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Finance Manager - Duke University Hospital - Durham

Regular Full Time Durham, North Carolina
Requisition Number: 227872

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

General Description of the Job Class

This position is responsible for overseeing Duke University Hospital (DUH) capital project development and approval, understanding and analyzing the DUH statement of operations for assigned Strategic Service Lines, coordinating physical inventory audits with General Accounting and Supply Chain.  The position will be required to understand the many facets of DUH both financially and operationally in order to effectively provide advisory and consultative support.  Supervisory responsibilities are expected.

Duties and Responsibilities of this Level

  • Partner with operational and clinical teams to prepare business plans for capital investments, including complex financial models, market assessment, capacity analysis, NPV, and executive summaries. 
  • Manage the development of annual capital plans for DUH, keeping in mind cash flow targets for the organization.
  • Oversee operations of the finance department for assigned service lines, set goals, and objectives and design a framework by which these can be achieved.
  • Provide a full range of management support to assist in the interpretation and analysis of financial, operational, and clinical performance measures. Facilitate and/or assist in the preparation of clinical and operational performance presentations.  
  • Prepare and review monthly performance dashboards against key business metrics, understand underlying transactions and investigate areas for improvement, advising on strategies to course correct.  Conduct reviews and evaluations for cost reduction opportunities.  
  • Prepare and review monthly analysis of the income statement, including actual to budget review. Understand underlying transactions on income statement and investigate areas for improvement. 
  • Work closely with hospital operations personnel to understand and document operational, financial and accounting issues.  Assist in the review of departmental processes.  Identify areas for improvement across and within processes, solving to root cause.  Respond in a timely fashion to requests for information and issue resolution.
  • Partner with General Accounting and Supply Chain Management to coordinate periodic physical inventory audits and inventory adjustments.
  • Remain proficient in industry standards and trends and subsequent related impacts to the enterprise. Partner with service line leaders to articulate effects from changing clinical, reimbursement and cost of care environments.
  • Responsible for personnel actions including, but not limited to, hiring, performance appraisal, promotions, transfers and vacation schedules.
  • Perform other related duties incidental to the work described herein.

Required Qualifications at this Level


BA/BS in Business or Accounting or related business field.


This position requires three years or more of experience in financial accounting and reporting.

Degrees, Licensure, and/or Certification

MBA, MHA or Certified Public Accountant is preferred.

Knowledge, Skills, and Abilities

Access, Excel, Word, PowerPoint, Generally accepted Accounting Principles (GAAP)

Distinguishing Characteristics of this Level

This position will be required to work on simultaneous projects with minimal supervision from Finance leadership.

Position will work closely on numerous projects with Financial Analysts, other DUHS Finance Managers, Corporate Finance, and General Accounting.

Position will work closely with operational leaders on several projects; therefore, professionalism and knowledge of business are important at a high level.

Position is also responsible for preparing documentation; therefore, good written communication skills are important.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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