Business Operations Jobs at Duke University with Visa Sponsorship
Duke University hires Business Operations professionals across finance, procurement, project management, and administrative functions that keep a major research university running. For international candidates, Duke has an established track record of sponsoring work visas for qualified hires in this function, working through its Office of Visa and Immigration Services to support H-1B and other nonimmigrant petitions.
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Get Access To All JobsWork Arrangement: On-Site
Requisition Number: 268873
Regular or Temporary: Regular
Location: Durham, NC, US, 27710
Personnel Area: PRMO
Date: Apr 15, 2026
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.
Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.
ONSITE POSITION: Friday, Saturday, and Sunday (7:00 PM - 7:30 AM)
General Description
Analyze, organize, and utilize complex data and rules related to the revenue management process. Provide training, assessment, coaching, and technical support in the application of multifaceted rules in the work environment to achieve desired outcomes and compliance with DUHS policies and standards. Perform quality reviews and analysis to support internal controls, monitor employee performance and assist in staff development. May function as a team lead.
Duties and Responsibilities of this Level
(Percentages may exceed 100%)
Fiscal Responsibility
- Job function is dedicated to analysis, identification of trends, validation, and compliance as related to fiscal activities, generating additional revenue, reducing bad debt expense and charity write-offs, overall expense reduction. Fiscal responsibility measured on accuracy, quality of work output, compliance with established DUHS policy standards or agreements. Responsibility may be defined in terms of value of work portfolio assigned.
Customer Service
- Troubleshoots; follows through and resolves issues related to the patient revenue cycle; develops and presents recommendations for further consideration by management. Job requires contact with internal (or other DU/DUHS departments) and external customers; high level of external customer contact; in person as well as over telephone. Position is focused on customer retention; frequently the initial contact with DUHS is primarily with this position.
Clerical
- Position requires minimal clerical duties such as operating general office equipment.
Scope of Authority
- Job requires limited supervision of other employees in the unit. Provides direction and supervision to staff in daily procedures. May function as a team lead to include providing feedback to staff and management on day-to-day issues related to operations or staff performance. Some decision making relative to individual work activities. Assignments defined by supervisor or manager.
Required Qualifications at this Level
Education:
College degree preferred or significant years of patient revenue cycle/process experience in lieu of college degree. Additional specialized training relevant to job responsibility.
Experience:
5 years experience in a Healthcare or Business setting or an equivalent combination of relevant education and/or experience engaged in analytical and compliance issues.
Degrees, Licensure, and/or Certification:
Certification in related field of experience preferred but not required.
Knowledge, Skills, and Abilities:
- Technology: PC Intermediate Excel - Advanced Word - Intermediate Database - Intermediate Lotus Notes Accounts Receivable Systems - Intermediate Calculator - Advanced Data entry General Systems for Duke University Health System, PDC
- Excellent communication skills
- Excellent written communication skills
- Demonstrated team skills
- Excellent analytical/accounting/statistical reporting skills
Distinguishing Characteristics of this Level
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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
Work Arrangement: On-Site
Requisition Number: 268873
Regular or Temporary: Regular
Location: Durham, NC, US, 27710
Personnel Area: PRMO
Date: Apr 15, 2026
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.
Patient Revenue Management Organization
Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health.
ONSITE POSITION: Friday, Saturday, and Sunday (7:00 PM - 7:30 AM)
General Description
Analyze, organize, and utilize complex data and rules related to the revenue management process. Provide training, assessment, coaching, and technical support in the application of multifaceted rules in the work environment to achieve desired outcomes and compliance with DUHS policies and standards. Perform quality reviews and analysis to support internal controls, monitor employee performance and assist in staff development. May function as a team lead.
Duties and Responsibilities of this Level
(Percentages may exceed 100%)
Fiscal Responsibility
- Job function is dedicated to analysis, identification of trends, validation, and compliance as related to fiscal activities, generating additional revenue, reducing bad debt expense and charity write-offs, overall expense reduction. Fiscal responsibility measured on accuracy, quality of work output, compliance with established DUHS policy standards or agreements. Responsibility may be defined in terms of value of work portfolio assigned.
Customer Service
- Troubleshoots; follows through and resolves issues related to the patient revenue cycle; develops and presents recommendations for further consideration by management. Job requires contact with internal (or other DU/DUHS departments) and external customers; high level of external customer contact; in person as well as over telephone. Position is focused on customer retention; frequently the initial contact with DUHS is primarily with this position.
Clerical
- Position requires minimal clerical duties such as operating general office equipment.
Scope of Authority
- Job requires limited supervision of other employees in the unit. Provides direction and supervision to staff in daily procedures. May function as a team lead to include providing feedback to staff and management on day-to-day issues related to operations or staff performance. Some decision making relative to individual work activities. Assignments defined by supervisor or manager.
