals with different programs to fit your needs.
Employee Tuition Assistance Program: Provides reimbursement of tuition for up to three classes per semester (limit nine classes per calendar year) up to $5,250 per calendar year for full-time team members with at least six months of continuous full-time service.
Continuing Education: Team members who work 20 hours or more per week may be eligible for the Special Duke Employee Tuition Rate Program for undergraduate courses offered through Duke Continuing Studies. It allows team members to take select undergraduate courses for 80 percent off the regular course fee.
RN Tuition Assistance Program: Contributes up to 90% of the Duke University School of Nursing tuition for select master's degree, post master's degree certificates, or a doctorate of nursing practice degree. This benefit is available after three years of service.
Employee Tuition Assistance Program: Provides reimbursement of tuition for up to three classes per semester (limit nine classes per calendar year) up to $5,250 per calendar year for full-time team members with at least six months of continuous full-time service.
Continuing Education: Team members who work 20 hours or more per week may be eligible for the Special Duke Employee Tuition Rate Program for undergraduate courses offered through Duke Continuing Studies. It allows team members to take select undergraduate courses for 80 percent off the regular course fee.
RN Tuition Assistance Program: Contributes up to 90% of the Duke University School of Nursing tuition for select master's degree, post master's degree certificates, or a doctorate of nursing practice degree. This benefit is available after three years of service.
Duke Health offers career ladder programs for select roles to grow with promotion. Discuss specifics about programs for your area with your supervisor.
At Duke Health, we offer resources to welcome new team members who relocate to North Carolina for a career with us. Our Total Rewards Program offers tiers of relocation assistance for select, eligible roles to help with moving costs, if living 50 or more miles away from a Duke University Health System facility. Team members using the program also get access to a dedicated relocation website that lets them research the area attractions, services, and neighborhoods.
Duke Health provides commitment bonuses for select roles. In most cases, eligible roles will list the commitment bonus on the job description. Regardless, your recruiter will be able to offer whether your role qualifies, for how much, and payout terms and schedules.
Nursing: Duke Health is always hiring and excited to support new nurses as they transition into professional practice. All newly hired graduate nurses are automatically enrolled in our 12-month Nurse Residency Program—no separate application required.
We have several programs, including our New to the OR and Specialty Nurse Intern Program for new and experienced nurses.
Allied Health: Our allied health career development programs give you structured resources, coaching, and pathways to advance at every stage of your professional journey. In select programs, you can even start a healthcare career with no prior training — we provide the education and on-the-job learning to get you there.
Administrative Fellowship Program: A two-year program geared toward team members beginning a career in health care management.
We have several programs, including our New to the OR and Specialty Nurse Intern Program for new and experienced nurses.
Allied Health: Our allied health career development programs give you structured resources, coaching, and pathways to advance at every stage of your professional journey. In select programs, you can even start a healthcare career with no prior training — we provide the education and on-the-job learning to get you there.
Administrative Fellowship Program: A two-year program geared toward team members beginning a career in health care management.
Our Performance Coaching Program creates dedicated space for meaningful, people-first conversations. Each quarter, team members connect with their leaders to discuss career growth, professional development, and well-being goals. These coaching check-ins offer a chance to celebrate successes, address challenges from the past months, and realign on what matters most. It’s valuable time to reset, reconnect, and refocus on both individual aspirations and our shared purpose.
Your future
The 403(b) Duke Faculty and Staff Retirement Plan is administered by Fidelity. Eligible team members may contribute on a pre-tax basis, Roth after-tax basis, or a combination of both from their pay.
Duke will make a 4% contribution to eligible Duke Health Lake Norman team members after they have attained age 21 and have completed one year of service. Contributions are immediately vested, and you are not required to contribute to receive the Duke contribution.
Duke will make a 4% contribution to eligible Duke Health Lake Norman team members after they have attained age 21 and have completed one year of service. Contributions are immediately vested, and you are not required to contribute to receive the Duke contribution.
Monthly and biweekly paid team members
The 403(b) Duke Faculty and Staff Retirement Plan is administered by Fidelity. Eligible team members may contribute on a pre-tax basis, Roth after-tax basis, or a combination of both from their pay.
In addition to the money that you elect to save for retirement Duke will make a contribution of 8.9% of the first $88,650 and 13.2% of annual salary in excess of $88,650, up to the statutory limit of $360,000 to your 403(b) after you have reached age 21 and completed one year of employment, working at least 1,000 hours. You are not required to contribute to receive the Duke contribution. You are fully vested after three years of service.
