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Director of Finance - Duke University Department of Anesthesiology

Duke University School of Medicine
North Carolina, United States
Salary Commensurate with experience
Posted Date
May 27, 2022

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Position Type
Faculty Positions, Business & Management, Accounting & Finance, Administrative, Business & Administrative Affairs, Business & Administrative Support, Other Business & Administrative Affairs, Financial Affairs
Employment Level
Employment Type
Full Time
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Duke University’s Department of Anesthesiology has an immediate opening for a Director of Finance. 

Occupational Summary

The position of Director, Finance will oversee the operations of financial reporting and modeling, general accounting, including a strong focus on cost accounting, faculty compensation, and metrics data, for the Department of Anesthesiology with an overall PDC and SOM budget of $130 million. The Director of Finance will report directly to the Chief Administrative Officer of the Department of Anesthesiology and will work closely with the Business Office Leadership Team and the Division Chiefs across the entire department. The Dir, Finance will be expected to work closely with the Chief Administrative Officer to understand the strategic direction of the organization and provide high-level, proactive financial expertise and financial modeling of all department, division, and program areas.  This is an on-site position.  Candidates with prior experience in Anesthesiology and Academic Medicine preferred.

Apply at requisition 185750 at  or click on the link below:


Work Performed

  • Provide financial and business guidance that will help maximize current resources, and ensure that financial plans, accounting systems and controls are consistent with and supportive of the department’s strategic direction.
  • Responsible for the general accounting of the department of anesthesiology including RA, PLLC (Community Division) working closely with the finance staff of the department.
  • Develop long-range financial models to support the needs of the department.
  • Collaborate and assist the department finance staff and SOM and PDC staff in the development and preparation of the annual departmental SOM and PDC budgets.
  • Maintain back-office financial and accounting systems and monitor data integrity.
  • Oversee the faculty compensation and payroll operations and manage the reporting relating to the annual faculty compensation for department and community division faculty including department reports, K-1s, etc. Work with IT staff on compensation equity analyses. 
  • Coordinate faculty gainsharing, PCA true-ups, leadership bonus calculations, and other incentives including Critical Care, etc.
  • Manage divisional P&L and sub-P&L reporting combining the SOM and PDC on a fully distributed basis.
  • Oversee the VA monthly billing operations and prepare the pricing model for contract negotiation annual renewals and the 5-year overall contract renewal.
  • Oversee accounting and annual assessment calculations from practice activity of the Community Division including overhead and expense methodologies for internal (FMV) and external (cost modeling) contracts. Review monthly RMA invoice expenses and billing data and provide 3–5-year expense trends. Reconcile annual assessment.
  • Manage the Clinical Full-Time Equivalent calculation and compensation true-up processes.
  • Distribute financial reporting information on a consistent basis (monthly reports) that will provide data, which is valuable, clearly understood and supports sound decision making.
  • Design and produce specialized financial analyses as needed.
  • Provide appropriate business planning advice and direction to the Chief Administrative Officer regarding the financial strengths and challenges facing the Department of Anesthesiology.  
  • Provide financial presentations to Business Office and Department leadership committees as requested.
  • Enhance and/or develop, implement, and enforce policies and procedures that will improve overall financial operations, effectiveness with strong internal controls.
  • Work with IT staff on providing appropriate financial and cost accounting information for department business related systems including FDS and other IT systems.
  • Act as a liaison when needed on behalf of the Chief Administrative Officer on financial issues with the management of the Private Diagnostic Clinic and the School of Medicine
  • Manage department space program charges and allocations
  • Work with Business Office Directors/Managers on IBS and effort tracking for compensation changes, offer letters and renewals
  • Motivate staff to perform optimally, manage expectations, and help the department to focus on a team and service-oriented approach to solving financial problems in a timely, efficient manner.
  • Perform other related duties incidental to the work described herein.

 The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

Minimum Qualifications

Work requires a Bachelor's degree in Accounting, Finance, Business Administration, or a related field.  Master’s degree in Healthcare Administration or a related field a preferred. A CPA designation a plus.

Work requires a minimum of 10 years related business or administrative experience to acquire competence in applying general accounting principles, personnel practices and coordination of major administrative functions OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE 


Preferred Skills

The Dir. Finance must have proven competency in the following areas:

  • High level of customer service orientation and responsiveness.
  • Ability to manage a staff of financial professionals 
  • Analytical ability to see the big picture as it relates to financial, accounting and business matters 
  • Collaborative teamwork style and the ability to work with the faculty and other staff
  • Seniority to interface effectively with employees, the university, the hospital and the PDC at appropriate levels
  • Ability to communicate complex financial and accounting information in a clear, concise manner
  • Technical proficiency with IT, finance and accounting systems
  • Exceptional oral, written, presentation, leadership, and problem-solving skills
  • Impeccable integrity and strong judgment
  • Sensitivity to and support of the mission, vision and core values of the Department of Anesthesiology


Duke is an Affirmative Action/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, sexual orientation, or veteran 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.


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