Green Card Executive Director of Operations Jobs
Executive Director of Operations roles qualify for EB-2 or EB-3 green card sponsorship when employers can demonstrate no qualified U.S. workers are available through PERM labor certification. This page lists U.S. employers actively pursuing permanent residency sponsorship for operations leadership professionals, covering I-140 filing through adjustment of status or consular processing.
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Get Access To All JobsINTRODUCTION
Operational Leadership
- Direct and oversee the daily operations of the MSO to ensure efficient, high-quality service delivery.
- Develop and implement operational strategies that support organizational growth and value-based care objectives.
- Establish standardized operational workflows, policies, and performance expectations across the organization.
- Ensure operational alignment across all departments.
Provider Operations
- Oversee provider operational support, including onboarding, practice engagement, and ongoing relationship management.
- Primary focus: oversee the field / operations team; coordinate day to day engagement with provider in market.
- Ensure provider organizations receive timely operational support related to quality, risk adjustment, care management, and value-based initiatives.
- Monitor provider satisfaction and implement continuous service improvements.
Population Health Operations
-
Coordinate operational execution of:
-
Care gap closure initiatives
- Risk adjustment workflows
- Population health programs
- Care management activities
- Quality improvement initiatives
- Ensure effective collaboration between clinical, operational, and analytics teams.
Performance Management
- Develop operational dashboards and key performance indicators.
- Monitor departmental performance and implement corrective actions as necessary.
- Drive accountability for operational goals and service standards.
Process Improvement
- Lead Lean, Six Sigma, or other continuous improvement initiatives.
- Identify operational inefficiencies and implement scalable solutions.
- Standardize best practices across participating provider organizations where appropriate.
Cross-Functional Leadership
-
Collaborate closely with:
-
President
- Chief Financial & Analytics Officer
- Director, Burden of Illness
- Medical leadership
- Health plan partner (HMSA)
- Primary POC with internal program office team
- Ensure seamless execution of enterprise initiatives.
Regulatory Compliance
- Ensure operational compliance with CMS regulations, health plan contractual requirements, accreditation standards, and organizational policies.
- Oversee operational readiness for audits and reporting requirements.
Leadership & Talent Development
- Recruit, develop, and mentor high-performing operational leaders.
- Foster a culture of accountability, collaboration, innovation, and service excellence.
- Lead change management initiatives across the organization.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
BASIC QUALIFICATIONS
- Bachelor's degree and eight years of related experience; or equivalent combination of education and experience.
- Five years of management experience.
- Experience leading physician organizations, MSOs, IPAs, ACOs, or integrated delivery systems.
-
Strong knowledge of:
-
Medicare Advantage
- Value-based care
- Population health
- Provider operations
- Care management
- Quality improvement
- Healthcare regulatory requirements.
- Demonstrated success leading cross-functional operational teams.
- Excellent communication, organizational, and leadership skills.
INTRODUCTION
Operational Leadership
- Direct and oversee the daily operations of the MSO to ensure efficient, high-quality service delivery.
- Develop and implement operational strategies that support organizational growth and value-based care objectives.
- Establish standardized operational workflows, policies, and performance expectations across the organization.
- Ensure operational alignment across all departments.
Provider Operations
- Oversee provider operational support, including onboarding, practice engagement, and ongoing relationship management.
- Primary focus: oversee the field / operations team; coordinate day to day engagement with provider in market.
- Ensure provider organizations receive timely operational support related to quality, risk adjustment, care management, and value-based initiatives.
- Monitor provider satisfaction and implement continuous service improvements.
Population Health Operations
-
Coordinate operational execution of:
-
Care gap closure initiatives
- Risk adjustment workflows
- Population health programs
- Care management activities
- Quality improvement initiatives
- Ensure effective collaboration between clinical, operational, and analytics teams.
Performance Management
- Develop operational dashboards and key performance indicators.
- Monitor departmental performance and implement corrective actions as necessary.
- Drive accountability for operational goals and service standards.
Process Improvement
- Lead Lean, Six Sigma, or other continuous improvement initiatives.
- Identify operational inefficiencies and implement scalable solutions.
- Standardize best practices across participating provider organizations where appropriate.
Cross-Functional Leadership
-
Collaborate closely with:
-
President
- Chief Financial & Analytics Officer
- Director, Burden of Illness
- Medical leadership
- Health plan partner (HMSA)
- Primary POC with internal program office team
- Ensure seamless execution of enterprise initiatives.
Regulatory Compliance
- Ensure operational compliance with CMS regulations, health plan contractual requirements, accreditation standards, and organizational policies.
