Senior Business Manager

Be You.

The Department of Surgery is seeking a Division Administrator to join the administrative team. This position will serve as the principal administrative partner to assigned Division Chief(s), with accountability for the operational, financial, clinical, research, and educational performance of one or more surgical divisions. The role typically supports approximately 30–50 faculty members; assignments vary according to faculty and staff complement, financial and research complexity, clinical footprint, strategic priorities, and other functional responsibilities.

The position reports to the Associate Chief Administrative Officer of the Department of Surgery. The successful candidate will be an experienced healthcare administrator with a record of leading complex practice operations, building trusted relationships with physicians and advanced practice providers, managing change, and communicating effectively with faculty, staff, and institutional partners.

Minimum Requirements:

• Work requires a Bachelor's degree in Business Administration, Accounting or a closely related field.
• Work requires a minimum of eight years progressively responsible experience in administrative management, to include proficiency in budgeting, grants and contracts, personnel supervision and space and facilities management.
• A Master's degree in Business Administration, Hospital Administration, Accounting or a closely related field may substitute for two years of required experience. OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE

Preferred Qualifications:

• Master’s degree in Business Administration, Health Administration, Accounting, Public Health, or a closely related field.
• Progressively responsible leadership in academic medicine, physician practice management, ambulatory or hospital operations, financial management, human resources, or a similarly complex healthcare environment.
• Experience with budgeting, forecasting, analytics, performance measurement, provider compensation, workforce planning, faculty administration, research or educational operations, and regulatory compliance.
• Demonstrated skill in strategic planning, project and change management, process improvement, negotiation, executive communication, and partnership with physician and advanced practice leaders.
• Ability to lead across organizational boundaries, manage competing priorities, exercise sound judgment, and communicate complex operational and financial information clearly.

Other Requirements:

• This position is hybrid eligible.

Be Bold.

Position Description:

Strategic Leadership and Governance

• Serves as the Division Chief’s principal administrative partner and participates in all aspects of divisional leadership, planning, decision-making, and execution.
• Translates departmental and divisional priorities into operating plans, business cases, project plans, resource requirements, and measurable outcomes.
• Leads cross-functional strategic initiatives, new program development, business development, service expansion, and operational improvement.
• Prepares divisional reviews, maintains decision and approval documentation, and communicates strategic, operational, and financial plans to faculty and staff.

Financial Stewardship and Performance

• Owns divisional budgeting, forecasting, variance analysis, financial reporting, productivity monitoring, and corrective-action planning across clinical practice, education, research, restricted funds, and other assigned portfolios.
• Ensures appropriate and efficient use of resources within departmental fiscal and productivity guidelines; identifies and implements opportunities for cost reduction, revenue improvement, and service enhancement.
• Establishes, monitors, and reports operational, financial, clinical, research, and educational metrics; identifies performance gaps and leads corrective action with divisional and departmental partners.
• Supports faculty and advanced practice provider compensation administration, including compensation plans, incentives, stipends, administrative effort, clinical effort, and leadership or directorship arrangements.

Clinical Operations and Program Management

• Oversee clinical service delivery and partners with Director of Clinical operations, and clinical leaders on access, capacity, scheduling, provider deployment, advanced practice provider models, inpatient and ambulatory coordination, and implementation of new sites, services, and programs.
• Coordinates with revenue cycle, clinic operations, hospital leadership, financial services, information technology, facilities, and other partners to resolve issues and improve quality, efficiency, patient access, and service delivery.
• Uses data and process-improvement methods to assess workflows, manage change, mitigate operational risk, and sustain results.

Faculty and Workforce Administration

• Coordinates the faculty lifecycle, including recruitment, offer development, contracting, credentialing, onboarding, appointments, promotions, leadership changes, and departures, in partnership with departmental and institutional offices.
• Leads divisional workforce planning for faculty, advanced practice providers, and staff, including position development, recruitment, organizational design, administrative effort, succession planning, and resource allocation.
• Provides leadership for personnel matters and ensures effective staff supervision, development, performance management, training, orientation, engagement, and service standards.

Academic Missions

• Partners with departmental leaders in research and education to support efficient operations, appropriate allocation of resources, regulatory and financial stewardship, and achievement of academic goals.
• Monitors relevant research and educational activity and outcomes, supports annual and periodic divisional reviews, and coordinates action plans to address opportunities or risks.

Compliance, Risk, and Institutional Partnerships

• Direct divisional administrative and regulatory operations in accordance with departmental, School of Medicine, Duke Health Integrated Practice, Duke University Health System, payer, billing, research, and applicable legal requirements.
• Monitors contracting, credentialing, billing, payer, research, personnel, and operational requirements; coordinates mitigation, escalation, documentation, and follow-through when risks or issues arise.
• Serves as the accountable administrative liaison among the division, Department of Surgery, Duke Health Integrated Practice, School of Medicine, hospitals, and other internal and external partners.
• Builds effective relationships with faculty, advanced practice providers, staff, and key stakeholders and promotes a culture of service, accountability, collaboration, inclusion, and continuous improvement.

Choose Duke.

Join our award-winning team and be part of an inclusive culture that values excellence, innovation, and discovery. Duke University is consistently ranked among the top universities worldwide and is renowned for its cutting-edge research across disciplines. Beyond the engaging work, you'll also benefit from Duke's competitive benefits package, including health insurance plans, generous paid time off, retirement programs with employer contributions, tuition assistance for employees and their children, and more.

Duke Surgery is a premier academic surgical department consisting of 185 surgical faculty and 500+ employees. The clinical practice is delivered via the Duke Health Integrated Practice, in collaboration with various affiliated hospitals of the Duke University Health System.

Screening of Applications: Screening continues until the position is filled.