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Director Practice Operations Jobs in Durham, NC (NOW HIRING)

The Associate Director will oversee a portion of the manufacturing team. The facility includes end ... Experience with Good Manufacturing Practice (GMP) operations, tech transfer, capital projects ...

The Associate Director will oversee a portion of the manufacturing team. The facility includes end ... Experience with Good Manufacturing Practice (GMP) operations, tech transfer, capital projects ...

The Associate Director will oversee a portion of the manufacturing team. The facility includes end ... Experience with Good Manufacturing Practice (GMP) operations, tech transfer, capital projects ...

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Director Practice Operations information

See Durham, NC salary details

$32.9K

$104.1K

$173.5K

How much do director practice operations jobs pay per year?

As of Aug 29, 2026, the average yearly pay for director practice operations in Durham, NC is $104,052.00, according to ZipRecruiter salary data. Most workers in this role earn between $73,000.00 and $130,900.00 per year, depending on experience, location, and employer.

What is a director practice operations?

A Director of Practice Operations is a senior management professional responsible for overseeing the daily operations of medical practices or healthcare clinics. They ensure that the practice runs efficiently by managing staff, budgeting, compliance, and patient services. Their role may include implementing policies, optimizing workflows, and maintaining quality standards to improve both patient care and business performance. Typically, they work closely with physicians, administrative teams, and other healthcare leaders to meet organizational goals and regulatory requirements.

What are the key skills and qualifications needed to thrive as a director practice operations?

To thrive as a Director of Practice Operations, you need strong leadership, healthcare management expertise, and a background in business administration or a related field, often supported by a bachelor’s or master’s degree. Familiarity with practice management software, electronic health records (EHR), and regulatory compliance systems is typically required. Exceptional communication, problem-solving abilities, and organizational skills distinguish top performers in this role. These competencies are crucial for ensuring efficient clinic operations, regulatory adherence, and high-quality patient care.

What are some common challenges faced by a director practice operations, and how can they be effectively managed?

A Director of Practice Operations often faces challenges such as balancing operational efficiency with high-quality patient care, managing diverse teams, and adapting to rapid changes in healthcare regulations. Success in this role typically requires strong communication skills, the ability to implement process improvements, and expertise in change management. Building collaborative relationships with clinical and administrative staff, regularly reviewing workflows, and staying updated on industry best practices can help address these challenges and drive overall practice success.

What is the difference between Director Practice Operations vs Practice Manager?

AspectDirector Practice OperationsPractice Manager
ResponsibilitiesOversees multiple practices or departments, strategic planning, high-level decision makingManages daily operations of a single practice, staff supervision, patient flow
CredentialsOften requires advanced degrees (e.g., MBA, healthcare administration), extensive experienceTypically requires healthcare management experience, certifications like CMA or CPC
Work EnvironmentCorporate or multi-site healthcare settings, executive levelSingle practice or clinic, operational focus

The main difference is that a Director Practice Operations focuses on strategic oversight across multiple practices, while a Practice Manager handles daily operations within a single practice. The director role involves higher-level planning and decision-making, often requiring advanced credentials, whereas the practice manager concentrates on staff management and patient services.

What job categories do people searching Director Practice Operations jobs in Durham, NC look for?

The top searched job categories for Director Practice Operations jobs in Durham, NC are:

What cities near Durham, NC are hiring for Director Practice Operations jobs?

Cities near Durham, NC with the most Director Practice Operations job openings:

Sr Director, Practice Strategy & Operations - Dept of Pediatrics

Durham, NC • On-site


Duke Health

7.3

Company rating: 7.3 out of 10

Based on 255 frontline employees who took The Breakroom Quiz

304th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students


Full-time

This job post has expired 3 days ago. Applications are no longer accepted.


Job description

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
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).
Role Scope & Key Interfaces
  • 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.

JOB DUTIES AND RESPONSIBILITIES
Clinical Practice Operations & Performance
  • 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 workstreams 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, and continuous improvement capability.

Access, Capacity, and Growth Strategy
  • Lead execution of the Department's pediatric access and capacity strategy with physician Vice Chair of Outpatient Practice, partnering with Duke Health Access Services (DHAS) and clinic leadership to improve new patient access, template build, and scheduling effectiveness.
  • Design and implement standardized access tools, specialty-specific scheduling templates, capacity forecasts, and clinic operating standards; monitor outcomes and iterate based on data.
  • Partner with Physician Liaisons, division chiefs/administrators, and practice leaders to identify and develop strategic growth plans and provide operational tactics (business development opportunities with external organizations, referral pathways, clinic buildouts, staffing models, and launch readiness).
  • Ensure growth initiatives are operationally feasible and aligned with space, staffing, and academic capacity; develop business cases and escalate capital/budget decisions through the Vice Chair and Duke Health governance.

Financial Stewardship & Revenue Performance
  • Provide operational analysis and recommendations to improve clinical financial performance (e.g., throughput, staffing models, template design, and care-team utilization) in partnership with the CAO and Duke Health ambulatory/children's leadership, who retain budgeting, forecasting, and financial controls.
  • Partner with Revenue Management, division leadership, and practice teams on revenue integrity initiatives, including encounter closure, documentation workflows, APP supervision model operations, coding education support, and billing compliance reinforcement.
  • Use operational and financial data to design and implement cost-effective clinic operating models that improve margin while maintaining quality, access, and academic alignment; quantify impacts and hand off budget actions to the division administration as needed.

Systems, Technology, and Infrastructure
  • Partner with departmental and health system EMR, data, and operational technology teams to define requirements, prioritize enhancements, and support adoption that improves clinic workflow, access, and performance reporting.
  • Ensure ambulatory operational processes adhere to applicable institutional policies, regulatory requirements, and accreditation standards in coordination with compliance, privacy, and quality partners.
  • Pilot and scale care delivery and operational analytics innovations (e.g., new clinic models, standardized work, performance review routines) that advance pediatric practice operations.

JOB ELIGIBILITY REQUIREMENTS
  • Education: Bachelor's degree required; Master's degree strongly preferred (MHA, MBA, MPH, or related field).
  • Experience: Ten (10) or more years of progressive leadership experience in academic medicine or complex healthcare organizations, with demonstrated responsibility for:
    • Ambulatory clinical practice operations and performance management (access, scheduling, workflows, throughput)
    • Access, capacity, and growth execution, including standardized templates and operating models
    • Operational/financial analytics and partnering with finance and revenue cycle to improve performance and revenue integrity (not department-wide budgeting authority)
    • Leading matrixed teams and influencing across clinical, operational, and physician stakeholders

    Candidate should demonstrate keys skill, including:
    • Advanced operational judgment and strategic thinking
    • Strong financial and analytical acumen
    • Executive-level communication and influence
    • Ability to align clinical operations with academic and institutional strategy
    • Proven leadership in complex academic health system environments

JOB HOURS
The schedule for this position is day shifts, Monday-Friday, with no weekends or holidays.
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.

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