Green Card COO Jobs
COO roles qualify for EB-2 and EB-3 green card sponsorship when the position requires an advanced degree or equivalent credentials in business, operations, or a related field. Your employer files a PERM labor certification with DOL before submitting the I-140 petition, starting the path to permanent U.S. residency rather than a temporary status.
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Get Access To All JobsJOB SUMMARY
This role serves as a key member of the Strategic Management Office within the Enterprise Clinical Organization (ECO) and supports the Chief Medical and Clinical Transformation Officer of Highmark Health and the senior clinical leadership team. Operating in a fast-paced, highly visible environment, the position plays a critical role in translating enterprise clinical strategy into operational execution while partnering closely with executive leaders across Highmark Health and affiliated organizations to drive strategic transformation, organizational effectiveness, and business results. The role functions as a strategic advisor and execution partner, ensuring alignment across Highmark Health and key enterprise stakeholders to advance priorities related to the business objectives of improving health outcomes, affordability, clinician engagement, and sustainability.
Within the ECO, incumbent leads initiatives that enable the organization to translate strategic vision into measurable results, including multi-year strategic planning, annual goal development, enterprise health goal management, operating model design, organizational governance, executive performance reporting and scorecard management, and strategy activation. The role works collaboratively across clinical, operational, analytical, financial, provider, and corporate functions to ensure alignment, accountability, and transparency of transformational initiatives while proactively identifying risks, dependencies, and opportunities for improvement.
Responsibilities include overseeing executive scorecards and reporting processes; facilitating leadership forums and decision-making structures; coordinating budget planning and financial management activities; directing change management, employee engagement, and communication strategies; and advancing organizational capabilities through AI adoption, process improvement, and operational transformation efforts. The role also serves as a key leader for complex cross-functional initiatives and projects involving health outcomes strategy, value creation measurement, clinical data strategy, precision medicine, clinical transformation, and the continued evolution of the Living Health Clinical Strategy and associated quality, analytics, and performance management capabilities.
This position is well-suited for a highly strategic and operationally minded leader who thrives in a dynamic environment, excels at influencing without authority, and is passionate about improving healthcare outcomes through innovation, collaboration, and disciplined execution of enterprise priorities.
This is a hybrid based role in Pittsburgh, PA - Onsite 3 days a week. T, W, TH.
ESSENTIAL RESPONSIBILITIES
- Strategic Planning: Facilitate the planning and organization of all strategic initiatives. Direct and oversee the initiation progress, resource requirements, financial performance, benefits and value levers, and communications associated with, tactical and business as usual projects led by the function. Identify, develop, and execute key processes that improve overall organizational efficiency and effectiveness including governance. Work with departmental leadership and matrix partners to identify risks and create actionable plans to mitigate those risks to ensure realization of outcomes.
- Business Performance Monitoring: Direct budgets and related financial oversight, in partnership with matrix partners and other corporate departments. Direct performance monitoring activities relating to strategic advancement and strategy execution. Facilitate the budget and strategic governance process. Develop and maintain an executive-level communications dashboard, including ROI metrics and uses data to drive initiatives, evaluate success and failure and communicate results.
- Develops and implements business strategies in conjunction with senior leadership in accordance with organizational goals. Maintains an in-depth knowledge of the changing healthcare environment and evaluates the market need for specific clinical services or programs.
- Identifies the need for quality and performance improvement initiatives in accordance with strategic direction. Develops and implements plans for clinical, administrative and safety improvement processes in collaboration with senior leadership, clinical and physician leadership.
- Establishes revenue and expense targets in conjunction with senior leadership; analyzes trends impacting revenue and volume; identifies opportunities to optimize clinical reimbursement and implements new policies and procedures as necessary. Maintains a thorough understanding of clinical reimbursement and managed care issues, specific to the specialty line. Leads the management of external vendor performance within the business area.
- Employee Engagement: Organize and lead communications from the division that includes a matrix partnership with other departments across the network. Lead quarterly and yearly planning processes to decide on established priorities and communication approach. Direct and oversee the change management practice ensuring all levels of management and all employees are effectively absorbing organizational change while maintaining excellent operational results.
