Green Card Chief Medical Information Officer Jobs
Chief Medical Information Officer roles sit at the intersection of clinical leadership and health IT strategy, making them strong candidates for EB-2 sponsorship under the advanced-degree pathway. Employers use PERM labor certification to sponsor CMIOs permanently, and most health systems and hospital networks have active sponsorship programs for this level of executive.
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Get Access To All JobsINTRODUCTION
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
ROLE AND RESPONSIBILITIES
The Texas Health and Human Services Commission (HHSC) is seeking an exceptional Chief Information Security Officer (CISO) to lead cybersecurity across one of the largest and most mission-critical public-sector technology environments in Texas.
The CISO will shape the future of cybersecurity across the HHS system, protecting critical services and sensitive information while enabling secure innovation and modernization. This executive will lead HHS in addressing emerging risks, including artificial intelligence, cloud transformation, third-party risk, and post-quantum cryptography.
Reporting to the Deputy Chief Operations Officer, the CISO serves as the executive leader for Cybersecurity Operations and Information Security Governance, Risk, & Compliance.
Cybersecurity Operations provides strategic oversight of cybersecurity operations, threat and vulnerability management, incident response, and recovery to protect critical systems and maintain operational resilience.
Governance, Risk, & Compliance directs enterprise information security governance, risk, compliance, security architecture, and modernization to protect agency information and ensure security is integrated across technology and operations.
Working alongside leaders of Procurement, Payroll, Human Resources, Facilities, and other critical operational functions, the CISO will exercise significant latitude for independent judgment and decision-making and may be asked to represent HHS on cybersecurity matters with state and federal agencies, the Office of the Governor, the Texas Legislature, and other external stakeholders.
The successful candidate will be a strategic executive who can translate cybersecurity risk into business decisions, build strong partnerships across the organization, and lead a mature cybersecurity program protecting sensitive health, benefits, operational, and agency information.
Essential Job Functions (EJFs):
-
Develops and establishes goals consistent with the agency’s strategic plan and effectively achieves them
Serves as the agencies Designated Information Security Officer. Ensures cybersecurity objectives align with agency priorities, business operations, and risk management goals. Communicates complex cybersecurity risks and opportunities in business terms and provides regular briefings to executive leadership regarding security posture, emerging threats, compliance obligations, and investment priorities. Ensures information security risks are evaluated alongside operational, financial, regulatory, and strategic risks as part of enterprise decision-making. Leads development of long-term cybersecurity strategy, governance frameworks, and performance measures to support agency resiliency and mission success. -
Maintains a positive customer service for those internal and external to the agency
Builds trusted partnerships with agency leadership, programs, technology teams, and external stakeholders to understand business needs and deliver practical, risk-based cybersecurity solutions. Promotes a service-oriented security culture that enables agency operations and modernization while protecting critical information and systems. -
Directs program activities and/or business functions within a department or division to ensure timely deliverables
Directs enterprise cybersecurity, risk management, and resilience activities to protect critical systems and ensure continuity of agency operations. Provides strategic oversight of cybersecurity operations, incident response, disaster recovery, security architecture, compliance, and emerging technologies, while ensuring security is integrated into technology planning, procurement, operations, and third-party relationships. -
Effectively communicates status of work and identifies potential issues both up and down the chain of command and to appropriate adjacent areas inside and outside of the agency
Communicates cybersecurity priorities, status, risks, and emerging issues to executive leadership, staff, and key internal and external partners, ensuring timely escalation and coordination when action is required. -
Develops policies, procedures, and guidelines; and monitors compliance
Directs the development, implementation, and oversight of policies, procedures, standards, and guidelines governing CISO operations and HHS information security for both internal and external use. Monitors compliance to ensure consistent and effective execution. -
Develops, coaches, and trains staff to be effective members of the team and prepares them for success in their roles and career
Builds and develops a high-performing cybersecurity workforce through coaching, training, professional development, and succession planning to strengthen capabilities and prepare staff for continued growth and leadership.
BASIC QUALIFICATIONS
- Knowledge of enterprise cybersecurity strategy, governance, risk management, security operations, incident response, and applicable regulatory requirements in a large public-sector environment.
- Knowledge of state and federal cybersecurity frameworks and standards, including NIST guidance, Texas Administrative Code Chapter 202, the Texas Cybersecurity Framework, and risk-based security controls.
- Knowledge of information security governance, security architecture, technology risk management, data protection, identity and access management, cloud security, and emerging cybersecurity trends.
- Knowledge of business continuity, disaster recovery, vendor management, contract oversight, and third-party technology risk management.
- Skill in leading large, complex cybersecurity programs and developing enterprise security strategies, governance structures, policies, and measurable outcomes.
