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ASSOCIATE CHIEF ADMINISTRATIVE OFFICER

Duke University

Duke University

Administration
United States · North Carolina, USA · Durham, NC, USA
Posted on Dec 18, 2025

ASSOCIATE CHIEF ADMINISTRATIVE OFFICER

Work Arrangement: Hybrid (On-Site and Remote mix)
Requisition Number: 264410
Regular or Temporary: Regular
Location:

Durham, NC, US, 27710

Personnel Area: MEDICAL CENTER
Date: Dec 17, 2025
School of Medicine Established in 1930, Duke University School of Medicine is the youngest of the nation's top medical schools. Ranked sixth among medical schools in the nation, the School takes pride in being an inclusive community of outstanding learners, investigators, clinicians, and staff where interdisciplinary collaboration is embraced and great ideas accelerate translation of fundamental scientific discoveries to improve human health locally and around the globe. Composed of more than 2,500 faculty physicians and researchers, more than 1,300 students, and more than 6,000 staff, the Duke University School of Medicine along with the Duke University School of Nursing, Duke University Health System and the Private Diagnostic Clinic (PDC) comprise Duke Health. a world-class academic medical center. The Health System encompasses Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Duke Primary Care, Duke Home and Hospice, Duke Health and Wellness, and multiple affiliations.

Occupational Summary

The position will provide financial strength in planning, developing and coordination of financial analysis and reporting including, but not limited to, developing operating budgets, financial statements, cost analyses and other financial information; regularly producing accurate and insightful reports and analyses in a timely and efficient manner on behalf of the Department of Medicine (DOM). The position will report to the Director of Outreach Strategy, Contract Analytics & Financial Operations who is the primary Administrator of the Advanced Specialty Disorders Collaborative Unit(ACU) (Divisions of Endocrinology, Hematology, Infectious Disease and Rheumatology in the Department of Medicine) as a Financial Management Analyst working collaboratively with faculty and staff leadership to strengthen fiscal compliance and use of data enhancing decision making for the ACU and Department of Medicine. Position will perform complex and specialized assignments in assigned area of expertise; perform lead role in coordinating complex projects.

Primary Job Responsibilities

  1. This position will provide support for the accounting activities and financial reporting associated with maintaining the operational and non-operational activities for the Divisions of Hematology, Infectious Disease and Rheumatology, which will include:
    1. Budget development and monitoring of actual financial activities associated with divisional budgets, both SOM and DHIP to include performing monthly variance reporting.
    2. Prepare trend analyses and report on programs (DACON/DASON) within the noted divisions including but not limited to external contracts and or contracts related to DHIP operations and DUHS agreements. Investigate trends that may require intervention.
    3. Prepare financial projections of the operational activities of the department –forecasting various revenue and expense line items and development of financial models as needed.

d. Provide oversight into discretionary spending and monitoring of overdrafts.

  1. Perform revenue management activities associated with the DASON and DACON program in the Division of Infectious Disease working closely with Outreach Hospitals for invoicing, quarterly analysis and reporting on operational performance.
    1. Develop and maintain Hospital contract tracking, outlining payment terms & fees, status of collection and other key financial aspects of performance of the Hospital outreach contracts.
    2. Identify areas for improved business process performance and use of data analytics for timely decision making for Director of DACON/DASON and Director of Outreach Strategy, Contract Analytics & Financial Operations

  1. Oversee procurement responsibilities to include creation of purchasing requisitions for outside services, particularly associated with DACON/DASON. Responsibilities include supporting SOM requests for investigating or resolving any problem purchase orders or AP Check requests for each of the Divisions noted.

  1. Work with divisional leadership on assessment of key data metrics associated with contract analysis, revenue management and or business process improvement projects.

  1. Perform monthly and year end closing process for the divisions to include processing of journal entries and review and approval of expenditures on any and all types of fund codes across the department ensuring the proper funds flow occurs.

  1. Work collaboratively with AD in data gathering and developing the divisional strategic hiring and manpower plans to include creation of 3- year profit and loss proformas for Physicians and Advanced Practice Providers.

  1. Provide DOM Senior Leadership with Ad hoc reporting and analysis and assist with special projects assigned by leadership in terms of financial analysis and monitoring of activities within the Department.

  1. This position will coordinate and participate in SOM’s monthly/quarterly FAM analysis and reconciliation processing along with overdraft management on codes within the department.
  2. Develop Fellow fund projections; tracking all external funding and coverage of FTEs ensuring Program Directors are fully aware of spending levels and coverage needs of costs. Requires interaction with DOM Finance office and Fellowship Coordinator and Program Director to review finances and projections.

  1. Assist in the development, implementation and management of financial systems, and our financial policies and procedures as appropriate.

  1. This position will interact on a regular basis with divisional administrative staff and DOM central offices such as finance, HR & APT along with finance offices within the DHIP and School of Medicine.

Other duties as assigned 10%.

  • Serve as backfill support for other divisional financial staff within the Department of Medicine if needed on various activities to include processing of iforms, PDC payroll activities, journal entry processing, monitoring of Concur expenditures etc.
  • Assistance with requesting appropriate SAP/R3 security access across the specific divisions being supported on various systems used by staff.

Required Qualifications at this Level.

Education/Training:

Work requires a bachelor’s degree in accounting, Finance, Economics or Business-related fields. A CPA or master’s degree is preferable.

Experience:

Requires a minimum of six years in financial management and analysis including financial reporting and use of various general ledger and database systems. Or an equivalent combination of education and or experience.

Skills:

Demonstrated financial knowledge and expertise with using general ledger systems and working with large volumes of data from various systems.

Strong accounting skills with attention to details and ability to analyze financial data and present results in concise and clear manner in reports for management use.

Strong analytical skills combined with investigative and curious mindset to problem solve. A critical thinker with the ability to understand complex processes and evaluate solutions.

Financial statement preparation, interpretation and analysis.

Proven experience with business planning and project management.

Ability to work both as an integral part of a team and independently with minimal supervision.

Proficiency in Integrated systems- SAP applications (proficiency with BW and Tableau is added value)

Mastery of Microsoft Office Applications, especially MS Excel, understanding advanced excel formulas, pivot tables, and graphs.

Excellent written, oral and conversational skills to effectively work with diverse groups.



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.


Essential Physical Job Functions:

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.



Nearest Major Market: Durham
Nearest Secondary Market: Raleigh