Duke University

Director, Performance Excellence

Duke University$120K — $150K *
Hospitals & Medical Centers
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required; Master's preferred in relevant fields
  • At least 7 years of leadership experience in complex healthcare settings
  • Successful track record in Lean transformation and operational excellence
  • Experience in developing and sustaining Lean management systems
  • Proven ability to influence senior leaders and lead complex change initiatives

Responsibilities

  • Translate strategic direction into operational execution
  • Serve as a trusted advisor on continuous improvement
  • Identify opportunities to enhance performance and quality
  • Direct complex improvement initiatives across various areas
  • Utilize Lean methodologies to achieve measurable outcomes
  • Lead large-scale transformation efforts for better patient experience
  • Develop and mentor a team of Performance Excellence Coaches

Benefits

  • Relocation assistance offered for candidates moving to Durham, NC
  • Opportunity for professional development and career progression
  • Supportive culture promoting accountability and innovation
  • Engagement with executive leaders and collaborative teams
  • Focus on enhancing quality, safety, and operational performance
Full Job Description
Work Location & Relocation
  • Primary Work Address: Duke University Hospital (DUH) - 2301 Erwin Road, Durham, NC 27710 (Onsite)
  • Relocation Assistance: Eligible candidates will be offered relocation assistance to support transition to the Durham, NC area.


Position Summary

Duke Health is seeking a dynamic and experienced Director, Performance Excellence to provide strategic leadership for the deployment and advancement of the Duke Quality System (DQS) and continuous improvement efforts across the hospital. Reporting directly to the Duke Health Chief Quality Officer, this leader will partner closely with executive, physician, nursing, and operational leaders to strengthen organizational performance, improve quality and safety outcomes, and foster a culture of continuous improvement.

The Director is responsible for leading a portfolio of high-impact operational excellence initiatives, directly managing a team of six (6) Performance Excellence Coaches, developing organizational improvement capability, and ensuring the successful execution of strategic priorities that enhance patient care, team member engagement, and operational performance.

Key Responsibilities
  • Strategic Leadership & Continuous Improvement
    • Translate executive intent into operational reality by interpreting strategic direction, establishing leadership alignment, and leading cross-functional execution of key organizational priorities.
    • Serve as a trusted advisor to executive and operational leaders on continuous improvement strategy and organizational transformation.
    • Identify opportunities to improve quality, safety, service, team member engagement, and operational performance.
    • Align Performance Excellence priorities with hospital and health system strategic objectives.
  • Operational Excellence & Improvement Execution
    • Direct a portfolio of complex improvement initiatives across clinical, operational, and administrative areas.
    • Utilize Lean methodologies, A3 thinking, value stream mapping, root cause analysis, and systems thinking to achieve measurable outcomes.
    • Facilitate large-scale transformation efforts that improve care delivery, patient experience, team member engagement, and organizational effectiveness.
    • Monitor initiative progress and ensure sustainable results through rigorous performance improvement methods and principles.
  • Leadership & Team Development
    • Provide leadership, mentoring, and professional development for a team of Performance Excellence Coaches.
    • Promote a culture of accountability, engagement, innovation, and learning.
    • Support performance management and team member development activities.
  • Executive Partnership & Change Leadership
    • Partner with executive leaders, physicians, nurses, and operational teams to support strategic priorities and organizational transformation.
    • Translate operational challenges into actionable recommendations and improvement strategies.
    • Influence decisions across multiple departments and service lines through effective collaboration and stakeholder engagement.
    • Lead change management efforts that support sustainable adoption of new processes and management systems.


Minimum Qualifications

Education
  • Required: Bachelor's degree.
  • Preferred: Master's degree in Healthcare Administration, Business Administration, Industrial Engineering, Organizational Leadership, Public Health, or a related field.


Experience
  • Required: Minimum of seven (7) years of progressively responsible leadership experience in healthcare, hospitals, or similarly complex service organizations.
  • Demonstrated success leading Lean transformation, operational excellence, or continuous improvement programs.
  • Experience developing, implementing, and sustaining Lean management systems across large organizations.
  • Proven ability to lead teams and influence senior leaders through complex organizational change initiatives.


Knowledge, Skills & Abilities (Core Profile Emphases)
  • Leadership & Change Management: Strong emphasis on demonstrated experience leading teams and driving organizational change management, specifically managing, developing, and coaching improvement specialists and coaches.
  • Technical Methodology: Proven track record leading large-scale transformations, with deep hands-on expertise in Value Stream Mapping (VSM) and A3 thinking (in addition to root cause analysis, systems thinking, and performance management).
  • Stakeholder Engagement: Exceptional ability to build trust, influence, and partner directly with clinical providers and nurses across complex care environments.
  • Executive Communication & Analytical Rigor: Strong business acumen and analytical capabilities with the ability to synthesize complex data and operational challenges into executive-level recommendations.
  • Dynamic Leadership: Demonstrated ability to thrive in a fast-paced healthcare environment and lead transformational change across multiple stakeholders and competing priorities.


Certifications
  • Preferred: Lean Black Belt, Master Black Belt, Toyota Production System (TPS) certification, or equivalent advanced continuous improvement certification.


Supervisory Responsibilities
  • Reports directly to the Duke Health Chief Quality Officer.
  • Directly leads, manages, and develops a team of six (6) Performance Excellence Coaches.
  • Responsible for performance management, coaching, talent development, hiring recommendations, and resource deployment for the coaching team.
  • Ensures appropriate allocation of Performance Excellence resources to support hospital and health system strategic priorities.

About Duke University

Duke University is a private research university in Durham, North Carolina. Founded by Methodists and Quakers in the present-day town of Trinity in 1838, the school moved to Durham in 1892. Duke's campus spans over 8,600 acres on three contiguous campuses in Durham as well as a marine lab in Beaufort. Duke University is consistently ranked among the top 20 universities in the United States and is a member of the prestigious Ivy League. Duke is also known for its highly ranked medical, law, and business schools. Duke University has a diverse student body, with students from all 50 states and over 100 countries. Duke University was founded in 1838 and is located in Durham, North Carolina.
Learn more about Duke University
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