Green Card Chief Operating Officer Jobs
Chief Operating Officer roles can qualify for EB-2 or EB-3 green card sponsorship through the PERM labor certification process, which requires employers to document recruiting efforts before filing an I-140 petition. COO positions typically meet the advanced-degree standard for EB-2 given their cross-functional leadership scope and organizational complexity.
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Get Access To All JobsINTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
ROLE AND RESPONSIBILITIES
Reporting to the President of Lahey Clinic, the Chief Operating Officer (COO) is a senior vice president responsible for leading and executing organizational strategy and overseeing day-to-day operations. The COO ensures alignment with Lahey’s goals by delivering a high-quality, patient-centered care experience supported by safe, efficient, and effective operations.
Working closely with the President and senior leadership team, the COO drives operational excellence, strengthens organizational performance, and advances strategic priorities. This role requires regular communication with the President regarding major initiatives, operational performance, and issues affecting the health system, community, or institutional direction.
The COO leads the Senior Leadership Team in operational execution, strategic and operational planning, and goal setting. The role ensures strong collaboration across departments and clinical areas throughout Beth Israel Lahey Health (BILH) to enhance patient satisfaction, clinical quality, and operational efficiency. The COO also fosters a culture of accountability, teamwork, engagement, and continuous improvement.
The ideal candidate is an experienced, collaborative leader with deep expertise in hospital and ambulatory operations, quality improvement, facilities, and real estate, and a track record of inspiring innovation and high performance.
Primary Responsibilities
- Within the first year, align with BILH strategy to define next steps for organizational design across Lahey Clinic and BILH
- Build credibility and trust across leadership, physicians, clinicians, and staff through visible, transparent communication and engagement
- Establish strong relationships with key stakeholders, including front-line staff, and maintain a consistent presence across departments
- Develop a deep understanding of Lahey, BILH, its culture, community, market dynamics, and competitive landscape
- Serve as a visible advocate for patients, employees, and the community
- Reinforce a culture of accountability and teamwork using clear performance metrics and data-driven decision-making
- Conduct a comprehensive assessment of operations and prioritize improvement opportunities
- Partner with leadership to enhance patient experience and clinical quality
- Support the development and growth of key service lines aligned with community needs and organizational goals
Key Responsibilities
Operational Leadership
- Plan, direct, and evaluate hospital operations to ensure efficiency, quality, and compliance with organizational and regulatory standards
- Lead implementation of strategic and operational plans in partnership with senior leadership
- Align and optimize resources to achieve organizational goals, manage budgets, and address performance variances
Strategy & Growth
- Collaborate on strategic planning, business development, and service line expansion
- Evaluate market opportunities, demographics, and performance data to guide growth and investment decisions
- Develop and measure ROI and effectiveness of programs and initiatives
Performance Management
- Establish and monitor key performance indicators and benchmarking metrics
- Oversee reporting processes and communicate results to executive stakeholders
- Promote continuous improvement and adoption of best practices
Governance & Compliance
- Ensure compliance with regulatory, legal, and accreditation standards
- Stay current on healthcare trends, regulations, and industry practices and assess their impact on operations
Leadership & Talent Development
- Lead, develop, and evaluate senior and matrixed leaders
- Establish performance expectations and foster leadership development
- Promote a culture of accountability, engagement, and collaboration
- Provide strategic direction and mentorship to a team of leaders, strengthening operational performance, leadership capability, and alignment with enterprise priorities across clinical, academic, and administrative domains
External Engagement
- Represent Lahey within the community and across the BILH system
- Build strong relationships with community stakeholders and enhance organizational reputation
BASIC QUALIFICATIONS
- Master’s degree in healthcare administration, business administration, or a related field (clinical background preferred)
- Prior experience as a Chief Operating Officer, preferred
- Minimum of 10 years in healthcare leadership, including at least 5 years in an executive role within a multi-hospital system
- Demonstrated success leading within a matrixed organization
- Experience in service line operations, program development, and physician relations
KNOWLEDGE, SKILLS, AND ABILITIES
- Deep knowledge of hospital and health system operations, strategic planning, and performance improvement
- Command of the operational frameworks that underpin academic medicine, including trainee integration into clinical workflows, compensation structures, and funding models that support the teaching mission
- Experience with population health management, ACO models, and risk-based contracting
- Knowledge of managed care, including capitation and alternative payment models
- Expertise in financial management, budgeting, and resource allocation
- Strong understanding of regulatory requirements and compliance standards
- Experience with organizational design and transformation
- Familiarity with the New Hampshire healthcare landscape, regulations, and market dynamics
- Experience driving community engagement through business development and clinical program deployment
- Strong analytical, communication, and presentation skills
- Ability to influence, negotiate, and build alignment across diverse stakeholders
- Proven ability to lead and develop teams and achieve measurable results
ADDITIONAL FOCUS AREAS
- Strengthen partnerships across clinical, operational, and executive teams
- Balance internal operational excellence with external community leadership and engagement
COMPENSATION
- Pay Range: $500,000.00 USD – $520,000.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
Job details
- Employment: Full-time
- Hours/Week: 40
- Shift: Day
- Category: Business Operations
- Pay Range: $500,000.00 USD - $520,000.00 USD
- FLSA: Exempt
- Req ID: JR98091
Equal Opportunity Employer/Veterans/Disabled
INTRODUCTION
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
ROLE AND RESPONSIBILITIES
Reporting to the President of Lahey Clinic, the Chief Operating Officer (COO) is a senior vice president responsible for leading and executing organizational strategy and overseeing day-to-day operations. The COO ensures alignment with Lahey’s goals by delivering a high-quality, patient-centered care experience supported by safe, efficient, and effective operations.