Required Qualifications at this Level
Education:
College degree preferred or significant years of patient revenue cycle/process experience in lieu of college degree. Additional specialized training relevant to job responsibility.
Experience:
5 years experience in a Healthcare or Business setting or an equivalent combination of relevant education and/or experience engaged in analytical and compliance issues.
Degrees, Licensure, and/or Certification:
Certification in related field of experience preferred but not required.
Knowledge, Skills, and Abilities:
- Technology: PC Intermediate Excel - Advanced Word - Intermediate Database - Intermediate Lotus Notes Accounts Receivable Systems - Intermediate Calculator - Advanced Data entry General Systems for Duke University Health System, PDC
- Excellent communication skills
- Excellent written communication skills
- Demonstrated team skills
- Excellent analytical/accounting/statistical reporting skills
Distinguishing Characteristics of this Level
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.
Nearest Major Market: Durham
Nearest Secondary Market: Raleigh
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Get Access To All JobsTips for Finding Business Operations Jobs at Duke University Jobs
Align Your Credentials to Specialty Occupation Standards
Business Operations roles at universities often blend general administration with finance or compliance functions. Make sure your degree field directly maps to the specific role title, not just business broadly, since USCIS evaluates specialty occupation fit at the position level.
Target Duke's Central Administrative Units First
Duke's central divisions, including Finance, Budget, and Procurement, post roles more likely to carry sponsorship support than departmental coordinator positions. Focus your search on university-wide operational units where the role scope and degree requirements are more clearly defined.
Understand Duke's Internal Visa Office Process
Duke processes sponsorship through its Office of Visa and Immigration Services, not through a third-party attorney hired ad hoc. Knowing this means you can ask informed questions about their internal timeline and what documentation they'll collect from you early in the hiring process.
Search Sponsored Business Operations Roles on Migrate Mate
Filter for open Business Operations positions at Duke University on Migrate Mate to see roles where sponsorship is actively available. This saves time you'd otherwise spend manually vetting whether individual job postings are open to visa candidates.
Clarify H-1B Cap Timing Before Accepting an Offer
If you're not currently in H-1B status, Duke can only file a new cap-subject petition for an October 1 start date, with registration closing in mid-March. Confirm your timeline with the hiring team so your offer terms reflect that employment start date realistically.
Request LCA Details When Evaluating Your Offer
Duke files a Labor Condition Application with DOL before submitting your H-1B petition. Ask HR which prevailing wage level they've designated for your role, since this directly affects your offered salary and signals how the position is classified for immigration purposes.
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Find Business Operations at Duke University JobsFrequently Asked Questions
Does Duke University sponsor H-1B visas for Business Operations?
Yes, Duke University sponsors H-1B visas for Business Operations roles, particularly in finance, procurement, compliance, and project management functions where the position meets USCIS specialty occupation criteria. Sponsorship is handled through Duke's Office of Visa and Immigration Services, which manages the Labor Condition Application filing with DOL and the subsequent H-1B petition to USCIS. Eligibility depends on the specific role and your qualifications.
How do I apply for Business Operations jobs at Duke University?
Applications go through Duke's official careers portal, where Business Operations roles are listed by department. You can also find sponsorship-eligible openings on Migrate Mate, which filters for positions open to visa candidates. When applying, tailor your materials to the specific unit, whether that's Finance, Budget and Planning, or Procurement, since each has distinct scope and degree expectations that affect both hiring and sponsorship eligibility.
Which visa types does Duke University use for Business Operations roles?
Duke sponsors H-1B visas most commonly for Business Operations hires, and also files E-3 petitions for Australian citizens in qualifying roles. For longer-term pathways, Duke supports PERM-based Green Card sponsorship through the EB-2 and EB-3 categories for employees who have demonstrated sustained performance. The appropriate visa type depends on your nationality, degree level, and how the specific role is classified under USCIS and DOL guidelines.
What qualifications does Duke University expect for Business Operations roles?
Most Business Operations positions at Duke require at minimum a bachelor's degree in a related field such as finance, accounting, business administration, or a discipline directly tied to the role's function. Roles in budget analysis or financial planning often prefer candidates with experience in higher education or nonprofit finance environments. For sponsorship purposes, your degree field needs to align specifically with the job duties, not just business generally, since USCIS evaluates this at the position level.
How long does the visa sponsorship process take for a Duke Business Operations hire?
From offer acceptance to work authorization, the timeline depends on your current visa status and the petition type. For a new H-1B, Duke must file during the March registration window for an October 1 start, meaning the lead time can be six months or more. If you're transferring an existing H-1B from another employer, Duke can file a portability petition and you can begin work once USCIS receives it, typically within a few weeks of submission.
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