H-1B Visa Chief Administrative Officer Jobs
Chief Administrative Officer roles qualify as H-1B visa specialty occupations when the position requires a bachelor's degree or higher in business administration, management, or a related field. Large enterprises and multinational firms sponsor H-1B CAOs regularly, and the annual 85,000-cap applies, making lottery timing and employer selection critical.
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Get Access To All JobsAbout LifeLong Medical Care
LifeLong Medical Care is one of the Bay Area’s most established and mission-driven community health organizations, serving more than 50,000 patients across 15 sites in Alameda and Contra Costa counties. Founded over 50 years ago as a human rights organization, LifeLong has grown into a comprehensive Federally Qualified Health Center delivering primary care, behavioral health, dental, and integrated services to the communities that need it most.
LifeLong is in an exciting period of transformation — strengthening its operating model, deepening its partnerships, and building the leadership infrastructure to deliver on its mission with greater impact, sustainability, and scale. This is an organization with deep roots, a strong team, and significant momentum. The Chief Administrative Officer (CAO) role is a rare opportunity to help shape what LifeLong becomes.
The Opportunity
LifeLong Medical Care is seeking a Chief Administrative Officer to serve as a true operational partner to the CEO and a central force in the organization’s next chapter. This is a broad, high-impact executive role for a leader who thrives at the intersection of strategy and execution — someone who can drive cross-functional performance, build and evolve care delivery models, and help LifeLong realize its full potential as a safety net anchor institution.
The CAO will be a member of the Executive Leadership Team, reporting directly to the CEO, with direct oversight of Finance, Clinical Operations, HR, Legal, and Capital Projects.
What You Will Do
Drive Cross-Functional Execution:
Lead the performance of LifeLong’s most critical organizational initiatives, including the Mission & Margin Plan and Strategic Excellence Workstreams. Serve as the integrating force across functions — ensuring accountability, removing barriers, and keeping the organization moving toward its goals.
Evolve the Care Team Model:
Partner with clinical and operational leadership to strengthen and evolve how care teams are structured, supported, and deployed across LifeLong’s 15 sites. Translate care strategy into operational reality — building models that improve provider experience, team effectiveness, and patient outcomes.
Strengthen the Patient and Provider Experience:
Lead efforts to improve the efficacy and impact of LifeLong’s patient-provider-clinical model. Use data, operational insight, and cross-functional collaboration to reduce friction, improve access, and deliver care that consistently meets the expectations of the communities LifeLong serves.
Lead a High-Performing Functional Portfolio:
Provide executive oversight across Finance, Operations, HR, Legal, and Capital Projects. Build and develop the functional leaders within this portfolio — setting high standards, driving accountability, and creating the organizational conditions for sustained performance.
Serve as a Strategic Partner to the CEO:
Acting as a full member of the Executive Leadership Team, perform as a trusted deputy — sharing ownership of organizational priorities, representing the CEO internally and externally as appropriate, and contributing meaningfully to the direction of the organization by driving performance and transformation.
What We Are Looking For
Experience
- 15+ years of progressive leadership experience in community health, with significant time in an executive leadership role
- Track record of success in a safety net, FQHC, or community health environment strongly preferred
- Deep familiarity with Medi-Cal, Medicaid and safety-net financing
- Demonstrated experience in leading complex, multi-site teams and divisions with measurable results in multi-site FQHCs
- Experience driving cross-functional initiatives in a mission-driven, resource-constrained environment
- Prior responsibility for financial oversight and operational performance at an organizational level
Leadership Profile
- Integrator mindset — connects people, functions, and priorities into a coherent whole
- Data-driven and execution-oriented; translates strategy into action and holds teams accountable
- Strong judgment under ambiguity; calm and steady in complex, fast-moving environments
- Relationship builder who earns trust quickly across clinical, operational, and administrative teams
- Transparent communicator with high integrity; not political
- Mission-grounded: commitment to community health for a reason, and it shows in leadership approach
- Collaborative and decisive: consensus-driven when possible, but can and make clear calls when needed
Education
- Bachelor’s degree required; Master’s degree in Public Health, Health Administration, Business, or related field strongly preferred
- LEAN or operational excellence certification a plus
Why LifeLong
LifeLong offers a rare combination: the mission and community roots of a safety net health center, and the scale, ambition, and leadership team of an organization ready to perform at a higher level. This is a role for a leader who wants to do meaningful work, build something durable, and help an iconic East Bay institution realize its next chapter.
About LifeLong Medical Care
LifeLong Medical Care is one of the Bay Area’s most established and mission-driven community health organizations, serving more than 50,000 patients across 15 sites in Alameda and Contra Costa counties. Founded over 50 years ago as a human rights organization, LifeLong has grown into a comprehensive Federally Qualified Health Center delivering primary care, behavioral health, dental, and integrated services to the communities that need it most.
LifeLong is in an exciting period of transformation — strengthening its operating model, deepening its partnerships, and building the leadership infrastructure to deliver on its mission with greater impact, sustainability, and scale. This is an organization with deep roots, a strong team, and significant momentum. The Chief Administrative Officer (CAO) role is a rare opportunity to help shape what LifeLong becomes.
The Opportunity
LifeLong Medical Care is seeking a Chief Administrative Officer to serve as a true operational partner to the CEO and a central force in the organization’s next chapter. This is a broad, high-impact executive role for a leader who thrives at the intersection of strategy and execution — someone who can drive cross-functional performance, build and evolve care delivery models, and help LifeLong realize its full potential as a safety net anchor institution.
