Title: Associate Director, Prospect Management Location: Durham United States Hybrid Regular or Temporary: Regular Job Description: School of Medicine Established in 1930, Duke University School of Medicine is the youngest of the nation's top medical schools. Ranked sixth among medical schools in the nation, the School takes pride in being an inclusive community of outstanding learners, investigators, clinicians, and staff where interdisciplinary collaboration is embraced and great ideas accelerate translation of fundamental scientific discoveries to improve human health locally and around the globe. Composed of more than 2,500 faculty physicians and researchers, more than 1,300 students, and more than 6,000 staff, the Duke University School of Medicine along with the Duke University School of Nursing, Duke University Health System and the Private Diagnostic Clinic (PDC) comprise Duke Health. a world-class academic medical center. The Health System encompasses Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Duke Primary Care, Duke Home and Hospice, Duke Health and Wellness, and multiple affiliations. Collaborate with a dedicated team to identify, manage, and grow grateful patient and alumni prospects for meaningful philanthropic impact! Duke Health Development & Alumni Affairs (DHDAA) supports a flexible work environment by offering on-site (in office 5 days a week), hybrid (in office a minimum of 2 days a week or defined by manager), remote (work off-site 5 days a week), and flexible start and end time work arrangements. All team members must reside within a 50-mile radius of our downtown Durham office. If working a hybrid or remote schedule, individuals must have access to and maintain a secure home office environment with high-speed internet service and work collaboratively with others using a variety of technologies and tools. With approval from their manager, staff members may work a flexible schedule in terms of start/end times, while working within DHDAA's core work hours between 9:00 a.m. and 4:00 p.m. (eastern standard). At the discretion of Managers and/or Senior Leadership, staff working a hybrid, remote or flex schedule may be required to be in the office on days and/or times outside of the agreed upon schedule. Be You. The Associate Director of Prospect Management at Duke Health Development and Alumni Affairs (DHDAA) reports to the Executive Director of Prospect Development. The individual is responsible for ensuring that prospect management best practices for grateful patient and alumni prospects are communicated and supported throughout the organization. They utilize sophisticated modeling and leverage patient and alumni data to proactively build and curate the prospect pipeline-at all giving levels-and help guide our proactive prospect identification efforts at DHDAA. The Associate Director and their team member(s) are part of the overall Prospect Development team, which provides data insights by analyzing and disseminating information to direct and inform solicitation and engagement strategies for prospective donors to Duke Health. This role is highly collaborative and interfaces with staff throughout DHDAA and Duke Alumni Engagement and Development (DAED). Work Arrangement - Hybrid; This is not a remote position. This is a full-time position located in Durham, NC. DEPARTMENT SKILLS/PREFERENCES Preferred Experience and Skills - Proven knowledge of prospect management and fundraising best practices. - Knowledge of effective fundraising practices, preferably at a large, de-centralized academic healthcare system with grateful patients. - Familiarity with Customer Relationship Management (CRM) platforms with Salesforce experience being desirable. - Advanced Excel and data visualization (Tableau, Power BI) experience. - Demonstrated track record of strategic and creative approaches to prospect management and collaboration with frontline fundraisers, system administrators, and senior level management. - Demonstrated experience with change management. - Excellent written and oral communication skills with the ability to synthesize and accurately present relevant information. - Supervisory experience. - Ability to innovate and effectively problem-solve. - Demonstrated proficiency in working with large and complex databases and systems. - Demonstrated ability to build strong partnerships and collaborate with a wide variety of constituencies at all levels of an organization. - Demonstrated ability to handle confidential and sensitive information. - Exceptional analytical skills and attention to detail. - Ability to handle multiple priorities with diplomacy and timeliness. - Demonstrated consultative skills. MINIMUM QUALIFICATIONS Education/Training - Bachelor's degree required. Master's or professional degree preferred. Experience - Minimum of five (5) years of experience in prospect research and prospect management. Minimum of three (3) years of supervisory experience required. Be Bold. Work Preformed Prospect Management (50%) - Support and measure the efforts