System Chief - Radiation Therapy

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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.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

*** This position is eligible for up to $10,000 Relocation***

The System Chief Radiation Therapy provides strategic, operational, and clinical leadership for Radiation Therapy services across Duke University Health System and its network sites. This role oversees radiation therapist staffing, daily operations, quality, performance, workload balance, and workforce development across multiple sites.

As a technical and clinical expert, the System Chief partners with Radiation Oncology physicians, medical physicists, dosimetrists, nursing, administrative, and revenue cycle teams to ensure safe, high- quality, efficient, and compliant care delivery. Key responsibilities include advancing clinical practice, optimizing workflows, ensuring accurate charge capture, and supporting regulatory and reimbursement compliance.

This leader drives system-wide initiatives in clinical excellence, operational performance, workforce development, and patient-centered care, while guiding the adoption of new technologies and care models. The role requires regular collaboration and travel across Duke Health locations.

The position will have a dual reporting relationship to the Radiation Oncology Ambulatory Operations Director and the Vice Chair of Clinical Operations. The System Chief Radiation Therapy plays a key role in advancing Radiation Oncology services across the Duke Health System.

• Provides system-wide leadership for radiation therapy services across all sites.
• Aligns clinical and operational priorities in partnership with physicians and interdisciplinary leadership.
• Directs staffing models, workflow, and care delivery across academic and community settings.
• Standardizes clinical workflows, treatment protocols, and operational policies.

• Ensures safe, accurate, and timely delivery of radiation therapy in accordance with physician orders and regulatory standards.
• Optimizes clinical operations to enhance patient flow, safety, and experience.
• Leads implementation of new technologies, equipment, and clinical procedures.
• Manages operational disruptions, including equipment downtime and site transitions.
• Identifies and mitigates clinical safety risks.
• Maintains clinical competency and proficiency in radiation therapy practice to remain current with evolving technologies, workflows, and standards of care.
• Provides clinical support and staffing coverage as needed during operational disruptions, workforce shortages, or periods of increased patient volume.
• Maintains an active understanding of frontline clinical operations to effectively support staff, inform decision‑making, and foster credibility with the clinical team.

• Leads and develops chiefs, team leads, and frontline staff.
• Recruits, retains, and builds a high‑performing workforce across all sites.
• Promotes a culture of accountability, collaboration, and continuous improvement.
• Oversees onboarding, competency validation, and ongoing professional development.
• Implements a system that develops and rewards expertise and superior performance in radiation therapists.

• Ensures compliance with accreditation, regulatory, and institutional standards.
• Leads quality improvement initiatives to ensure safe, timely and efficient treatment.
• Monitors safety events. quality metrics. and clinical outcomes.
• Partners with physicists and dosimetrists on quality assurance and equipment performance.
• Monitors and improves productivity, access, and service performance metrics.
• Leads charge capture efforts; partners with revenue cycle teams to improve documentation and reduce billing errors.

• Bachelor's degree in Radiation Therapy or related field…