Biweekly paid team members only
If you are in a position that is paid on a biweekly basis, you will be enrolled in a traditional pension plan designed to provide a guaranteed monthly income at retirement. The Employee's Retirement Plan is paid entirely by Duke. You become a member of the plan if you are age 21 and have completed one year of employment, working at least 1,000 hours. You will be vested after completing five years of continuous service.
The 403(b) Duke Faculty and Staff Retirement Plan is administered by Fidelity. Eligible team members may contribute on a pre-tax basis, Roth after-tax basis, or a combination of both from their pay.
In addition to the money that you elect to save for retirement Duke will make a contribution of 8.9% of the first $88,650 and 13.2% of annual salary in excess of $88,650, up to the statutory limit of $360,000 to your 403(b) after you have reached age 21 and completed one year of employment, working at least 1,000 hours. You are not required to contribute to receive the Duke contribution. You are fully vested after three years of service.
Biweekly paid team members only
If you are in a position that is paid on a biweekly basis, you will be enrolled in a traditional pension plan designed to provide a guaranteed monthly income at retirement. The Employee's Retirement Plan is paid entirely by Duke. You become a member of the plan if you are age 21 and have completed one year of employment, working at least 1,000 hours. You will be vested after completing five years of continuous service.
Duke provides a survivor benefit in the event of the death of a full-time, eligible team members. The amount is equal to one month’s pay for each year of completed service, up to a maximum of six months of pay. Duke pays the entire cost of this benefit.
Duke offers team members a comprehensive life insurance program, including both employer-paid and voluntary team member-paid programs, allowing team members to supplement life insurance needs.
Duke Health offers comprehensive disability insurance programs, including an employer paid Long-Term Disability plan available after three years of service, as well as a voluntary short-term and voluntary long-term disability program that are immediately available.
Your community
A Duke Health welcome
To help you create connection at Duke Health, we invite new hires to join a system-wide virtual orientation that usually takes place on your first day of your Duke career. New hires are also invited to an in-person New Talent Welcome Mixer for an evening of face-to-face time with colleagues to enjoy free food, drinks, and games.
Your health
Team members have access to comprehensive health insurance that consistently receives the highest possible rating for its coverage and affordability. We offer a choice of medical plan options for full-time or part-time team members and their dependents.
Duke provides a choice of four medical plan options. These include one HMO which is network specific, two traditional PPOs and one high-deductible health plan administered by Cigna Healthcare. Duke Health Lake Norman team members have a choice of three medical plans. All plans include pharmacy coverage through Express Scripts.
*Team members must enroll in health benefits within their first 30 days of employment. Premiums are paid on a pre-tax basis.
Duke provides a choice of four medical plan options. These include one HMO which is network specific, two traditional PPOs and one high-deductible health plan administered by Cigna Healthcare. Duke Health Lake Norman team members have a choice of three medical plans. All plans include pharmacy coverage through Express Scripts.
*Team members must enroll in health benefits within their first 30 days of employment. Premiums are paid on a pre-tax basis.
Duke provides a choice of three comprehensive dental plans for team members that work at least 20 hours per week through Ameritas that include coverage for cleanings, as well as basic, major, and orthodontia services.
Duke provides a stand-alone plan that covers annual exams, eyeglass lenses/contacts every 12 months, and frames every 24 months through United Healthcare.
Team members may contribute up to $3,400 pre-tax each year to pay for eligible health expenses such as copays, deductibles, and medical supplies.
If enrolled in the Duke Advantage HDHP medical plan, up to $4,400 (single coverage) or $8,750 (family coverage) may be contributed to this account. This includes all combined contributions. Duke also makes a contribution to this account.
Your well-being matters, both inside and outside the workplace. Our wellness resources include confidential counseling through the Personal Assistance Service (PAS) for in-state team members and Business Health Services (BHS) for those out of state.
We support you with free care management program through DukeWELL with enrollment in a Duke medical plan.
Supports the mental and behavioral health needs of team members by providing medication management, therapy, and substance abuse treatment virtually or in-person at Duke Regional Hospital.
Supports the mental and behavioral health needs of team members by providing medication management, therapy, and substance abuse treatment virtually or in-person at Duke Regional Hospital.
Your time
PTO is accrued to cover time away for holidays, sick time, and vacation. Time accrued is based on years of service and on biweekly or monthly paid status.
If hired before December 31, 2025
Starting accrual for biweekly paid team members is typically 9.23 hours per pay period (30 days per year).
Starting accrual for monthly paid team members is typically 2.91 days per month (35 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
If hired before December 31, 2025
Starting accrual for biweekly paid team members is typically 9.23 hours per pay period (30 days per year).
