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705 Broad St. Box 90496
Durham, NC 27705
Phone: (919) 684-5600
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Duke University Health System Job Description



Job Code: 5522
Job Level: N2
Revised Date: 10/01/2012
Supervisory Responsibility: Yes

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General Description of the Job Class

The position will be responsible for the entirety of the Controller?s Organization within DUHS (i.e., no entity-level controllers), which includes full responsibility for all accounting and financial reporting activities and day-to-day execution of the DUHS treasury function. The position will ultimately be responsible for General Accounting, Financial Consolidations and Reporting, accounting policies and procedures, internal accounting controls, Reimbursement and Revenue Accounting, Patient Revenue Management Organization (PRMO) control functions, identification of risks and risk management processes related to the DUHS Finance function, and management of DUHS requirements for all finance and accounting areas shared with Duke University under the DUHS/DU Operating Agreement.

The primary responsibility will be to establish and maintain integrated accounting systems and policies across all operations and business units of DUHS, assuring the required high level of service from the University for shared functions is consistently achieved.

This is a highly visible position, as it is the number two position within DUHS Finance and, therefore, requires a tremendous amount of effort to coordinate and lead multiple divisions of the Controller?s organization, while also providing direction to the University related to DUHS? needs for shared services.

The position will be responsible for overseeing recurring financial analysis, statistical and FTE reporting, tax compliance and reporting, and multiple other finance and accounting functions. The position will participate in cost report preparation/review and ensure that necessary controls are in place to provide for compliance with government regulations and accurate accounting and reporting for settlement accounts.


Duties and Responsibilities of this Level

General Accounting:

Analyze actual financial results and budget variances for profit and loss, balance sheets and statements of cash flows

Provide full support for annual balance sheet and cash flow budgeting, to complement P&L and capital budgeting by entity Finance units

Ensure that reporting requirements are fully met

Control a rigorous close process with clear accountabilities, a well communicated calendar, performance metrics and cross-functional participation


Oversee DUHS consolidation process and ?top down? external audit


Analyze consolidated financial reports for DUHS and entities

Prepare Board presentations and reports for senior management using appropriate technology

Ensure timely and accurate financial and statistical reporting

Maintain an up-to-date and anticipatory knowledge of upcoming accounting, compliance and financial reporting changes, to include:

- International Financial Reporting Standards (IFRS)

- Securities Exchange Commission (SEC) deliberations on municipal market regulation and reporting

- Extensible Business Reporting Language (XBRL)

- Sarbanes-Oxley Internal Control practices

- IRS Form 990 reporting

- Electronic Municipal Market Access (EMMA) Reporting

Reimbursement/Revenue Accounting:

Estimate and analyze contractual allowance, allowance for doubtful accounts and charity care write-offs for each entity

Support the preparation of Medicare cost reports for all DUHS entities

Third-party settlement estimation and accounting

Ensure strategic analysis and planning for governmental and other regulatory reimbursement changes

PRMO Finance:

PRMO financial reporting for DUHS revenue cycle

PRMO Quality Control group (i.e., quasi-internal audit function)

PRMO budget and accounting group

Policies and Procedures:

Review policies and procedures for Finance and Accounting functional areas to ensure consistency across DUHS business units

Challenge the University?s accounting policies and procedures as necessary, to ensure that both organizations are exhibiting progressive accounting ideas and embracing necessary system changes


Establish internal financial controls used to maintain integrity of all charts of accounts

Corporate Treasury and Cash Management:

Debt Management and Accounting

Plan, manage and execute all DUHS external borrowing and tax-exempt bond offerings, including coordination of investment bankers, bond attorneys, rating agencies and N.C. governmental units.

Ensure adequate post-issuance internal controls over tax-exempt bond proceed use and the ultimate use of tax-exempt bond financed property

Derivatives and Swap Management:

Plan, manage and execute all DUHS debt derivative and interest rate swap transactions, including coordination of investment bankers, derivative attorneys, rating agencies, etc.