of a robust and sustainable pipeline including evaluating: if the appropriate prospects are being managed, if assigned prospects are being engaged, and if we are moving prospects forward at a reasonable pace. - Oversee and maintain the DHDAA prospect clearance and assignment process. Uphold standards and data integrity to ensure a coordinated and strategic approach to prospect outreach. - Maintain comprehensive guidelines specific to DHDAA for patient prospects and the Salesforce CRM that provide organization-wide transparency, consistency, coordination, and collaboration of fundraiser engagement activities. - Design and implement prospect management standards, policies and procedures, as needed, specific to DHDAA. - Develop and implement training regarding Prospect Management processes and procedures. - Facilitate prospect strategy meetings providing data to influence or shape successful strategy, next steps, and outcomes. - Credibly lead conversations on all aspects of Prospect Management including portfolio optimization, system training, and process change management. - Lead conversations regarding size, balance, value, and yield to measure portfolio and pool performance. Assist with portfolio management across fundraising teams using existing resources and best practices. Plan and lead portfolio management/moves management, strategy, and optimization meetings with fundraisers. - Implement industry best practices for the comprehensive monitoring and tracking of managed and engaged prospects through the solicitation cycle. - Identify opportunities for changes to organizational relationship management policy or pipeline performance metrics that support an integrated approach to prospect management. - Utilize organizational knowledge and constituency data, including prospect segmentation tools, to explain and make recommendations for activity, strategy, and assignment. - Adapt and customize prospect strategy management, tracking, and reporting for various prospect segments (annual gift prospects, major gift prospects, and principal gift prospects). - Identify and implement best practices for distributing information to a complex network of interested parties. - Participate in cross-departmental projects to improve understanding and strategic use of Prospect Development tools and data. Strategic Planning & Leadership (30%) - Collaborate and strengthen partnerships between DAED Prospect Development and DHDAA Prospect Development. - Identify and build mutually respectful relationships with stakeholders that result in community standard socialization, partnership, and best outcomes. - Identify community needs, appropriate measures, and implementation plans that increase fundraising success and identify opportunities for improvement. Listen, translate, and act on recommendations from leadership. - Guide the development of new fundraiser portfolios/pipelines and provide ongoing support. - Provide regular updates to leadership on portfolio and pipeline activity and partner with leadership to encourage best practices. Management (20%) - Create monthly and annual reports/visualizations on metrics and workload of the prospect management team for development leadership. Provide analysis on metrics and workload trends. Manage on-going proactive and reactive projects for staff. - Build productive partnerships with the Director of Prospect Research and the Information Management and Business Intelligence team. Collaborate on shared organizational efforts related to the identification and management of prospects, and accountability mechanisms for staff. - Responsible for effective staff management of direct reports via direct instruction and coaching sessions. This includes hiring and orientation, workflow and performance management, and the promotion of an inclusive and innovative work environment. - Encourage high-performance to achieve team goals, including recognition of effective work output, and fostering professional development and training. Other related duties as assigned. Choose Duke. Apply today! Continue your career and work closely with a collaborative team supporting and growing grateful patient and alumni prospects! Anticipated Pay Range: Duke University provides an annual base salary range for this position as USD $62,694.00 to USD $107,633.00. Duke University considers factors such as (but not limited to) scope and responsibilities of the position; candidate's work experience, education/training, and key skills; internal peer equity; as well as market and organizational considerations when extending an offer. Your total compensation goesbeyond the dollars on your paycheck. Duke provides comprehensive and competitive medical and dental care programs, generous retirement benefits, and a wide array of family-friendly and cultural programs to eligible team members. Equal Opportunity Employer: 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, (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 isessential 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.