Starting accrual for monthly paid team members is typically 2.91 days per month (35 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
PTO is accrued to cover time away for holidays, sick time, and vacation. Time accrued is based on years of service and on biweekly or monthly paid status.
If hired after January 1, 2026
Starting accrual for biweekly paid team members is typically 7.69 hours per pay period (25 days per year).
Starting accrual for monthly paid team members is typically 2.5 days per month (30 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
If hired after January 1, 2026
Starting accrual for biweekly paid team members is typically 7.69 hours per pay period (25 days per year).
Starting accrual for monthly paid team members is typically 2.5 days per month (30 days per year).
New hires in good standing can be granted an advance of up to 40 hours of PTO in their first year of employment with Duke Health.
In addition to PTO, full-time team members are eligible for three days of bereavement leave for the loss of someone in a direct familial relationship or in the event of pregnancy loss. Bereavement leave may be taken more than once a year if more than one loss occurs.
For full-time team members, Duke provides up to six consecutive weeks of 100% paid leave to eligible parents following the birth or adoption of a child after completion of one year of service.
The benefit applies to both parents, if they both work at Duke.
The benefit applies to both parents, if they both work at Duke.
Your community
Forming deeper connections
We are proud to have a team with people of unique skills, talents, experiences, and perspectives who have helped us build a rich community. At Duke Health, we sponsor opportunities for team members across our health system to form community and a deeper sense of connection with those that have like interests and their allies through Affinity Groups.
Your family
Priority placement to team members at 30+ partnership centers. Many offer monthly discounts and/or waived registration fees. Partnership centers must maintain a four or five star license and be in good standing with the state of North Carolina and the Child Care Services Association.
10 annual days of back-up care at discounted rates using Bright Horizons’ network of caregivers who provide temporary care when you have a disruption in your regular care. You can use these 10 days either in-home for both children and adults at $6 per hour, or at a Bright Horizons center at $15 per child per day or $25 per family.
Two of Duke’s medical plans provide coverage for team members and their covered spouse at the Duke Fertility Center after two years of continuous service. Out-of-state team members have access to other providers.
Team members may contribute up to $7,500 each year pre-tax to pay for eligible dependent care expenses such as daycare, before- or after-school programs, summer day camp, or intercession day camp.
Your Community
Team Member Referral Program
Team members are the best voices for what makes a career at Duke Health so rewarding. When you join Duke Health, you have the opportunity to earn monetary bonuses and prizes by referring talent you know to Duke. It’s a great way to make an impact from day one and be rewarded for it.
Your career
Duke supports your education goals with different programs to fit your needs.
The Employee Tuition Assistance Program provides reimbursement of tuition for up to three classes per semester (limit nine classes per calendar year) up to $5,250 per calendar year for full-time team members with at least six months of continuous full-time service.
Continuing Education: Team members who work 20 hours or more per week may be eligible for the Special Duke
Employee Tuition Rate Program for undergraduate courses offered through Duke Continuing Studies. It allows team members to take select undergraduate courses for 80 percent off the regular course fee.
The Employee Tuition Assistance Program provides reimbursement of tuition for up to three classes per semester (limit nine classes per calendar year) up to $5,250 per calendar year for full-time team members with at least six months of continuous full-time service.
Continuing Education: Team members who work 20 hours or more per week may be eligible for the Special Duke
Employee Tuition Rate Program for undergraduate courses offered through Duke Continuing Studies. It allows team members to take select undergraduate courses for 80 percent off the regular course fee.
Duke Health offers career ladder programs for select roles to grow with promotion. Discuss specifics about programs for your area with your supervisor.
Duke Health offers relocation assistance for select, eligible roles to help with moving costs, if living 50 or more miles away from a Duke University Health System facility. Team members using the program also get access to a dedicated relocation website that let's them research the area attractions, services, and neighborhoods.
Duke Health provides commitment bonuses for select roles. In most cases, eligible roles will list the commitment bonus on the job description. Regardless, your recruiter will be able to offer whether your role qualifies, for how much, and payout terms and schedules.
Nursing: Duke Health is always hiring and excited to support new nurses as they transition into professional practice. All newly hired graduate nurses are automatically enrolled in our 12-month Nurse Residency Program—no separate application required.
We have several programs, including our New to the OR and Specialty Nurse Intern Program for new and experienced nurses.
Allied Health: Our allied health career development programs give you structured resources, coaching, and pathways to advance at every stage of your professional journey. In select programs, you can even start a healthcare career with no prior training — we provide the education and on-the-job learning to get you there.