Cash Flow Projections and Reporting:

Prepare daily cash and swap MTM reports

Prepare and maintain monthly cash flow and working capital projections for DUHS

Prepare monthly GAAP indirect-method and GL-based direct method cash flow reports for DUHS

Ensure that DU Treasury provides adequate service levels and reasonable controls over the debt payment cycle

Investment of DUHS Reserve Funds:

Coordinate directly with DUMAC on the accounting and reporting for the DUHS singleowner investment pool (HSP) managed by DUMAC

Provide liquidity and collateral management, working directly with DUMAC on DUHS treasury security and other transactions

Management of Shared Services with DU:

Responsible for ensuring that DU financial operations maintains adequate systems and appropriate internal controls to support DUHS? required service levels for the following functions:

- Procurement and Accounts Payable Sub-ledger

- Payroll and Human Resources support

- Fixed Asset Accounting Sub-ledger

- Commercial Banking Relationships

- Investment Management through DUMAC

- Capital Acquisition and Repayment

- Technology support for SAP R/3 system through Administrative Systems Management (ASM)

- Compliance with Credit Card Industry Privacy and Security Standards

- Tax Accounting and Reporting Including Annual IRS Form 990 Filing

- N.C. Sales and Use Tax Computation, Remittance and Rebate

Durham Casualty Company:

Responsible for the day-to-day coordination of essentially all Durham Casualty Company (DCC) transactions and activities to include:

- Planning and execution of all DCC Board meetings (with Bermuda insurance managers)

- Planning and execution of DCC?s annual external audit, GAAP financial reporting, and Bermuda statutory reporting

- Coordination of premium cycle with external actuaries

- Joint reporting of claims cycle with Clinical Risk Management

- Coordination of investment cycle with DUMAC (funds managed by DUMAC)

- Proper accounting for the reinsurance program, and coordination with broker as necessary

- Completion and filing of all required DCC tax returns and tax reporting

- Development of DCC annual budget

DUHS Board Committee Meetings -? Administrative Support:

Serve as primary staff for planning agendas for DUHS Compliance/Audit Committee and DUHS Finance Committee, and prepare/coordinate/compile all meeting materials for delivery to respective Committee members

Duke University School of Medicine (SOM):

Meet with SOM chief financial officer at least quarterly on accounting and finance issues that cross organizations

Private Diagnostic Clinic (PDC):

Responsible for the compilation and review of quarterly Duke Medicine financial statements, to include DUHS, Duke University School of Medicine, and PDC financial results on a non-GAAP basis

Contractual Relationships:

Monitor financial results of non-consolidated, contractually related entities (e.g., Person Memorial Hospital)


Establish and maintain Service Level Agreements to address customer service issues and develop service level performance measurement and internal control expectations between DUHS and Duke University

Lead the DUHS Closing process

Serve as GAAP and FASB technical resource in conjunction with external auditors

Review work of and assist in training of staff

Recommend various personnel actions, including hiring, performance appraisals, promotions, transfers, vacations schedules and other pertinent tasks

Perform other related duties incidental to the work described herein


Required Qualifications at this Level


A bachelor's degree in Accounting, Business or related field is required. An MBA is preferred.



At least 10 years accounting experience is required. Should possess financial and managerial reporting experience with GAAP, FASB and other internal standards.


Degrees, Licensure, and/or Certification:

CPA preferred


Knowledge, Skills, and Abilities:

Must demonstrate strong communication and organizational skills with relentless attention to detail.

Strong PC skills in applications such as Lotus Notes, Excel, Word, and other Microsoft applications are important, as well as the ability to perform in a high pressure environment, meeting frequent deadlines under extended work hours.

A leadership style that will enable this person to direct, supervise, and unite accounting staff in the management of accounting and finance issues

Administrative and organizational skills to plan, organize and make commitments to the system leadership, accounting staff and external constituents

Ability to work as a team player and partner with the DUHS Senior Vice President, CFO and Treasurer to represent the department at Board, Compliance/Audit and Finance Committee meetings

Solid understanding of generally accepted accounting principles, Federal Income Tax rules and regulations, Medicare, Medicaid, and third party reimbursement, information systems applications for accounting and financial reporting

Knowledge of preparing monthly/annual Financial Statements, external audits, State/Federal tax reports, General Ledger and capital/operating budgets

Strong analytical and strategic-thinking ability

Capable of focusing long-term, with an exceptional grasp of the details and a strong track record for follow-through

Confident, engaged, and innovative possessing high energy balanced with high integrity

Possesses a strong business orientation to assist the health system in achieving and maintaining ongoing financial viability

Ability to build strong interpersonal relationships with accounting staff and management at all levels of the organization

Strong communication skills

Role model for fiscal and corporate integrity


Distinguishing Characteristics of this Level


The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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.