Working closely with the President and senior leadership team, the COO drives operational excellence, strengthens organizational performance, and advances strategic priorities. This role requires regular communication with the President regarding major initiatives, operational performance, and issues affecting the health system, community, or institutional direction.
The COO leads the Senior Leadership Team in operational execution, strategic and operational planning, and goal setting. The role ensures strong collaboration across departments and clinical areas throughout Beth Israel Lahey Health (BILH) to enhance patient satisfaction, clinical quality, and operational efficiency. The COO also fosters a culture of accountability, teamwork, engagement, and continuous improvement.
The ideal candidate is an experienced, collaborative leader with deep expertise in hospital and ambulatory operations, quality improvement, facilities, and real estate, and a track record of inspiring innovation and high performance.
Primary Responsibilities
- Within the first year, align with BILH strategy to define next steps for organizational design across Lahey Clinic and BILH
- Build credibility and trust across leadership, physicians, clinicians, and staff through visible, transparent communication and engagement
- Establish strong relationships with key stakeholders, including front-line staff, and maintain a consistent presence across departments
- Develop a deep understanding of Lahey, BILH, its culture, community, market dynamics, and competitive landscape
- Serve as a visible advocate for patients, employees, and the community
- Reinforce a culture of accountability and teamwork using clear performance metrics and data-driven decision-making
- Conduct a comprehensive assessment of operations and prioritize improvement opportunities
- Partner with leadership to enhance patient experience and clinical quality
- Support the development and growth of key service lines aligned with community needs and organizational goals
Key Responsibilities
Operational Leadership
- Plan, direct, and evaluate hospital operations to ensure efficiency, quality, and compliance with organizational and regulatory standards
- Lead implementation of strategic and operational plans in partnership with senior leadership
- Align and optimize resources to achieve organizational goals, manage budgets, and address performance variances
Strategy & Growth
- Collaborate on strategic planning, business development, and service line expansion
- Evaluate market opportunities, demographics, and performance data to guide growth and investment decisions
- Develop and measure ROI and effectiveness of programs and initiatives
Performance Management
- Establish and monitor key performance indicators and benchmarking metrics
- Oversee reporting processes and communicate results to executive stakeholders
- Promote continuous improvement and adoption of best practices
Governance & Compliance
- Ensure compliance with regulatory, legal, and accreditation standards
- Stay current on healthcare trends, regulations, and industry practices and assess their impact on operations
Leadership & Talent Development
- Lead, develop, and evaluate senior and matrixed leaders
- Establish performance expectations and foster leadership development
- Promote a culture of accountability, engagement, and collaboration
- Provide strategic direction and mentorship to a team of leaders, strengthening operational performance, leadership capability, and alignment with enterprise priorities across clinical, academic, and administrative domains
External Engagement
- Represent Lahey within the community and across the BILH system
- Build strong relationships with community stakeholders and enhance organizational reputation
BASIC QUALIFICATIONS
- Master’s degree in healthcare administration, business administration, or a related field (clinical background preferred)
- Prior experience as a Chief Operating Officer, preferred
- Minimum of 10 years in healthcare leadership, including at least 5 years in an executive role within a multi-hospital system
- Demonstrated success leading within a matrixed organization
- Experience in service line operations, program development, and physician relations
KNOWLEDGE, SKILLS, AND ABILITIES
- Deep knowledge of hospital and health system operations, strategic planning, and performance improvement
- Command of the operational frameworks that underpin academic medicine, including trainee integration into clinical workflows, compensation structures, and funding models that support the teaching mission
- Experience with population health management, ACO models, and risk-based contracting
- Knowledge of managed care, including capitation and alternative payment models
- Expertise in financial management, budgeting, and resource allocation
- Strong understanding of regulatory requirements and compliance standards
- Experience with organizational design and transformation
- Familiarity with the New Hampshire healthcare landscape, regulations, and market dynamics
- Experience driving community engagement through business development and clinical program deployment
- Strong analytical, communication, and presentation skills
- Ability to influence, negotiate, and build alignment across diverse stakeholders
- Proven ability to lead and develop teams and achieve measurable results