- Skill in translating cybersecurity risks into actionable business decisions and communicating effectively with executives, technical staff, public officials, auditors, and other stakeholders.
- Skill in building collaborative relationships and leading security assessments, risk analyses, incident response efforts, audits, and remediation activities.
- Skill in managing large-scale initiatives, budgets, contracts, competing priorities, and developing high-performing cybersecurity teams.
- Ability to provide visionary leadership, exercise sound judgment, and foster a proactive, risk-informed, and mission-focused security culture.
- Ability to balance security, compliance, operational needs, modernization efforts, and user experience while implementing effective solutions to complex challenges.
- Ability to anticipate and address evolving cybersecurity threats and risks and maintain the security, availability, and integrity of critical systems and information resources.
- Ability to exercise independent judgment, manage confidential information, and uphold the highest standards of ethics and professionalism.
PREFERRED QUALIFICATIONS
Preference for professional certification such as:
- Certified Information Systems Security Professional (CISSP)
- Certified Information Security Manager (CISM)
- Certified Information Systems Auditor (CISA)
- Certified in Risk and Information Systems Control (CRISC)
- GIAC certification, or cloud security certification, or comparable advanced cybersecurity credentials.
INITIAL SCREENING CRITERIA
- Graduation from an accredited four-year college or university with major coursework in cybersecurity, computer science, information technology, management information systems, engineering, public administration, business administration, or a related field. Relevant senior-level experience may be considered as a substitution for education.
- At least 10 years of progressively responsible experience in cybersecurity, information security, technology risk management, security operations, enterprise technology leadership, or a closely related field is required.
- Experience with cybersecurity frameworks, regulatory compliance, audit coordination, risk management, or security governance in a public-sector, healthcare, financial, critical infrastructure, or similarly regulated environment is required.
- Experience leading cybersecurity, information security, technology risk, or technical teams in a large, complex organization is preferred.
- Experience working in Health and Human Services agencies, Texas State Government, and Public sector are preferred in that order.
ADDITIONAL INFORMATION
N/A
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
LOCATION
Job Location City: AUSTIN
Job Location Address: 701 W 51ST ST
Other Locations: Austin
Salary Range: $11,298.08 - $19,107.91
Pay Frequency: Monthly
Salary Group: TEXAS-B-32
Shift: Day
Additional Shift: Days (First)
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
MOS Codes: 0605,0630,0631,0639,0670,0679,0681,1702,1705,1710,1720,1721,1799,2611,2659,8055,8858,14N,14NX,170A,170B,17A,17B,17C,17C0,17DX,17S,17SX,17X,181X,182X,183X,184X,1B4X1,1D7X1,255A,255N,255S,25B,25D,26A,26B,26Z,514A,5C0X1D,5C0X1N,5C0X1S,5I0,5IX,681X,682X,683X,781X,782X,783X,784X,CT,CTI,CTM,CTR,CWT,CYB10,CYB11,CYB12,CYB13,CYB14,IS,ISM,ISS,IT,ITS
INTRODUCTION
Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
ROLE AND RESPONSIBILITIES
The Texas Health and Human Services Commission (HHSC) is seeking an exceptional Chief Information Security Officer (CISO) to lead cybersecurity across one of the largest and most mission-critical public-sector technology environments in Texas.
The CISO will shape the future of cybersecurity across the HHS system, protecting critical services and sensitive information while enabling secure innovation and modernization. This executive will lead HHS in addressing emerging risks, including artificial intelligence, cloud transformation, third-party risk, and post-quantum cryptography.
Reporting to the Deputy Chief Operations Officer, the CISO serves as the executive leader for Cybersecurity Operations and Information Security Governance, Risk, & Compliance.
Cybersecurity Operations provides strategic oversight of cybersecurity operations, threat and vulnerability management, incident response, and recovery to protect critical systems and maintain operational resilience.
Governance, Risk, & Compliance directs enterprise information security governance, risk, compliance, security architecture, and modernization to protect agency information and ensure security is integrated across technology and operations.
Working alongside leaders of Procurement, Payroll, Human Resources, Facilities, and other critical operational functions, the CISO will exercise significant latitude for independent judgment and decision-making and may be asked to represent HHS on cybersecurity matters with state and federal agencies, the Office of the Governor, the Texas Legislature, and other external stakeholders.
The successful candidate will be a strategic executive who can translate cybersecurity risk into business decisions, build strong partnerships across the organization, and lead a mature cybersecurity program protecting sensitive health, benefits, operational, and agency information.
