Green Card Operations Director Jobs
Operations Director roles qualify for EB-2 and EB-3 green card sponsorship when the position requires a bachelor's degree or higher in business, operations management, or a related field. Employers file a PERM labor certification with the DOL before sponsoring you, documenting that no qualified U.S. worker is available for the role.
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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 Operations Director
Document your degree's equivalency early
PERM requires your foreign degree to meet the job's minimum requirements. Get a credential evaluation from a NACES-approved evaluator before applying, so employers don't delay sponsorship over unanswered questions about your qualifications.
Target employers with prior PERM filings
Use Migrate Mate to filter Operations Director roles by green card sponsorship history. Companies that have filed PERM for this title before understand the process and are far less likely to withdraw sponsorship mid-application.
Verify the prevailing wage before negotiating
DOL's OFLC Wage Search lists the prevailing wage for Operations Director by location and experience level. Your offer must meet or exceed this figure, so check it before salary discussions to avoid a PERM denial on wage grounds.
Ask about EB-2 versus EB-3 filing during the offer stage
If you hold a master's degree or your role genuinely requires one, push for EB-2 filing. EB-2 can mean faster priority date movement for some countries, and employers have discretion over which category they file under.
Understand that PERM advertising timelines affect your start
Employers must complete DOL-mandated recruitment steps before USCIS sees your I-140. That process alone takes three to six months. Build this into your timeline when accepting an offer, especially if you're transitioning from a temporary status.
Use O*NET to align your resume with PERM job duties
PERM applications define the role using SOC-coded job duties. Review the O*NET profile for Operations Director before applying so your resume mirrors the exact duties the employer will cite in their labor certification filing.
Green Card Operations Director: Frequently Asked Questions
Does an Operations Director role qualify for EB-2 or EB-3 green card sponsorship?
Operations Director typically qualifies for both EB-2 and EB-3 depending on how the employer defines the position's minimum requirements. If the role requires a master's degree or a bachelor's plus five or more years of progressive experience, EB-2 is the right category. Roles requiring a bachelor's degree alone generally fall under EB-3. The employer's PERM job description drives which category applies.
How does green card sponsorship differ from H-1B sponsorship for this role?
Green card sponsorship through PERM leads to permanent residency, not a temporary status with renewal deadlines. Unlike H-1B visa, there's no annual lottery for employment-based green cards, and EB-3 has no annual cap at the petition level. The tradeoff is timeline: PERM plus I-140 plus adjustment of status routinely takes two to four years or longer depending on your country of birth.
What does the PERM process require from an Operations Director candidate?
Your employer bears most of the PERM burden, running DOL-mandated recruitment to show no qualified U.S. worker is available. Your role is to ensure your credentials match the minimum requirements in the PERM job order exactly. Any mismatch between your actual qualifications and the certified job description can create problems at the I-485 stage.
Where can I find Operations Director jobs that offer green card sponsorship?
Migrate Mate is built specifically for this search. You can filter Operations Director roles by employers who have a documented history of EB-2 and EB-3 sponsorship, which saves significant time compared to applying broadly and then discovering an employer won't sponsor during the offer stage.
Can I switch employers after my I-140 is approved?
Yes, under AC21 portability rules you can change employers after your I-140 has been approved and your I-485 has been pending for 180 days or more, as long as the new role is in the same or a similar occupational classification. Operations Director to a comparable senior operations role would generally qualify, but you should confirm the SOC code alignment with your new employer before making the move.