Green Card VP Of Operations Jobs
VP of Operations roles sit squarely within EB-2 and EB-3 eligibility, requiring a bachelor's degree or higher in business, engineering, or a related field. Employers sponsor these positions through PERM labor certification before filing the I-140 petition. Finding companies with active green card sponsorship history is the fastest way to start your search.
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INTRODUCTION
R37 is the innovation lab within R1 RCM, focused on building next-generation, AI-native solutions to transform healthcare revenue cycle operations. We operate at the intersection of advanced machine learning, deep healthcare domain expertise, and production-scale systems—incubating and scaling new businesses that redefine how providers get paid. One of R37’s flagship innovations is PhareOS, our AI-powered platform designed to make healthcare reimbursement fair, transparent, and effortless.
PhareOS, a modular, intelligent automation platform that applies AI across the full revenue cycle, solutions include: Autonomous medical coding and CDI, Intelligent prior authorization, Denial prevention and appeals, and workflow orchestration across front- and back-end revenue cycle functions.
As our VP, Customer Success, you will grow our portfolio of health system client relationships. Reporting to the VP, Head of Customer Success & Account Management, this role builds trusted, multi-level partnerships across revenue cycle, clinical, IT, and executive stakeholders.
You will serve as the operational lead post-go-live: driving adoption, communicating outcomes, surfacing expansion opportunities, and coordinating across Product, AI, Engineering/Integration, and R1 account teams. You will own the day-to-day health of our client portfolio while contributing to the strategic vision for how R37 scales its customer success function — including building the team, processes, and tools that support long-term growth.
What You’ll Do:
- Serve as the primary post-implementation owner for a portfolio of live health system clients; build and maintain trusted relationships at multiple levels (VP Revenue Cycle/Mid-RCM, Coding/CDI leaders, HIM, clinicians, IT, operational users)
- Lead regular client touchpoints (weekly/biweekly operations calls, monthly value reviews, and QBRs/EBRs)
- Define client-specific success metrics and value hypotheses; produce value reports, dashboards, and ROI summaries aligned to client and R1 standards
- Act as the voice of the customer within R37/R1; synthesize feedback into clear product, process, and customer support priorities
- Support renewal strategy with evidence of delivered value and future roadmap alignment; surface risks early, create mitigation plans, and maintain accurate health scoring and forecasts
- Partner with R1 and R37 commercial teams to identify expansion paths (new service lines, specialties, sites, or higher automation/adoption)
- Execute on and refine repeatable Client Success processes: onboarding-to-live handoff, account health scoring, QBR templates, escalation paths, playbooks, and knowledge base
- Mentor team members; building a high-performing team with clear accountability and a culture of client-centricity
- Contribute to broader R37 and R1 integration efforts (tooling, Salesforce process, cross-product value narratives)
Required Qualifications:
- 10+ years in Client Success, Account Management, Implementation, or Healthcare Operations roles, with at least 3 years owning enterprise healthcare accounts
- Proven track record driving renewals, adoption, and expansion in a B2B SaaS or healthcare technology environment
- Deep familiarity with hospital revenue cycle and/or mid-cycle workflows (coding, CDI, HIM, DRG, denials prevention, pre-bill review)
- Experience navigating complex stakeholder environments and leading executive-level value conversations
- Strong analytical and storytelling skills: able to translate data into operational insight and ROI narratives
- High comfort working cross-functionally with Product, Data Science/Analytics, Engineering/Integration, and Sales
- Experience supporting AI/ML-enabled clinical, coding, or RCM products preferred
COMPENSATION
- The base pay range is $211,268.66 - $264,085.82 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.
- This job is eligible to participate in our annual bonus plan at a target of 30.00%
The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a competitive benefits package.
R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent.
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Get Access To All JobsTips for Finding Green Card Sponsorship in VP Of Operations
Match your degree to the job
PERM requires your degree field to align with the VP of Operations role description. A general business or management degree typically qualifies, but an unrelated field can trigger a PERM denial even when your work history fits.
Target employers with PERM filing history
Search DOL PERM disclosure data to identify companies that have sponsored operations leaders before. Employers already familiar with the PERM recruitment process move faster and make fewer errors that stall your green card timeline.
Verify prevailing wage before negotiating salary
Your offer must meet or exceed the DOL prevailing wage for your exact job zone and location. Use the OFLC Wage Search before accepting any offer so you and your employer set compensation that satisfies PERM from day one.
Use Migrate Mate to filter sponsoring employers
Many VP of Operations openings never disclose green card sponsorship in the posting. Migrate Mate surfaces employers with verified EB-2 and EB-3 filing history for operations roles, so you spend time on realistic opportunities.
Clarify the EB-2 versus EB-3 path with your employer
VP of Operations roles can qualify under either EB-2 or EB-3 depending on how the employer defines minimum requirements. Confirm which category your employer intends to file under before signing an offer, since reclassifying later restarts the PERM clock.
Document your O*NET occupation code early
Your employer's PERM application must match the O*NET Standard Occupational Classification for your role. Confirm the correct code early and check that the job duties in your offer letter reflect O*NET's description for VP of Operations positions.
Green Card VP Of Operations: Frequently Asked Questions
Does a VP of Operations role qualify for EB-2 or EB-3 green card sponsorship?
VP of Operations positions typically qualify under EB-2 when the employer requires an advanced degree or equivalent, and under EB-3 when a bachelor's degree satisfies the minimum requirement. The employer defines the educational standard in the PERM job description, which determines the category. Your specific degree field and the duties listed in the offer letter both affect which classification USCIS will accept.
How does green card sponsorship differ from H-1B sponsorship for this role?
Green card sponsorship through PERM and I-140 leads to permanent residency rather than a temporary status with renewal cycles. Unlike H-1B visa, EB-2 and EB-3 have no annual lottery, so your petition is adjudicated on its merits. The tradeoff is timeline: PERM labor certification alone can take six to twelve months before USCIS even reviews the I-140, making early employer commitment essential for VP of Operations candidates.
What does the PERM process require from an employer sponsoring a VP of Operations?
Your employer must conduct a supervised recruitment campaign, advertise the position at the prevailing wage determined by DOL, and demonstrate that no qualified U.S. worker applied. For a VP of Operations role, the employer documents the job duties, minimum requirements, and wage offer in the PERM application. USCIS then reviews the I-140 only after DOL certifies the labor market test was properly conducted.
How can I find VP of Operations jobs where the employer is already open to green card sponsorship?
Most job postings do not disclose whether an employer will sponsor green cards. Migrate Mate filters companies by verified EB-2 and EB-3 PERM filing history, letting you target VP of Operations openings at employers who have already navigated the sponsorship process for similar roles rather than approaching employers cold.
Can I switch employers after my green card process has started?
Once your I-140 petition has been approved and your priority date is current, AC21 portability may let you change to a similar operations role without restarting the process. Before I-140 approval, changing employers generally requires the new employer to file a fresh PERM application, resetting your place in any backlog queue. Your immigration attorney can assess whether your duties qualify as same or similar under AC21.