Revenue Cycle Management Green Card Jobs
Revenue cycle management roles, including medical billing specialists, coding managers, and RCM directors, qualify for EB-2 and EB-3 green card sponsorship through PERM labor certification. Employers file on your behalf, making permanent U.S. residency the end goal rather than a temporary visa renewal cycle.
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Position Summary
Under the general direction of the Operations Senior Director, the Operations Director, Revenue Cycle Management (RCM) provides strategic leadership for our RCM Operations, supporting both internal and external clients. This role is accountable for establishing the operational vision, priorities, and strategies that enable scalable, compliant, and high-performing Admissions and RCM functions across the organization.
This leadership role will serve as a senior liaison and strategic partner to client leadership, third-party billing vendors, and internal stakeholders, ensuring alignment between strategy, payer requirements, operational execution, and financial outcomes.
Responsibilities
Enterprise RCM Strategy & Governance
- Define and lead the enterprise strategy and operating model for payer management, admissions, and revenue cycle support, ensuring consistency, scalability, and financial integrity across all clients.
- Establish governance frameworks, standards, and controls to support clean revenue, payer compliance, and operational excellence.
- Provide executive-level guidance on RCM risk, performance trends, and improvement opportunities.
Payer Strategy & Oversight
- Set the strategic direction for payer contract management, ensuring contracts are operationalized effectively to support accurate benefit verification, billing, and collections.
- Oversee payer change management strategy, including prioritization, risk mitigation, and cross-functional coordination for payer updates across the client base.
- Provide executive oversight for payer audits, ensuring timely, compliant, and effective responses while identifying systemic improvement opportunities.
Operational Leadership & Team Enablement
- Lead and develop RCM operational leaders responsible for admissions, billing, and collections, ensuring the organization has the capability, structure, and talent to execute at scale.
- Establish performance expectations, success metrics, and accountability models for RCM operations leadership.
- Partner with HR and functional leaders on workforce planning, leadership development, and succession strategies for RCM teams.
Client & Stakeholder Partnership
- Serve as a trusted advisor to client executives and internal leadership, translating operational performance into strategic insights and recommendations.
- Foster strong cross-functional relationships to align RCM operations with clinical, finance, IT, compliance, and client engagement strategies.
- Support client growth initiatives, including new Ambulatory Infusion Center (AIC) implementations, by ensuring RCM readiness and operational scalability.
Process Optimization & Innovation
- Drive a continuous improvement mindset across RCM operations, leveraging automation, technology enablement, and data-driven decision making.
- Sponsor and prioritize enterprise initiatives that reduce manual effort, improve cash flow, and enhance the client and patient experience.
- Evaluate and influence RCM technology strategy in partnership with IT and product teams.
Performance Management, Reporting & Compliance
- Provide executive-level oversight of RCM performance metrics, including receivables, aging, cash flow, and payer trends.
- Translate operational and financial data into strategic insights for senior leadership.
- Ensure enterprise compliance with regulatory, payer, and financial requirements; lead organizational readiness for regulatory or payer changes.
Skills & Capabilities
- Demonstrated ability to set strategy and influence execution across complex, multi-stakeholder environments.
- Deep expertise in government and commercial payer models, reimbursement structures, and contract interpretation.
- Strong executive communication skills with the ability to translate complexity into clear strategic direction.
- Proven people-leader with experience leading managers and senior leaders.
- Ability to operate independently with high judgment, discretion, and confidentiality.
- Strong business acumen with experience leveraging data to drive organizational decisions.
- Advanced stakeholder management and relationship-building capabilities.
- Proficiency in modern business and analytics tools; strong comfort influencing technology-enabled change.
Qualifications
- Bachelor’s degree in Finance, Accounting, Business Administration, or related field desired, High School Diploma or GED required.
- At least 8 years of progressive experience in home infusion Revenue Cycle Management, healthcare operations, or financial operations, including leadership at the manager or director level strongly desired.
- Demonstrated experience leading large, complex operational functions or multi-client environments (home infusion experience strongly preferred).
- Strong understanding of healthcare billing, reimbursement, regulatory requirements, and financial controls.