Essential Job Functions (EJFs):
-
Develops and establishes goals consistent with the agency’s strategic plan and effectively achieves them
Serves as the agencies Designated Information Security Officer. Ensures cybersecurity objectives align with agency priorities, business operations, and risk management goals. Communicates complex cybersecurity risks and opportunities in business terms and provides regular briefings to executive leadership regarding security posture, emerging threats, compliance obligations, and investment priorities. Ensures information security risks are evaluated alongside operational, financial, regulatory, and strategic risks as part of enterprise decision-making. Leads development of long-term cybersecurity strategy, governance frameworks, and performance measures to support agency resiliency and mission success. -
Maintains a positive customer service for those internal and external to the agency
Builds trusted partnerships with agency leadership, programs, technology teams, and external stakeholders to understand business needs and deliver practical, risk-based cybersecurity solutions. Promotes a service-oriented security culture that enables agency operations and modernization while protecting critical information and systems. -
Directs program activities and/or business functions within a department or division to ensure timely deliverables
Directs enterprise cybersecurity, risk management, and resilience activities to protect critical systems and ensure continuity of agency operations. Provides strategic oversight of cybersecurity operations, incident response, disaster recovery, security architecture, compliance, and emerging technologies, while ensuring security is integrated into technology planning, procurement, operations, and third-party relationships. -
Effectively communicates status of work and identifies potential issues both up and down the chain of command and to appropriate adjacent areas inside and outside of the agency
Communicates cybersecurity priorities, status, risks, and emerging issues to executive leadership, staff, and key internal and external partners, ensuring timely escalation and coordination when action is required. -
Develops policies, procedures, and guidelines; and monitors compliance
Directs the development, implementation, and oversight of policies, procedures, standards, and guidelines governing CISO operations and HHS information security for both internal and external use. Monitors compliance to ensure consistent and effective execution. -
Develops, coaches, and trains staff to be effective members of the team and prepares them for success in their roles and career
Builds and develops a high-performing cybersecurity workforce through coaching, training, professional development, and succession planning to strengthen capabilities and prepare staff for continued growth and leadership.
BASIC QUALIFICATIONS
- Knowledge of enterprise cybersecurity strategy, governance, risk management, security operations, incident response, and applicable regulatory requirements in a large public-sector environment.
- Knowledge of state and federal cybersecurity frameworks and standards, including NIST guidance, Texas Administrative Code Chapter 202, the Texas Cybersecurity Framework, and risk-based security controls.
- Knowledge of information security governance, security architecture, technology risk management, data protection, identity and access management, cloud security, and emerging cybersecurity trends.
- Knowledge of business continuity, disaster recovery, vendor management, contract oversight, and third-party technology risk management.
- Skill in leading large, complex cybersecurity programs and developing enterprise security strategies, governance structures, policies, and measurable outcomes.
- Skill in translating cybersecurity risks into actionable business decisions and communicating effectively with executives, technical staff, public officials, auditors, and other stakeholders.
- Skill in building collaborative relationships and leading security assessments, risk analyses, incident response efforts, audits, and remediation activities.
- Skill in managing large-scale initiatives, budgets, contracts, competing priorities, and developing high-performing cybersecurity teams.
- Ability to provide visionary leadership, exercise sound judgment, and foster a proactive, risk-informed, and mission-focused security culture.
- Ability to balance security, compliance, operational needs, modernization efforts, and user experience while implementing effective solutions to complex challenges.
- Ability to anticipate and address evolving cybersecurity threats and risks and maintain the security, availability, and integrity of critical systems and information resources.
- Ability to exercise independent judgment, manage confidential information, and uphold the highest standards of ethics and professionalism.
PREFERRED QUALIFICATIONS
Preference for professional certification such as:
- Certified Information Systems Security Professional (CISSP)
- Certified Information Security Manager (CISM)
- Certified Information Systems Auditor (CISA)
- Certified in Risk and Information Systems Control (CRISC)
- GIAC certification, or cloud security certification, or comparable advanced cybersecurity credentials.
INITIAL SCREENING CRITERIA
- Graduation from an accredited four-year college or university with major coursework in cybersecurity, computer science, information technology, management information systems, engineering, public administration, business administration, or a related field. Relevant senior-level experience may be considered as a substitution for education.
- At least 10 years of progressively responsible experience in cybersecurity, information security, technology risk management, security operations, enterprise technology leadership, or a closely related field is required.
- Experience with cybersecurity frameworks, regulatory compliance, audit coordination, risk management, or security governance in a public-sector, healthcare, financial, critical infrastructure, or similarly regulated environment is required.
- Experience leading cybersecurity, information security, technology risk, or technical teams in a large, complex organization is preferred.
- Experience working in Health and Human Services agencies, Texas State Government, and Public sector are preferred in that order.