Administrative Fellowship Program: A two-year program geared toward team members beginning a career in health management.
We have several programs, including our New to the OR and Specialty Nurse Intern Program for new and experienced nurses.
Allied Health: Our allied health career development programs give you structured resources, coaching, and pathways to advance at every stage of your professional journey. In select programs, you can even start a healthcare career with no prior training — we provide the education and on-the-job learning to get you there.
Administrative Fellowship Program: A two-year program geared toward team members beginning a career in health management.
Our Performance Coaching Program creates dedicated space for meaningful, people-first conversations. Each quarter, team members connect with their leaders to discuss career growth, professional development, and well-being goals. These coaching check-ins offer a chance to celebrate successes, address challenges from the past months, and realign on what matters most. It’s valuable time to reset, reconnect, and refocus on both individual aspirations and our shared purpose.
Your Community
Military and veteran careers
North Carolina is frequently called the nation's most military-friendly state. More than 700,000 veterans live here, which gives us the third-largest military presence in the nation. At Duke Health, veterans and active duty military make a difference every day by giving back to the community and helping us fulfill our mission to Advance Health Together.
Your future
The 403(b) Duke Faculty and Staff Retirement Plan is administered by Fidelity. Eligible team members may contribute on a pre-tax basis, Roth after-tax basis, or a combination of both from their pay.
Duke will make a 4% contribution to eligible Duke Health Lake Norman team members after they have attained age 21 and have completed one year of service. Contributions are immediately vested, and you are not required to contribute to receive the Duke contribution.
Duke will make a 4% contribution to eligible Duke Health Lake Norman team members after they have attained age 21 and have completed one year of service. Contributions are immediately vested, and you are not required to contribute to receive the Duke contribution.
Monthly and biweekly paid team members
The 403(b) Duke Faculty and Staff Retirement Plan is administered by Fidelity. Eligible team members may contribute on a pre-tax basis, Roth after-tax basis, or a combination of both from their pay.
In addition to the money that you elect to save for retirement Duke will make a contribution of 8.9% of the first $88,650 and 13.2% of annual salary in excess of $88,650, up to the statutory limit of $360,000 to your 403(b) after you have reached age 21 and completed one year of employment, working at least 1,000 hours. You are not required to contribute to receive the Duke contribution. You are fully vested after three years of service.
Biweekly paid team members only
If you are in a position that is paid on a biweekly basis, you will be enrolled in a traditional pension plan designed to provide a guaranteed monthly income at retirement. The Employee's Retirement Plan is paid entirely by Duke. You become a member of the plan if you are age 21 and have completed one year of employment, working at least 1,000 hours. You will be vested after completing five years of continuous service.
The 403(b) Duke Faculty and Staff Retirement Plan is administered by Fidelity. Eligible team members may contribute on a pre-tax basis, Roth after-tax basis, or a combination of both from their pay.
In addition to the money that you elect to save for retirement Duke will make a contribution of 8.9% of the first $88,650 and 13.2% of annual salary in excess of $88,650, up to the statutory limit of $360,000 to your 403(b) after you have reached age 21 and completed one year of employment, working at least 1,000 hours. You are not required to contribute to receive the Duke contribution. You are fully vested after three years of service.
Biweekly paid team members only
If you are in a position that is paid on a biweekly basis, you will be enrolled in a traditional pension plan designed to provide a guaranteed monthly income at retirement. The Employee's Retirement Plan is paid entirely by Duke. You become a member of the plan if you are age 21 and have completed one year of employment, working at least 1,000 hours. You will be vested after completing five years of continuous service.
Duke provides a survivor benefit in the event of the death of a full-time, eligible team members. The amount is equal to one month’s pay for each year of completed service, up to a maximum of six months of pay. Duke pays the entire cost of this benefit.
Duke offers team members a comprehensive life insurance program, including both employer-paid and voluntary team member-paid programs, allowing team members to supplement life insurance needs.
Duke Health offers comprehensive disability insurance programs, including an employer paid Long-Term Disability plan available after three years of service, as well as a voluntary short-term and voluntary long term disability program that are immediately available.
Duke Health offers comprehensive disability insurance programs, including an employer paid Long-Term Disability plan available after three years of service, as well as a voluntary short-term and voluntary long term disability program that are immediately available.
Your community
A Duke Health welcome
To help you create connection at Duke Health, we invite new hires to join a system-wide virtual orientation that usually takes place on your first day of your Duke career. New hires are also invited to an in-person New Talent Welcome Mixer for an evening of face-to-face time with colleagues to enjoy free food, drinks, and games.