- Proven success leading operational transformation, scaling teams, or implementing enterprise initiatives.
- Strategic, analytical mindset with the ability to balance long-term vision and operational outcomes.
As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our teams are ambitious, compassionate experts dedicated to advancing specialty pharmacy and infusion services in partnership with hospitals and health systems—always with patients at the center of what we do.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Position Summary
Under the general direction of the Operations Senior Director, the Operations Director, Revenue Cycle Management (RCM) provides strategic leadership for our RCM Operations, supporting both internal and external clients. This role is accountable for establishing the operational vision, priorities, and strategies that enable scalable, compliant, and high-performing Admissions and RCM functions across the organization.
This leadership role will serve as a senior liaison and strategic partner to client leadership, third-party billing vendors, and internal stakeholders, ensuring alignment between strategy, payer requirements, operational execution, and financial outcomes.
Responsibilities
Enterprise RCM Strategy & Governance
- Define and lead the enterprise strategy and operating model for payer management, admissions, and revenue cycle support, ensuring consistency, scalability, and financial integrity across all clients.
- Establish governance frameworks, standards, and controls to support clean revenue, payer compliance, and operational excellence.
- Provide executive-level guidance on RCM risk, performance trends, and improvement opportunities.
Payer Strategy & Oversight
- Set the strategic direction for payer contract management, ensuring contracts are operationalized effectively to support accurate benefit verification, billing, and collections.
- Oversee payer change management strategy, including prioritization, risk mitigation, and cross-functional coordination for payer updates across the client base.
- Provide executive oversight for payer audits, ensuring timely, compliant, and effective responses while identifying systemic improvement opportunities.
Operational Leadership & Team Enablement
- Lead and develop RCM operational leaders responsible for admissions, billing, and collections, ensuring the organization has the capability, structure, and talent to execute at scale.
- Establish performance expectations, success metrics, and accountability models for RCM operations leadership.
- Partner with HR and functional leaders on workforce planning, leadership development, and succession strategies for RCM teams.
Client & Stakeholder Partnership
- Serve as a trusted advisor to client executives and internal leadership, translating operational performance into strategic insights and recommendations.
- Foster strong cross-functional relationships to align RCM operations with clinical, finance, IT, compliance, and client engagement strategies.
- Support client growth initiatives, including new Ambulatory Infusion Center (AIC) implementations, by ensuring RCM readiness and operational scalability.
Process Optimization & Innovation
- Drive a continuous improvement mindset across RCM operations, leveraging automation, technology enablement, and data-driven decision making.
- Sponsor and prioritize enterprise initiatives that reduce manual effort, improve cash flow, and enhance the client and patient experience.
- Evaluate and influence RCM technology strategy in partnership with IT and product teams.
Performance Management, Reporting & Compliance
- Provide executive-level oversight of RCM performance metrics, including receivables, aging, cash flow, and payer trends.
- Translate operational and financial data into strategic insights for senior leadership.
- Ensure enterprise compliance with regulatory, payer, and financial requirements; lead organizational readiness for regulatory or payer changes.
Skills & Capabilities
- Demonstrated ability to set strategy and influence execution across complex, multi-stakeholder environments.
- Deep expertise in government and commercial payer models, reimbursement structures, and contract interpretation.
- Strong executive communication skills with the ability to translate complexity into clear strategic direction.
- Proven people-leader with experience leading managers and senior leaders.
- Ability to operate independently with high judgment, discretion, and confidentiality.
- Strong business acumen with experience leveraging data to drive organizational decisions.
- Advanced stakeholder management and relationship-building capabilities.
- Proficiency in modern business and analytics tools; strong comfort influencing technology-enabled change.
Qualifications
- Bachelor’s degree in Finance, Accounting, Business Administration, or related field desired, High School Diploma or GED required.
- At least 8 years of progressive experience in home infusion Revenue Cycle Management, healthcare operations, or financial operations, including leadership at the manager or director level strongly desired.
- Demonstrated experience leading large, complex operational functions or multi-client environments (home infusion experience strongly preferred).
- Strong understanding of healthcare billing, reimbursement, regulatory requirements, and financial controls.
