Sr Director, Practice Strategy & Operations - Dept of Pediatrics

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Work Arrangement:

Requisition Number: 272656

Regular or Temporary:
Regular

Location:

Durham, NC, US, 27710

Date:
Jul 16, 2026

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.

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

JOB LOCATION

Duke University Hospital – 2301 Erwin Rd. Suite T0901,Box 3127,Durham, NC 27710

JOB SUMMARY

This position is a senior administrative leader reporting to the Vice Chair of Administration and Finance/Chief Administrative Officer (CAO) of the Department of Pediatrics. The Director provides enterprise-level leadership for pediatric inpatient and ambulatory practice operations, translating departmental strategy into standardized workflows, performance management, and continuous improvement to optimize access, capacity, quality, productivity, and patient experience.

The Director serves as the Department’s operational owner for practice performance (access, scheduling, unit/clinic operations, and practice management). The role partners closely with division administrators, clinic leaders, finance, quality, compliance, and Duke Health operational teams to implement operating standards and deliver measurable improvements. This role will help inform the strategy for clinical financial improvement alongside the CAO who will maintain department-wide fiduciary authority (budgeting, forecasting, financial controls, and institutional financial/operational representation).

• Director owns: inpatient and ambulatory access/capacity strategy execution; scheduling and template optimization; clinic workflow and throughput improvement; space utilization planning for clinics; operational performance dashboards and action plans; operational readiness for new clinics/providers; practice management standard work.
• Director supports: annual budgeting, forecasting, and financial controls (owned by the CAO and appropriate health system executives); compensation plan governance and faculty effort management, department-wide HR, labor relations, grants/contracts, and endowment/gift administration will remain the responsibility of other department and division administrative roles.
• Decision rights: recommends business development and operational investments, staffing/space tradeoffs using data and business cases; escalates policy, financial, and strategy decisions to executive department leaders and relevant Duke Health leaders per governance.

• Provide practice operational leadership and accountability for practice changes in inpatient and outpatient clinic operations, including access management execution, scheduling optimization, clinic workflows, quality improvement and space utilization.
• Define, deploy, and maintain operational performance standards and dashboards (access, throughput, productivity, quality, and patient experience) and drive corrective action plans with division and clinic leaders.
• Lead department-wide operational improvement initiatives to strengthen practice efficiency, panel management, and care-team utilization, aligning recommendations with established compensation frameworks and academic effort expectations governed by executive department leadership.
• Oversee the Department’s ambulatory quality and operational readiness work streams with quality, compliance, and medical leadership, ensuring reliable implementation of agreed standards.
• Provide direct leadership and supervision of the departmental practice team (2-3 direct reports), setting priorities, goals, and accountability for ambulatory performance work.
• Partner with Division Administrators and embedded finance/operations leaders to strengthen practice management routines, transparency of performance results,…