Director of Budget and Finance

Occ Summary

Direct and coordinate the preparation of the operational budget for the entity; direct monitoring of fiscal operations for compliance with the approved budget; implement University policies and guidelines as they relate to budget and payroll.

• Responsible for directing and coordinating the preparation of the operational budget for the entity, monitoring fiscal operations to ensure compliance with the approved budget and adherence to University policies and payroll guidelines, and overseeing all aspects of Duke University Hospital’s operating budget, including the development of the annual fixed budget, periodic forecast updates, and the maintenance of the long-range strategic financial plan ($4.2B in Revenue).
• Responsible for the financial oversight & operations for the DUHS Clinical Laboratories, including month‑end close and reporting, operating and capital budgeting, as well as business plans and contract analysis.
• Direct monthly measurement and tracking for initiatives within DUH's margin improvement portfolio.
• Oversees consolidated monthly reporting for DUH, including flash financial statement, general ledger variance analysis, and presentations.
• Reviews and communicates DUH cost structure changes for budgeting and cost accounting processes to the DUHS Decision Support team.
• Serves as the liaison with Corporate Finance.
• Oversight of ad‑hoc financial analyses (as needed).
• Serves as the Finance Director for the Solid Organ Transplant service line.

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 or Master’s of Business Administration preferred.

Work requires seven years of related business or administrative experience to acquire competence in applying general accounting principles, personnel practices and coordination of major administrative functions. 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.

SUPERVISION, BUDGET PROJECTIONS, ANALYZE TRENDS, INTERVIEWING SKILLS, PERSONNEL PRACTICES, ACCOUNTING/BOOKKEEPING, DUKE PAYROLL SYSTEM, OFFICE PROCEDURES, DUKE ACCOUNTING SYSTEM, BILLING/COLLECTIONS, INSURANCE CLAIMS, CORRESPONDENCE, PC WORD PROCESSING SOFTWARE, PC SPREADSHEET SOFTWARE, PC DATABASE MGT SOFTWARE.

Duke is an 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 (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.

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.