ADDITIONAL FOCUS AREAS
- Strengthen partnerships across clinical, operational, and executive teams
- Balance internal operational excellence with external community leadership and engagement
COMPENSATION
- Pay Range: $500,000.00 USD – $520,000.00 USD
The pay range listed for this position is the annual base salary range the organization reasonably and in good faith expects to pay for this position at this time. In addition to base compensation, this position may be eligible for additional compensation, which may include performance-based incentive bonuses.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
Job details
- Employment: Full-time
- Hours/Week: 40
- Shift: Day
- Category: Business Operations
- Pay Range: $500,000.00 USD - $520,000.00 USD
- FLSA: Exempt
- Req ID: JR98091
Equal Opportunity Employer/Veterans/Disabled
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Get Access To All JobsTips for Finding Green Card Sponsorship in Chief Operating Officer
Document your executive credentials before applying
PERM requires your employer to certify that no qualified U.S. worker is available for the role. Your resume, org charts, and board-level reporting lines should make the COO-level scope of your prior roles unambiguous before the labor certification filing begins.
Target companies with established PERM filing histories
Not all organizations sponsoring C-suite roles have the HR infrastructure to manage a multi-year green card process. Prioritize publicly traded companies, PE-backed firms, and large nonprofits where dedicated immigration counsel is already in place.
Verify the prevailing wage tier before accepting an offer
PERM wages are set at one of four DOL levels. For COO roles, misclassification at Level II instead of Level III or IV can create compliance problems. Cross-reference the job duties against the OFLC Wage Search before the labor certification is filed.
Search for green card sponsoring COO jobs on Migrate Mate
COO-level PERM cases are less common than mid-level roles, so filtering by sponsorship willingness matters. Migrate Mate surfaces companies actively filing employment-based green card cases, letting you focus outreach on employers already committed to the process.
Clarify the EB-2 versus EB-3 classification early
Whether your COO offer is classified EB-2 or EB-3 affects your priority date and wait time, especially if you were born in India or China. Ask the employer's immigration counsel which category the job description supports before the I-140 is filed.
Understand how job duties shape the PERM job description
USCIS scrutinizes whether COO duties genuinely require an advanced degree. The O*NET occupation profile for operations executives can anchor the educational requirement in the PERM job description and reduce the risk of a request for evidence on the I-140.
Green Card Chief Operating Officer: Frequently Asked Questions
Can a Chief Operating Officer role qualify for EB-2 green card sponsorship?
Yes. COO positions typically qualify for EB-2 because the role requires an advanced degree or its equivalent in business, management, or a related field. The employer must document this requirement in the PERM job description and demonstrate that the position genuinely demands graduate-level education. Roles with broad P&L responsibility and cross-functional leadership scope generally meet this standard without difficulty.
How does the green card process differ from H-1B sponsorship for a COO?
H-1B visa is a temporary nonimmigrant status with a six-year base limit and an annual lottery at the cap-subject level. The EB-2 and EB-3 green card process is permanent and has no lottery. The tradeoff is time: PERM labor certification, I-140 approval, and adjustment of status together take two to four years for most countries, and longer for nationals of India and China due to priority date backlogs.
How long does the PERM labor certification process take for executive roles?
Standard PERM processing at the DOL currently runs six to eighteen months from filing to certification. Executive roles sometimes attract closer audits because the recruiting requirements and job duties are more complex to document. Employers should expect the full green card timeline, from PERM filing through I-485 approval, to span three to five years for most applicants outside of per-country backlog countries.
Where can I find COO roles that specifically offer green card sponsorship?
Migrate Mate filters job listings by verified employment-based sponsorship history, which is particularly useful for COO searches where sponsorship willingness varies widely by company size and industry. Searching by role type and green card sponsorship status together narrows the field to employers already experienced with PERM filings, reducing the time spent in early-stage conversations with companies that are unfamiliar with the process.
What happens to my green card case if I change employers after the I-140 is approved?
An approved I-140 petition can be ported to a new employer under AC21 portability rules if your I-485 has been pending for at least 180 days and the new role is in the same or a similar occupational classification. For COO roles, the new position must be broadly comparable in duties and seniority. USCIS evaluates portability on a case-by-case basis, so the job descriptions of both roles should be reviewed before making a move.