• Serve as DRI for all revenue adjustments in weekly reporting: own the underlying logic, file integrity, and formula soundness. • Maintain active reconciliation checks and ensure adjustments are accurate, complete, and explainable at any point in the week. • Work proactively with cross-functional partners throughout the week to incorporate new intel before weekly close. • Lead weekly alignment meetings with the FP&A team; own WoW variance explanation and post summaries to relevant stakeholders. • Own all deal types end-to-end ranging from standard structures to complex, unique, and customer-specific arrangements. • Maintain and enforce the Deal Desk approval matrix; lead a bi-annual Deal Desk Strategy Review with SLT. • Own the philosophy and commercial logic underlying how Liftoff approaches deal structures, including eligibility thresholds and deal parameters by customer segment. • For non-standard deals: lead upfront diligence including detailed financial modeling. • Lead weekly cross-functional reviews on active non-standard deals; make budget and commercial adjustment recommendations as needed. • Produce monthly performance updates on active deal programs for senior leadership, with clear variance analysis against original assumptions. • Monitor cash flows and financial commitments on structured deals; update models as actuals come in and flag deviations proactively. • Own and lead accrual review for all key Deal Desk items, including complex arrangements. • Hold a well-supported, defensible position on accrual levels, with the underlying data and logic ready to present in senior Finance forums.

ROLE SUMMARY The Director of Clinical Transformation and Change Management leads Blueprint's clinically-informed change management work on state Rural Health Transformation engagements. The role is the bridge between clinical transformation partners (who design the new care models) and the rural facility staff who must adopt them. This director will own change management planning, training design, adoption measurement, and stakeholder readiness for non-clinical workstreams, while collaborating with clinical partners on the redesign itself. KEY RESPONSIBILITIES - Develop and lead formal change management plans using ADKAR, Prosci, or Kotter frameworks, tailored for rural facility staff retention and buy-in. - Design scoring rubrics and tracking mechanisms for Center of Excellence incentive programs and outpatient access targets. - Lead readiness assessments at participating rural hospitals, clinics, and CBOs. - Translate clinical care model redesign into staff-level workflow changes, training plans, and communications. - Co-lead governance and steering committee operations with Blueprint PMO leads. - Coordinate with telehealth, EHR, and care model partners to ensure adoption support is in place at go-live. QUALIFICATIONS - Clinical background required: RN, MSN, MHA, MPH, or equivalent, with hands-on experience in a hospital or integrated delivery system. - Prosci certification or equivalent change management credential. - Minimum 8 years of experience leading clinical transformation, care model redesign, or service line restructuring. - Demonstrated experience working in or with rural hospitals, Critical Access Hospitals, or rural health systems. - Ability to translate clinical and policy concepts for non-clinical audiences. PREFERRED - Experience with CMMI rural demonstrations, Rural Emergency Hospital transitions, or value-based care contracts in rural settings. - Prior consulting experience at Manatt Health, HMA, Chartis, Guidehouse, or similar. ABOUT BLUEPRINT CREATIVE GROUPBlueprint is the rural health transformation implementation partner for states translating OBBBA RHTP plans into community-level results. We connect state strategy to rural community execution through data-informed engagement, workforce activation, and equity-centered communications.

