Director, Finance

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

Location: Onsite at Duke Regional Hospital,  3643 N Roxboro St, Durham, NC 27704 

General Description

Direct and coordinate the preparation of the operational budget for the entity; direct monitoring of fiscal operations for compliance with approved budget; implement University policies and guidelines as they relate to budget and payroll. Direct Reports (4): Finance Manager(s), Financial Analysts (2), and a Management Engineer

Duties and Responsibilities

• Budget Development & Strategy: Direct preparation of the annual budget for the entity. Consult with officials to determine policies, guidelines, and program changes which may bear upon budget objectives. Evaluate requests, recommend changes, deletions, and/or additions, and prepare the final budget for management review.

• Fiscal Monitoring & Compliance: Direct monitoring of revenues and expenditures for realization of and compliance with the approved budget. Consult with departments to determine the cause of major variances, remedial alternatives, and the effect on future operations.

• Financial Reporting & Analysis: Prepare reports for higher management with narrative explanations of deviations from the approved budget. Direct financial analysis of major programs and capital projects. Review financial analysis and business plans prepared by analysts and department heads for reasonableness.

• Data & Stakeholder Management: Provide data to entity Administration as necessary to assure accurate intra-institutional distributions of revenues and expenditures. Provide information to various federal, state, professional, and University organizations or staff concerning entity fiscal operations. Prepare various special reports for higher management.

• Departmental & Team Leadership: Plan and schedule departmental work, ensuring proper distribution of assignments and adequate staffing, space, and facilities. Direct departmental personnel functions including, but not limited to, hiring, rate recommendations, promotions, transfers, and vacation schedules.

• Perform other related duties incidental to the work described herein.

Required Qualifications

• Education: Work requires knowledge of accounting or business principles and practices generally obtained through completion of a Bachelor's degree program in an accounting or business-related field. Certified Public Accountant (CPA) or Master of Business Administration (MBA) preferred.

• Experience: Work requires seven (7) years of related business or administrative experience to acquire competence in applying general accounting principles, personnel practices, and coordination of major administrative functions. Note: A Master's degree in a related field, such as business or health administration, may be substituted for experience on a 1:1 basis, OR an equivalent combination of relevant education and/or experience.

• Degrees, Licensure, and/or Certification: N/A

Knowledge, Skills, and Abilities

• Education & Experience: Bachelor’s degree in Finance, Accounting, or a related field (MBA, MHA, or CPA highly preferred). Minimum 7–10+ years of progressive financial leadership experience, ideally within a hospital or complex healthcare system.
• Leadership & Team Development: Proven track record of managing diverse, high-performing teams (including managers, analysts, and engineers). Ability to mentor staff, drive accountability, and foster a collaborative environment.
• Technical & Strategic Skills: Deep expertise in hospital financial operations, budget development, financial modeling, forecasting, and strategic planning.
• Communication & Collaboration: Strong executive presence with the ability to translate complex financial data into actionable insights for non-financial clinical and operational leaders

Distinguishing Characteristics of this Level N/A