Manager, Engineering and Operations, Medical Center

Step into the Manager, Engineering & Operations role at Duke and drive the performance, reliability, and innovation of critical HVAC, plumbing, and building controls across our clinical and hospital facilities.

Be You.

Engineering & Operations is seeking an experienced Manager with strong HVAC, plumbing, and building controls expertise to oversee maintenance operations across assigned Clinical and Hospital facilities. This role ensures the safe, reliable, and compliant performance of all building systems, with a focus on heating, ventilation, air conditioning, medical gas, domestic water, critical plumbing and mechanical infrastructure, and building controls responsible for HVAC operation, energy management, system diagnostics, and regulatory compliance.

The Manager directs preventive and corrective maintenance programs, manages daily service operations, and leads long‑term planning for system upgrades, infrastructure improvements, and equipment lifecycle management. The role works closely with engineers, contractors, and administrative teams to assess facility needs, evaluate project requests, and support the design, renovation, and modernization of HVAC and plumbing systems. Candidates must be able to interpret plans and specifications, evaluate feasibility and cost, and ensure all work complies with Joint Commission, CMS, NFPA, OSHA, DFS, and applicable codes and standards.

This position provides full supervisory leadership—hiring, training, assigning work, evaluating performance, and maintaining a safe and high‑functioning maintenance team. The manager reviews operational and financial data, makes recommendations on budgets and capital planning, and oversees equipment procurement and service contracts. They also ensure accurate documentation through the CMMS by monitoring preventive maintenance schedules, asset records, and compliance‑driven work completion.

Ideal candidates bring hands‑on technical experience with healthcare HVAC and plumbing systems, proven leadership abilities, and a commitment to maintaining safe, efficient, and reliable facilities.

On‑site

• Hospital Facilities experience preferred.
• Must have knowledge of The Joint Commission, CMS, DFS, OSHA, State and Local Codes, and NFPA standards.
• 3 years of Supervisory experience over a team is required.

Education/Training – Generally requires a BA/BS degree in a related field or equivalent. Hospital Facilities experience will be considered in lieu of a BA/BS Degree.

Experience – Position requires a minimum of 6 years of related experience, of which 3 years must be in a leadership role.

Hours – The manager position is primarily first shift Monday – Friday but will be expected to work after‑hours and weekends as necessary. Answering phone calls and providing support after hours, weekends and holidays is required.

• Must have knowledge of The Joint Commission, CMS, DFS, OSHA, State and Local Codes, and NFPA standards; good communication and leadership skills required. Supervisory skills required.
• Must have excellent customer service skills.
• Ability to handle customer complaints respectively, communicate and follow up with customers on requests and work performed by E&O. Goes the extra mile to engage with the customer.

• Manage and coordinate the overall facility maintenance and service operations of assigned facilities and systems; establish and maintain a routine and preventive maintenance program for the facilities and supporting systems; manage day to day facility management of assigned units while providing recommendations for both short‑ and long‑term improvement opportunities.
• Maintain liaison with engineers and other administrative and professional staff regarding design, construction and maintenance of facilities, systems, and equipment; review requests for construction or special maintenance projects and evaluate feasibility and cost estimates.
• Coordinate the planning and resolution of projects related to the construction, maintenance, restoration or renovation of facilities; monitor the execution, completion and inspection of projects.
• Consult and…