ADDITIONAL INFORMATION
N/A
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
LOCATION
Job Location City: AUSTIN
Job Location Address: 701 W 51ST ST
Other Locations: Austin
Salary Range: $11,298.08 - $19,107.91
Pay Frequency: Monthly
Salary Group: TEXAS-B-32
Shift: Day
Additional Shift: Days (First)
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
MOS Codes: 0605,0630,0631,0639,0670,0679,0681,1702,1705,1710,1720,1721,1799,2611,2659,8055,8858,14N,14NX,170A,170B,17A,17B,17C,17C0,17DX,17S,17SX,17X,181X,182X,183X,184X,1B4X1,1D7X1,255A,255N,255S,25B,25D,26A,26B,26Z,514A,5C0X1D,5C0X1N,5C0X1S,5I0,5IX,681X,682X,683X,781X,782X,783X,784X,CT,CTI,CTM,CTR,CWT,CYB10,CYB11,CYB12,CYB13,CYB14,IS,ISM,ISS,IT,ITS
See all 32+ Green Card Chief Medical Information Officer Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Green Card Chief Medical Information Officer Jobs.
Get Access To All JobsTips for Finding Green Card Sponsorship in Chief Medical Information Officer
Align your credentials with EB-2 requirements
CMIO roles almost universally require an MD or DO plus an advanced informatics credential. Document your board certifications, clinical leadership tenure, and EHR implementation outcomes now, before you apply, so your I-140 evidence package is ready.
Target health systems with PERM filing history
Large integrated health networks and academic medical centers file PERM applications far more frequently than community hospitals. Search the OFLC Wage Search for CMIO-adjacent titles to identify which employers have active labor certification patterns for physician-executive roles.
Use Migrate Mate to filter CMIO roles by sponsorship
Search Migrate Mate to surface CMIO and VP of Clinical Informatics listings from employers with documented green card sponsorship histories, so you're applying to organizations already set up for the PERM process.
Verify the prevailing wage tier before accepting an offer
PERM requires your offered salary to meet DOL's prevailing wage for the SOC code tied to your CMIO duties. Cross-check the wage determination against BLS data for your metro area before signing, since a wage shortfall triggers a PERM denial and restarts the clock.
Clarify the employer's PERM timeline at the offer stage
Ask whether the employer will file PERM within your first year, since the EB-2 priority date clock doesn't start until I-140 approval. Hospitals that batch applications annually can add 12 to 18 months to your wait without any apparent delay in the process.
Request concurrent I-485 filing if your priority date is current
If your country's EB-2 priority date is current when USCIS approves your I-140, ask your employer's counsel to file your I-485 adjustment of status concurrently. This collapses the final green card wait into the I-140 adjudication window rather than adding it after.
Green Card Chief Medical Information Officer: Frequently Asked Questions
Does a CMIO role qualify for EB-2 or EB-3 sponsorship?
Most CMIO positions qualify for EB-2 because they require an MD, DO, or equivalent advanced clinical degree combined with substantial informatics experience. EB-3 is available if the job description can be satisfied by a bachelor's-level professional, but that's uncommon at the C-suite level. Your employer's immigration counsel will determine the classification based on the actual minimum requirements stated in the PERM job description.
How does green card sponsorship differ from H-1B for a CMIO role?
H-1B visa sponsorship is employer-tied and temporary, expiring unless renewed or converted. Green card sponsorship through PERM and I-140 leads to permanent residency with no annual renewal. There's also no lottery at the EB-2 or EB-3 level, so approval depends on USCIS adjudication rather than chance. The tradeoff is timeline: PERM labor certification alone typically runs six to eighteen months before USCIS even receives the I-140 petition.
Which types of employers sponsor green cards for CMIO positions?
Academic medical centers, large integrated health systems, and hospital management companies account for most CMIO green card sponsorships. Health IT vendors and digital health companies occasionally sponsor CMIOs in product or clinical advisory roles. Use Migrate Mate to identify which employers in your target geography have active sponsorship histories for clinical informatics and physician-executive titles, narrowing your search before you apply.
What documentation strengthens a CMIO green card petition?
USCIS wants evidence that your qualifications meet or exceed the PERM-certified job requirements. For a CMIO, that means board certification records, letters documenting clinical leadership scope, EHR governance responsibilities, and any publications or speaking engagements in clinical informatics. If your MD is from a foreign institution, a NACES-accredited credential evaluation confirming U.S. equivalency is essential before PERM filing begins.
How long does EB-2 green card processing take for a CMIO?
For most countries other than India and China, the EB-2 priority date is current or nearly current, so total processing from PERM filing to green card approval typically runs two to four years. PERM labor certification takes six to eighteen months, I-140 adjudication adds another six to twelve months under standard processing, and I-485 adjustment of status runs six to twelve months after that. Indian and Chinese nationals face significantly longer waits due to per-country annual caps.