Manager, Finance

Duke Health Integrated Practice is an exceptional, multi-specialty physician practice encompassing 140 clinics across North Carolina. We attract and retain premier medical professionals with competitive compensation, benefits, and a nurturing work atmosphere that unites passion and purpose.

Learn more about us: https://dhip.dukehealth.org/about-us

JOB SUMMARY

The Finance Manager is responsible for managing key, high-risk components of Department’s financial operations, with responsibility for financial planning, budgeting, reporting, and complex payroll functions spanning the Clinical, Academic, and Research missions. This role leads and supervises compensation plan administration and budgeting processes, and supports operational and strategic initiatives under the direction of the Finance Director. This role provides oversight of complex projects and processes and serves as a resource to other finance team members. The Finance Manager collaborates closely with institutional finance partners and departmental leadership to ensure financial integrity, compliance, and timely decision support.

JOB DUTIES AND RESPONSIBILITIES

Budgeting & Financial Planning

• Lead development and execution of financial budgets across assigned areas within Department financials and missions, including both the Departmental Duke Health Integrated Practice (DHIP) and Departmental School of Medicine (SOM) financial plans.
• Compile budgetary recommendations from each section and prepare complete operational budget; monitor spending and lead mid-year budgetary projections and adjustments.
• Partner with Finance Director and department senior leadership to align financial plans with strategic goals and institutional requirements
• Support ongoing process improvement initiatives related to budgeting, forecasting, and reporting.
• Write, evaluate, and document policies and procedures; communicate process methodologies and requirements for reporting, budgeting, financial analysis, and capital planning to executive leadership.

Compensation and Payroll Management

• Oversee Departmental faculty compensation for 190+ regular and non-regular rank faculty, and coordinate processing with DHIP and SOM, including ongoing maintenance of faculty effort and compensation tracking files.
• Supervise highly complex faculty compensation and payroll operations, providing appropriate SAP iForms approvals, in collaboration with SOM and DHIP leadership, ensuring alignment with institutional compensation policies.
  • This includes, but is not limited to, oversight of team members and processes; ie: detail review of components such as annual pay, extra service pay items, annual incentives, effort-change impacts to compensation and proper cost coding between organizations
• Management of payroll systems, including the approvals processes.
• Manage compensation plan execution and incentive model development, ensuring transparency and compliance in all pay practices.
• Supervise annual salary setting processes for Departmental faculty, including 190+ regular rank and non-regular rank faculty.
• Lead implementation of financial models supporting incentive plans and Division Chief KPIs; ensure reporting accuracy and alignment with performance metrics and compensation plans.
• Supervise benchmarking and industry survey participation to inform compensation competitiveness.
• Generate and distribute compensation reports relating to faculty effort and compensation to management on a monthly basis, requiring a high level of direct communication with faculty and executive leadership. 

Financial Reporting & Decision Support

• Manage production of monthly, quarterly, and annual financial reports, providing actionable insights and strategic analysis to senior leaders.
• Coordinate development of dashboards, trend reports, and key performance indicators (KPIs) to support executive decision-making.
• Supervise and oversee analysts’ preparation and distribution of various reports on clinical financial performance (patient revenue and operational clinical metrics) on a monthly basis, at a Department level, as well as specific clinical service lines.
• Oversee financial modeling for contracts, new initiatives, and service line growth, including Fair Market Value analysis and cost/benefit scenarios.
• Provide liaison with DHIP and SOM financial management, senior accounting and finance personnel, and internal auditors regarding financial and statistical reporting.
• Respond to ad hoc analysis requests and deliver results within established deadlines.

Operations & Compliance

• Provide leadership for monthly and year-end close processes for the Department, overseeing staff to ensure proper review of transactions for accuracy and compliance within university guidelines; provide timely communication of key financial variances to senior management.
• Review and approve significant financial transactions, including reimbursements and large expenditures; assess impact on departmental budgets and resource allocations, providing regular presentation to senior management.
• Review invoices and statements and approve payments; supervise maintenance of, and conduct checks on, accounting records and documents to ensure accuracy and adequacy of information.
• Oversee integrity and utilization of internal financial systems, including metrics dashboards, scheduling tools, and divisional P&Ls; implement controls to ensure data accuracy and operational reliability.
• Manage process and generate quarterly clinical full-time equivalent calculations and compile data relating to faculty effort supporting Departmental Clinical KPIs
• Manage VA contract billing processes and support pricing analyses for clinical operations and service delivery.
• Develop application skills including, but not limited to SAP and Axiom, to determine the most efficient data compilation methods.

Leadership and Collaboration

• Supervise work and mentor lower-level employees. Recommend various personnel actions including hiring, performance appraisals, transfers, promotions, and vacation schedules.
• Foster a collaborative team culture focused on communication, trust, accuracy, efficiency, and strategic alignment.
• Maintain effective working relationships with departmental managers, SOM and DHIP finance teams, and central administrative offices
• Attend routine status meetings with departmental business managers and leadership regarding financial operating activity.

JOB ELIGIBILITY REQUIREMENTS

• BA/BS in Business or Accounting or related business field.
• This position requires three years or more of experience in financial accounting and reporting. Six years of experience preferred. 
• MBA, MHA or Certified Public Accountant is preferred.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, genderidentity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military 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 JobFunctions: Certain jobs at Duke University and Duke University Health System may include essential job 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.