Experience
Required
- 7 years of experience in strategic planning, corporate development, project management, or management consulting
To include:
- 5 years in a management or leadership role
- 5 years of experience presenting and communicating with large audiences
Preferred
- 5 years of experience in the healthcare industry, strategic vendor and practice management
Education
Required
- Bachelor's degree in healthcare administration, business administration or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
- Master's Degree in healthcare administration, business administration or related field.
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Oral and Written Communication Skills
- Creative Problem Solving
- Critical Thinking
- Analytical and Logical Reasoning/Thinking
- Project Planning and Organization
- Leadership
- Business Planning
Language (Other than English):
- None
Travel Requirement:
- 0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office based - Hybrid 3 days a week onsite - T, W, TH
Teaches / trains others
Occasionally
Travel from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
JOB SUMMARY
This role serves as a key member of the Strategic Management Office within the Enterprise Clinical Organization (ECO) and supports the Chief Medical and Clinical Transformation Officer of Highmark Health and the senior clinical leadership team. Operating in a fast-paced, highly visible environment, the position plays a critical role in translating enterprise clinical strategy into operational execution while partnering closely with executive leaders across Highmark Health and affiliated organizations to drive strategic transformation, organizational effectiveness, and business results. The role functions as a strategic advisor and execution partner, ensuring alignment across Highmark Health and key enterprise stakeholders to advance priorities related to the business objectives of improving health outcomes, affordability, clinician engagement, and sustainability.
Within the ECO, incumbent leads initiatives that enable the organization to translate strategic vision into measurable results, including multi-year strategic planning, annual goal development, enterprise health goal management, operating model design, organizational governance, executive performance reporting and scorecard management, and strategy activation. The role works collaboratively across clinical, operational, analytical, financial, provider, and corporate functions to ensure alignment, accountability, and transparency of transformational initiatives while proactively identifying risks, dependencies, and opportunities for improvement.
Responsibilities include overseeing executive scorecards and reporting processes; facilitating leadership forums and decision-making structures; coordinating budget planning and financial management activities; directing change management, employee engagement, and communication strategies; and advancing organizational capabilities through AI adoption, process improvement, and operational transformation efforts. The role also serves as a key leader for complex cross-functional initiatives and projects involving health outcomes strategy, value creation measurement, clinical data strategy, precision medicine, clinical transformation, and the continued evolution of the Living Health Clinical Strategy and associated quality, analytics, and performance management capabilities.
This position is well-suited for a highly strategic and operationally minded leader who thrives in a dynamic environment, excels at influencing without authority, and is passionate about improving healthcare outcomes through innovation, collaboration, and disciplined execution of enterprise priorities.
This is a hybrid based role in Pittsburgh, PA - Onsite 3 days a week. T, W, TH.
ESSENTIAL RESPONSIBILITIES
- Strategic Planning: Facilitate the planning and organization of all strategic initiatives. Direct and oversee the initiation progress, resource requirements, financial performance, benefits and value levers, and communications associated with, tactical and business as usual projects led by the function. Identify, develop, and execute key processes that improve overall organizational efficiency and effectiveness including governance. Work with departmental leadership and matrix partners to identify risks and create actionable plans to mitigate those risks to ensure realization of outcomes.
- Business Performance Monitoring: Direct budgets and related financial oversight, in partnership with matrix partners and other corporate departments. Direct performance monitoring activities relating to strategic advancement and strategy execution. Facilitate the budget and strategic governance process. Develop and maintain an executive-level communications dashboard, including ROI metrics and uses data to drive initiatives, evaluate success and failure and communicate results.
- Develops and implements business strategies in conjunction with senior leadership in accordance with organizational goals. Maintains an in-depth knowledge of the changing healthcare environment and evaluates the market need for specific clinical services or programs.
- Identifies the need for quality and performance improvement initiatives in accordance with strategic direction. Develops and implements plans for clinical, administrative and safety improvement processes in collaboration with senior leadership, clinical and physician leadership.
- Establishes revenue and expense targets in conjunction with senior leadership; analyzes trends impacting revenue and volume; identifies opportunities to optimize clinical reimbursement and implements new policies and procedures as necessary. Maintains a thorough understanding of clinical reimbursement and managed care issues, specific to the specialty line. Leads the management of external vendor performance within the business area.
- Employee Engagement: Organize and lead communications from the division that includes a matrix partnership with other departments across the network. Lead quarterly and yearly planning processes to decide on established priorities and communication approach. Direct and oversee the change management practice ensuring all levels of management and all employees are effectively absorbing organizational change while maintaining excellent operational results.