- Proven success leading operational transformation, scaling teams, or implementing enterprise initiatives.
- Strategic, analytical mindset with the ability to balance long-term vision and operational outcomes.
As part of Evernorth Health Services, this role supports CarepathRx within our Pharmacy and Care Delivery organization. Our teams are ambitious, compassionate experts dedicated to advancing specialty pharmacy and infusion services in partnership with hospitals and health systems—always with patients at the center of what we do.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email seeyourself@thecignagroup.com for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
See all 51+ Revenue Cycle Management jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Revenue Cycle Management roles.
Get Access To All JobsTips for Finding Green Card Sponsorship in Revenue Cycle Management
Align your credentials to EB classification
EB-3 covers RCM roles requiring a bachelor's degree; EB-2 applies when the position requires an advanced degree or you hold equivalent specialized credentials. Clarify which classification your prospective employer intends to file under before accepting any offer.
Target hospitals with high PERM filing histories
Large health systems, academic medical centers, and revenue cycle outsourcing firms file PERM applications regularly. Search DOL disclosure data to identify employers that have sponsored RCM job titles in the past two years, not just those with open roles now.
Verify your coding certifications meet prevailing wage criteria
DOL assigns RCM roles a wage level based on job duties and required credentials. Holding a CPC, CCS, or RHIA certification can shift the wage level classification, directly affecting how your employer structures the PERM job description and what they must pay.
Use Migrate Mate to find green-card-sponsoring RCM employers
Search Migrate Mate to filter Revenue Cycle Management roles by employers with active PERM and EB sponsorship history, cutting the research time you'd otherwise spend combing through raw OFLC disclosure files yourself.
Negotiate a PERM filing timeline before your start date
PERM labor certification can take six months or longer before an I-140 petition is even filed. Get written confirmation of when your employer plans to start the process, since your priority date for the visa bulletin doesn't begin until USCIS receives the I-140.
Understand how EB-3 backlog affects your specific country
EB-3 has no annual cap concerns for most countries, but nationals from India, China, Mexico, and the Philippines face priority date backlogs that can stretch years. Check the monthly USCIS visa bulletin to assess your realistic timeline before signing an offer.
Revenue Cycle Management jobs are hiring across the US. Find yours.
Find Revenue Cycle Management JobsRevenue Cycle Management Green Card Sponsorship: Frequently Asked Questions
Do Revenue Cycle Management roles qualify for EB-2 or EB-3 green card sponsorship?
Both categories apply depending on the role's requirements. EB-3 covers RCM positions requiring a bachelor's degree, such as billing coordinators or coding specialists. EB-2 applies when the employer requires a master's degree or when the candidate holds advanced credentials demonstrating specialized expertise. The employer's job description drives which classification USCIS evaluates.
How does green card sponsorship differ from H-1B for RCM professionals?
Green card sponsorship through PERM is permanent, not temporary, and EB-3 has no annual lottery. H-1B requires selection in a randomized cap lottery each year, whereas PERM lets your employer begin the process at any time. The tradeoff is timeline: PERM labor certification alone takes several months before the I-140 petition is filed.
What does the PERM labor certification process require from an RCM employer?
The employer must conduct a DOL-supervised recruitment campaign to demonstrate no qualified U.S. workers are available for the role. They then file the PERM application, and DOL reviews whether the offered wage meets the prevailing wage determined by the OFLC Wage Search for your specific job duties and location.
How can I find Revenue Cycle Management employers that sponsor green cards?
Migrate Mate lets you search RCM roles filtered by employers with documented PERM and EB sponsorship activity, so you're not guessing which health systems or outsourcing firms will actually initiate the process. Most general job boards don't surface this sponsorship history, making it difficult to distinguish willing sponsors from employers who have never filed.
Does my country of birth affect my green card timeline in an RCM role?
Yes. EB-3 priority dates move at different speeds by country of chargeability. Nationals from most countries outside India, China, Mexico, and the Philippines face minimal wait times. If you were born in one of those four countries, the visa bulletin backlog can add years between I-140 approval and the final green card interview at USCIS or the National Visa Center.
See which Revenue Cycle Management employers are hiring and sponsoring visas right now.
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