Not what it used to be - Finance Duke Health Employee Review

1.0
Jun 3, 2025
Recommend
CEO approval
Business Outlook

Pros

Access to right tools for the job Team members are elite

Cons

Executive leadership changes over the past 2 years have degraded the work culture Leadership deficiencies and dysfunctional relationships with each other cause constant confusion. Communication from the top is scripted and insincere. Leadership uses the scripted phrases but their actions and demands do not reflect Duke Values. Team is miserable and leaving in droves. Executive leadership is either not listening to the feedback staff have provided, but continue to survey them. It has reached a point where all teams have quit responding to feedback requests. The people promoted are not the people who deserve it. Most recent promotions announced are for people who have high departmental turnover, low work culture scores and have repeatedly failed to deliver on the tasks they’ve taken on to the point others have had to step in. Good people with 15+ years of experience are walking out with no plan just to get away.

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Duke Health Response
1y
It’s important to hear your feedback and we appreciate the opportunity to learn more and address opportunities that exist within our organization.

Explore other reviews about Duke Health

5.0
Jun 16, 2026
Recommend
CEO approval
Business Outlook

Pros

Scheduling is quite flexible working 3 12s

Cons

Holiday pay is only for major holidays not Christmas Eve

1.0
Jun 23, 2026
Recommend
CEO approval
Business Outlook

Pros

The work is meaningful and the team consists of some highly skilled professionals who are dedicated to supporting patients, providers, and the organization. The role provides exposure to complex issues and opportunities for professional growth.

Cons

The department suffers from significant leadership and culture challenges. Employees are hired as experienced professionals but are given little autonomy to perform the work they were hired to do. Leadership frequently inserts itself into routine matters, creating unnecessary delays and fostering a culture of micromanagement rather than trust. Communication is inconsistent and often lacks accountability. Important decisions and changes are frequently communicated verbally without written follow-up, creating confusion and shifting expectations. Employees are expected to remember evolving guidance, identify leadership mistakes, and compensate for communication failures. There is a noticeable gap between leadership messaging and employee experience. Work-life balance, employee engagement, and professional respect are regularly discussed, but many employees do not experience those values in practice. Concerns raised by employees do not appear to result in meaningful change, contributing to low morale and diminished trust in leadership. Leadership often responds to issues by implementing department-wide restrictions rather than addressing the specific individuals or situations involved. As a result, high-performing employees are subjected to increasing oversight and reduced autonomy because leadership is unwilling to address performance concerns directly. Turnover, employee dissatisfaction, and leadership credibility have been ongoing concerns. The department would benefit from leaders who are willing to listen, communicate transparently, accept accountability, and trust the expertise of the professionals they supervise.

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