Experience
Required
- 7 years of experience in strategic planning, corporate development, project management, or management consulting
To include:
- 5 years in a management or leadership role
- 5 years of experience presenting and communicating with large audiences
Preferred
- 5 years of experience in the healthcare industry, strategic vendor and practice management
Education
Required
- Bachelor's degree in healthcare administration, business administration or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
Preferred
- Master's Degree in healthcare administration, business administration or related field.
LICENSES or CERTIFICATIONS
Required
- None
Preferred
- None
SKILLS
- Oral and Written Communication Skills
- Creative Problem Solving
- Critical Thinking
- Analytical and Logical Reasoning/Thinking
- Project Planning and Organization
- Leadership
- Business Planning
Language (Other than English):
- None
Travel Requirement:
- 0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Position Type
Office based - Hybrid 3 days a week onsite - T, W, TH
Teaches / trains others
Occasionally
Travel from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Occasionally
Lifting: 25 to 50 pounds
Rarely
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
California Consumer Privacy Act Employees, Contractors, and Applicants Notice
See all 4,799+ Green Card COO Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in COO
Document your cross-functional leadership scope
PERM requires the employer to prove the COO role has specific educational and experiential requirements. Compile evidence of your advanced degree, executive credentials, and measurable operational outcomes before entering any sponsorship conversation.
Target companies with active PERM histories
Focus on employers who have sponsored foreign nationals for senior leadership roles before. Prior PERM filings for executive-level positions signal that HR and legal are already set up to run the process for a COO.
Verify your role qualifies under EB-2
COO positions typically qualify under EB-2 if the employer documents an advanced-degree requirement. Use O*NET to confirm the occupation's standard educational baseline, then work with your employer to align the job description accordingly.
Search COO roles on Migrate Mate
Filter by green card sponsorship eligibility to surface COO openings at employers actively filing PERM petitions. Migrate Mate surfaces verified sponsorship signals so you're not guessing which companies will support your EB-2 or EB-3 case.
Negotiate PERM filing into your offer terms
Before signing, confirm the employer will initiate PERM within a defined window after your start date. Executive hires sometimes face delays when legal and HR treat the green card as an afterthought rather than part of onboarding.
Understand how priority dates affect your COO timeline
USCIS assigns a priority date when the I-140 is approved. For nationals from backlogged countries, EB-2 and EB-3 wait times diverge significantly. Check the OFLC Wage Search to confirm prevailing wage levels, then review current USCIS visa bulletin data to model realistic residency timelines.
Green Card COO: Frequently Asked Questions
Does a COO role qualify for EB-2 or EB-3 green card sponsorship?
COO positions typically qualify under EB-2 when the employer requires an advanced degree in business administration, operations management, or a related field. If the role is structured as a skilled position requiring at least a bachelor's degree, EB-3 is an option. The employer's PERM labor certification must document the specific degree requirement to support whichever category you pursue.
How does the PERM green card process differ from H-1B sponsorship for a COO?
H-1B visa provides temporary status with a six-year cap, subject to annual lottery selection. PERM-based sponsorship leads to permanent residency with no cap lottery at the EB-2 or EB-3 level. The tradeoff is time: PERM requires DOL labor market testing before USCIS can adjudicate the I-140 petition, so the full process typically runs two to four years or longer depending on your country of birth and the visa bulletin.
What documentation should I prepare before approaching an employer about green card sponsorship?
Gather your advanced degree transcripts, any executive certifications, and a clear record of operational scope such as P&L responsibility, headcount managed, and measurable business outcomes. PERM requires the employer to match the job's requirements to your credentials, so having this documentation organized speeds up the job description drafting process and reduces back-and-forth with the employer's immigration counsel.
How do I find COO openings at employers who will sponsor a green card?
Migrate Mate lets you search COO roles specifically filtered by green card sponsorship eligibility, surfacing employers with active or prior PERM filing histories in leadership positions. This saves significant time compared to applying broadly and only discovering sponsorship posture after multiple interview rounds.
Can a foreign national start as COO before the green card is approved?
Yes. You can work in the COO role on a valid work-authorized status such as H-1B while the PERM and I-140 process runs in parallel. Once the I-140 is approved and a visa number is available, you file I-485 to adjust status to permanent resident. The green card approval does not need to precede your start date.