H-1B Visa Business Finance Manager Jobs
Business Finance Manager jobs at H-1B visa sponsoring employers require a bachelor's degree in finance, accounting, economics, or a related field, making the role a strong fit for specialty occupation classification. These positions involve financial planning, budgeting, and strategic analysis at the intersection of business operations and capital allocation.
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INTRODUCTION
The Pharmacy Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.
ENTITY
Medical University Hospital Authority (MUHA)
WORKER TYPE
Employee
WORKER SUB-TYPE
Regular
COST CENTER
CC004415 SYS - ICCE - Pharmacy
PAY RATE TYPE
Salary
PAY GRADE
Health-36
SCHEDULED WEEKLY HOURS
40
WORK SHIFT
JOB DESCRIPTION
MUSC Business and Finance Manager
PHARMACY ENTERPRISE
Position Summary
The Business and Finance Manager provides leadership for financial planning, budgeting, analytics, and business operations across the Pharmacy Enterprise. Serving as a strategic advisor to pharmacy leadership, this position translates financial and operational data into actionable insights that support sound decision-making, service growth, operational improvement, and long-term financial sustainability.
KEY RESPONSIBILITIES
- Lead monthly General Ledger reviews, budget-to-actual analyses, financial reconciliations, and variance reporting for pharmacy departments and cost centers.
- Coordinate annual operating and capital budgets, forecasts, accruals, journal entries, and period-end reporting.
- Develop executive dashboards, scorecards, key performance indicators, and recurring financial and operational reports.
- Analyze revenue, expenses, labor, drug spend, utilization, reimbursement, rebates, and high-cost medication trends.
- Develop pro formas, financial models, business plans, scenario analyses, capital requests, and FTE justifications.
- Evaluate the financial performance and sustainability of existing and proposed pharmacy services.
- Identify opportunities to increase revenue, improve margins, reduce costs, and optimize resources.
- Support financial analysis for specialty pharmacy, medication management services, 340B operations, supply chain, infusion, retail, and other pharmacy programs.
- Assess the potential financial impact of reimbursement, regulatory, manufacturer, and market changes.
- Establish standardized financial workflows, reporting practices, internal controls, and data-validation processes.
- Prepare decision-ready presentations and recommendations for pharmacy executives, finance committees, and organizational leadership.
- Lead and develop assigned business, finance, and analytics staff.
- Collaborate with Pharmacy, Finance, Accounting, Supply Chain, Revenue Cycle, Human Resources, Information Solutions, and operational leaders.
REQUIRED QUALIFICATIONS
- Pharm D or Rph, and MBA, MHA or experience
- Five years of progressive experience in healthcare finance, pharmacy business operations, budgeting, financial analysis, accounting, or business analytics.
- Experience with budgeting, forecasting, variance analysis, financial modeling, and executive reporting.
- Previous supervisory, team leadership, or project leadership experience.
- Advanced proficiency in Microsoft Excel and financial reporting tools.
PREFERRED QUALIFICATIONS
- Master of Finance, Master of Accounting, or another relevant advanced degree.
- Active pharmacist licensure when required by the position’s scope.
- Experience within an academic medical center, integrated health system, or complex multi-site pharmacy enterprise.
- Experience with Axiom, Workday, Power BI, Tableau, or similar financial and analytics platforms.
- Knowledge of pharmacy reimbursement, pharmaceutical purchasing, specialty pharmacy, 340B, medication management, and contracting.
KNOWLEDGE, SKILLS, AND ABILITIES
- Strong financial, analytical, problem-solving, and strategic planning skills.
- Ability to interpret complex data and develop practical business recommendations.
- Effective executive communication, presentation, and relationship-management skills.
- Strong organizational skills with the ability to manage multiple priorities and recurring deadlines.
- Demonstrated leadership, sound judgment, attention to detail, and commitment to data integrity.
- Ability to collaborate across clinical, operational, financial, and administrative teams.
ADDITIONAL JOB DESCRIPTION
Education: Bachelor's degree or equivalent education and/or relevant work experience
Work Experience: 10 years progressive work experience and 5 years management experience.
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees
See all 41+ H-1B Visa Business Finance Manager Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship as a Business Finance Manager
Align your credentials to specialty occupation standards
Pull the O*NET profile for Financial Managers to confirm which degree fields USCIS recognizes as directly related. If your degree is in a adjacent field like economics or business administration, gather coursework transcripts showing finance-specific depth before your employer files.
Verify prevailing wage before accepting an offer
Run your target city and job title through the OFLC Wage Search to find the Level I through IV wage bands for your SOC code. Your offer must meet or exceed the certified LCA wage, so know the floor before you negotiate.
Target employers with active LCA filing history
Use Migrate Mate to identify companies that have already certified LCAs for Business Finance Manager or Financial Manager roles. Employers with recent filings understand the process and are far less likely to withdraw an offer mid-sponsorship over paperwork concerns.
Clarify multi-site work arrangements upfront
If the role involves hybrid work across offices in different metro areas, each worksite needs its own certified LCA. Raise this with your prospective employer before the offer stage so the filing timeline accounts for multiple certifications and avoids delays.
Plan your timeline around the annual H-1B cap
Business Finance Manager roles at for-profit companies are typically cap-subject. The selection rules have changed recently, so confirm the current process with USCIS early. Count backward from your target start date to know when your employer must register.
Document your decision-making authority for RFE preparedness
USCIS may issue a Request for Evidence questioning whether a finance manager role truly requires a degree-level specialist. Build a job duties letter that ties each responsibility, such as capital structure analysis or variance forecasting, to specific bachelor's-level competencies before the I-129 is filed.
H-1B Visa Business Finance Manager: Frequently Asked Questions
Does a Business Finance Manager role qualify as a specialty occupation for H-1B purposes?
Yes. Business Finance Manager positions typically require at least a bachelor's degree in finance, accounting, economics, or a closely related field, which satisfies the specialty occupation standard. USCIS expects the employer to demonstrate that the specific duties, such as financial modeling, budget ownership, or capital allocation decisions, genuinely require that degree-level background rather than general business experience.
How do I find employers who actively sponsor H-1B visas for finance roles?
Search Migrate Mate for Business Finance Manager openings filtered to employers with verified H-1B LCA filing history. Focusing on companies that have already navigated the certification process saves time and reduces the risk of an employer backing out after learning about sponsorship costs and timelines mid-process.
What documents should I prepare before my employer files the LCA?
Gather official degree transcripts, your diploma, and any professional certifications relevant to financial management. If your degree is from outside the U.S., have it evaluated by a NACES-member credential evaluator before the filing. Your employer's HR or immigration counsel will also need a detailed job duties description tied to your specific bachelor's field.
Can my H-1B status cover remote work from a different city than my employer's office?
Not automatically. Each worksite location requires its own certified LCA posted at that site before you begin working there. If you plan to work remotely from a different metro area, your employer must file an amended or new LCA for that location. Skipping this step puts your status at risk and exposes your employer to DOL audit liability.
How long does H-1B status last for a Business Finance Manager position?
Initial H-1B status is approved for up to three years and can be extended to a six-year maximum. Beyond six years, continued extensions are possible only if your employer has filed a PERM labor certification or an I-140 immigrant petition on your behalf at least 365 days before your six-year cap date.