OVERVIEW The Senior Program Director, Rural Health Transformation is the operational leader of Blueprint's state Rural Health Transformation Program engagements and adjacent One Big Beautiful Bill Act (OBBBA) implementation work. The role requires a rare combination of federal rural health policy understanding state agency implementation experience, and the operational discipline to run complex, multi-stakeholder programs on tight timelines and against CMS reporting requirements. This is not a clinical role. It is a senior delivery leadership role for someone who has actually stood up rural health programs, navigated federal-to-state policy translation, and managed the on-the-ground execution of mandates that look very much like what every state must now do under OBBBA. ABOUT BLUEPRINT CREATIVE GROUP Blueprint is the rural health transformation implementation partner for states translating OBBBA RHTP plans into community-level results. We connect state strategy to rural community execution through data-informed engagement, workforce activation, and equity-centered communications. WHY THIS ROLE EXISTS Every state with an RHTP award is now translating an approved plan into operational reality on a five-year clock. CMS has set five strategic goals, states have 12 to 18 months to demonstrate measurable progress, and most state agencies do not have internal capacity to lead the implementation. Blueprint is the implementation partner of choice for the community-facing, workforce-facing, and program-management layers of that work. KEY RESPONSIBILITIES Practice Leadership - Lead the strategic and operational direction of Blueprint's Rural Health Transformation practice across all active state engagements. - Serve as the senior client-facing executive on RHTP and OBBBA implementation contracts, including with state EOHHS, DPH, Medicaid, State Office of Rural Health, and CoE governance bodies. - Build, mentor, and supervise a multidisciplinary delivery team spanning PMO, training, engagement, analytics, and change management. - Establish practice-level quality standards, delivery methodologies, and operating playbooks reusable across state engagements. Program Delivery & Client Engagement - Own end-to-end delivery of state RHTP engagements, including Project Management Plan, Project Work Plan, Gantt-based scheduling, risk and issue management, and stage-gate governance. - Lead Center of Excellence stand-up activities, including governance board design, charter development, stakeholder onboarding, and meeting cadence. - Ensure CMS, state, and Center of Excellence reporting requirements are met on time and at quality, including monthly status reports, quarterly programmatic reports, and federal reporting deliverables. - Lead client-facing executive briefings, governance meetings, and steering committee sessions. - Own escalation paths for delivery risks, scope disputes, and stage-gate non-approvals. Policy & Strategic Translation - Translate evolving CMS RHTP guidance, OBBBA implementation requirements, and federal Medicaid policy changes into actionable program adjustments for state clients. - Advise state clients on alignment of RHTP investments with broader state goals: economic development, value-based payment adoption, chronic disease reduction, suicide prevention, and tribal health priorities. - Maintain fluency across the full OBBBA implementation landscape: RHTP, Medicaid work requirements, six-month eligibility redeterminations, SNAP changes, and related state mandates. - Serve as Blueprint's senior representative in federal and state policy convenings, NRHA, NASHP, NGA, and similar venues. REQUIRED QUALIFICATIONS - Federal rural health experience. Minimum 5 years in a senior role at HRSA Federal Office of Rural Health Policy (FORHP), CMS (CMCS, CMMI, or CCIIO), ASPR, or comparable federal agency with direct rural health portfolio responsibility. - State implementation experience. Demonstrated experience leading or directly supporting implementation of CMS-funded programs at the state level (Medicaid, State Office of Rural Health, EOHHS, DPH, or comparable). At least 3 years. - OBBBA policy fluency. Working command of the One Big Beautiful Bill Act provisions affecting rural health, Medicaid, and state implementation: RHTP $50B program, Medicaid work requirements, six-month eligibility redeterminations, SNAP cost-sharing changes. - RHTP program command. Direct knowledge of CMS RHTP guidance, the five strategic goals, the state application and approval process, allowable use categories, and CMS reporting requirements. - Senior program management. Minimum 12 years of progressively senior program or portfolio management experience, including direct ownership of programs valued at $10M or greater. - Education. Master's degree required: MPH, MHA, MPP, MBA, or equivalent. Clinical credentials a plus but not required. PREFERRED QUALIFICATIONS - Direct experience with one or more CMMI rural demonstrations (PCF, ACO REACH, MACPAC rural pilots, RCO models). - Direct experience with HRSA FORHP grant programs (FLEX, SHIP, Rural Hospital Stabilization, Rural Communities Opioid Response). - Working knowledge of Critical Access Hospital cost-based reimbursement, Rural Health Clinic policy, FQHC operations, and Rural Emergency Hospital designation. - Familiarity with tribal health policy, IHS, and Tribal Epidemiology Centers; demonstrated experience leading tribal consultation processes. - Existing relationships with State Office of Rural Health directors, NRHA, NASHP, or state Medicaid leadership across multiple states. - Prior consulting or implementation experience at Manatt Health, HMA, Chartis, Guidehouse, Sellers Dorsey, Mathematica, or similar. - Published thought leadership in rural health, value-based care, or state health program implementation.