- Oversee operational readiness for audits and reporting requirements.
Leadership & Talent Development
- Recruit, develop, and mentor high-performing operational leaders.
- Foster a culture of accountability, collaboration, innovation, and service excellence.
- Lead change management initiatives across the organization.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
BASIC QUALIFICATIONS
- Bachelor's degree and eight years of related experience; or equivalent combination of education and experience.
- Five years of management experience.
- Experience leading physician organizations, MSOs, IPAs, ACOs, or integrated delivery systems.
-
Strong knowledge of:
-
Medicare Advantage
- Value-based care
- Population health
- Provider operations
- Care management
- Quality improvement
- Healthcare regulatory requirements.
- Demonstrated success leading cross-functional operational teams.
- Excellent communication, organizational, and leadership skills.
See all Green Card Executive Director of Operations Jobs
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Get Access To All JobsTips for Finding Green Card Sponsorship in Executive Director of Operations
Document your progressive leadership trajectory
PERM requires your employer to define the minimum requirements for your role. Compile performance reviews, org charts, and board resolutions that show your title and scope evolved over time, this protects the job description from USCIS audit challenges.
Search verified PERM-sponsoring employers on Migrate Mate
Migrate Mate lists U.S. employers with verified green card sponsorship history for operations roles, searchable by location and job function. That filing history signals an employer already understands the PERM process and has HR infrastructure to support it.
Target mid-market companies over enterprise conglomerates
Large corporations often reclassify Executive Director roles into broader leadership bands that complicate PERM job descriptions. Mid-market firms with 200 to 2,000 employees more frequently sponsor discrete operations leadership positions with stable, defensible duties.
Request a prevailing wage determination before accepting an offer
Your employer files a prevailing wage request with DOL before PERM recruitment begins. Use OFLC Wage Search to look up the wage level for your SOC code and metropolitan area so your offered salary aligns before the process starts, not after.
Clarify the EB-2 versus EB-3 classification with your employer early
If your role requires an advanced degree or five years of progressive experience beyond a bachelor's, EB-2 may apply and can shorten the wait for most nationalities. Confirm which category your employer's attorney intends to file under before PERM recruitment launches.
Understand AC21 portability before you change employers post-filing
Once your I-485 has been pending 180 days or more, you can move to a new employer in the same or similar occupation without restarting the green card process. Confirm the new role falls under the same O*NET occupational group before you resign.
Green Card Executive Director of Operations: Frequently Asked Questions
Does an Executive Director of Operations role qualify for EB-2 or EB-3 green card sponsorship?
Most Executive Director of Operations positions qualify for EB-2 when the employer defines the role as requiring an advanced degree or a bachelor's degree plus five years of progressive experience in operations management. If the role requires only a bachelor's degree with standard experience, EB-3 professional classification applies. Your employer's immigration attorney determines the category based on the actual minimum requirements for the specific position, which PERM locks in before recruitment begins.
How does PERM green card sponsorship differ from H-1B sponsorship for this role?
H-1B visa is a temporary work visa requiring an LCA and, for most employers, lottery selection. PERM-based green card sponsorship is a permanent immigration pathway with no lottery but a multi-stage process: a prevailing wage determination with DOL, a formal recruitment test, PERM certification, I-140 approval, and finally adjustment of status or consular processing. Nationals from high-demand countries such as India and China may also encounter priority-date backlogs before the final stage can be completed.
How long does the PERM labor certification process take for an executive operations role?
PERM processing times at DOL vary and are updated regularly on the OFLC website. The recruitment phase before filing typically takes 60 to 90 days. If DOL selects the application for audit, processing can extend significantly beyond the standard timeline. Because priority dates then govern when USCIS can approve the I-485, your total wait depends on both PERM certification speed and the visa bulletin for your country of birth.
Where can I find employers who sponsor green cards for Executive Director of Operations positions?
Migrate Mate lists U.S. employers with verified green card sponsorship history, searchable by role and location. Because PERM filings are public DOL records, this sponsorship history reflects employers who have actually completed the labor certification process for comparable positions, not just employers who say they are open to sponsorship.
Can I change employers after my green card is filed but before it is approved?
Yes, under AC21 job portability you can move to a new employer once your I-485 adjustment of status application has been pending for 180 days or more, provided the new role is in the same or a similar occupational classification. Separately, an approved I-140 can allow your priority date to carry over to a new employer's petition even if you change jobs before filing the I-485. These are two distinct rules, so confirming which applies to your situation with an immigration attorney before resigning protects your place in the queue.