The CAO will be a member of the Executive Leadership Team, reporting directly to the CEO, with direct oversight of Finance, Clinical Operations, HR, Legal, and Capital Projects.
What You Will Do
Drive Cross-Functional Execution:
Lead the performance of LifeLong’s most critical organizational initiatives, including the Mission & Margin Plan and Strategic Excellence Workstreams. Serve as the integrating force across functions — ensuring accountability, removing barriers, and keeping the organization moving toward its goals.
Evolve the Care Team Model:
Partner with clinical and operational leadership to strengthen and evolve how care teams are structured, supported, and deployed across LifeLong’s 15 sites. Translate care strategy into operational reality — building models that improve provider experience, team effectiveness, and patient outcomes.
Strengthen the Patient and Provider Experience:
Lead efforts to improve the efficacy and impact of LifeLong’s patient-provider-clinical model. Use data, operational insight, and cross-functional collaboration to reduce friction, improve access, and deliver care that consistently meets the expectations of the communities LifeLong serves.
Lead a High-Performing Functional Portfolio:
Provide executive oversight across Finance, Operations, HR, Legal, and Capital Projects. Build and develop the functional leaders within this portfolio — setting high standards, driving accountability, and creating the organizational conditions for sustained performance.
Serve as a Strategic Partner to the CEO:
Acting as a full member of the Executive Leadership Team, perform as a trusted deputy — sharing ownership of organizational priorities, representing the CEO internally and externally as appropriate, and contributing meaningfully to the direction of the organization by driving performance and transformation.
What We Are Looking For
Experience
- 15+ years of progressive leadership experience in community health, with significant time in an executive leadership role
- Track record of success in a safety net, FQHC, or community health environment strongly preferred
- Deep familiarity with Medi-Cal, Medicaid and safety-net financing
- Demonstrated experience in leading complex, multi-site teams and divisions with measurable results in multi-site FQHCs
- Experience driving cross-functional initiatives in a mission-driven, resource-constrained environment
- Prior responsibility for financial oversight and operational performance at an organizational level
Leadership Profile
- Integrator mindset — connects people, functions, and priorities into a coherent whole
- Data-driven and execution-oriented; translates strategy into action and holds teams accountable
- Strong judgment under ambiguity; calm and steady in complex, fast-moving environments
- Relationship builder who earns trust quickly across clinical, operational, and administrative teams
- Transparent communicator with high integrity; not political
- Mission-grounded: commitment to community health for a reason, and it shows in leadership approach
- Collaborative and decisive: consensus-driven when possible, but can and make clear calls when needed
Education
- Bachelor’s degree required; Master’s degree in Public Health, Health Administration, Business, or related field strongly preferred
- LEAN or operational excellence certification a plus
Why LifeLong
LifeLong offers a rare combination: the mission and community roots of a safety net health center, and the scale, ambition, and leadership team of an organization ready to perform at a higher level. This is a role for a leader who wants to do meaningful work, build something durable, and help an iconic East Bay institution realize its next chapter.
See all 245+ H-1B Visa Chief Administrative Officer Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new H-1B Visa Chief Administrative Officer Jobs.
Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Chief Administrative Officer
Verify your degree supports specialty occupation
USCIS requires your bachelor's degree field to directly relate to the CAO role. A degree in business administration, public administration, or organizational management strengthens your petition. A general studies degree may trigger a Request for Evidence.
Target employers with cap-exempt H-1B status
Universities, nonprofit research institutions, and government-affiliated organizations file H-1B petitions outside the annual lottery. CAO roles at these entities can be filed any time, bypassing the April registration window entirely.
Search verified H-1B sponsors on Migrate Mate
Filter Chief Administrative Officer openings by employers with confirmed H-1B LCA filing history. Migrate Mate surfaces this DOL data so you're only spending time on companies that have sponsored the role before.
Check prevailing wage before negotiating your offer
Your employer's LCA must certify a wage at or above the DOL prevailing wage for your SOC code and work location. Run the OFLC Wage Search before accepting an offer to confirm the number you negotiate won't fall below the certified floor.
Clarify whether your employer needs PERM for future green card
CAO positions are generally employer-specific enough that labor certification through PERM is the standard green card path. Ask the hiring team whether they've sponsored PERM for equivalent roles before your first-round interview.
File during the premium processing window for executive timelines
If your start date is tied to a board appointment or fiscal-year transition, your employer can pay for premium processing to get a 15-business-day USCIS adjudication. Build this into the offer negotiation, not after the petition is filed.
H-1B Visa Chief Administrative Officer: Frequently Asked Questions
Does a Chief Administrative Officer role qualify as an H-1B specialty occupation?
Yes, provided the position genuinely requires a bachelor's degree or higher in a specific field such as business administration, management, or a related discipline. USCIS looks at the actual duties, not just the job title. Broad executive roles where any degree suffices are more vulnerable to challenge than CAO positions tied to a specific operational function like healthcare administration or higher education management.
Which types of employers commonly sponsor H-1B visas for CAO roles?
Large hospital systems, university systems, multinational corporations, and publicly traded companies are the most consistent H-1B sponsors for senior administrative leadership. These organizations have dedicated HR and legal infrastructure to manage the filing. Smaller private companies sponsor less frequently, and startups rarely have the compliance systems in place for executive-level H-1B petitions. You can browse employers with documented H-1B filing history for CAO and related titles on Migrate Mate.
Can an H-1B holder work as a CAO for multiple entities simultaneously?
Yes, concurrent H-1B employment is permitted. Each employer must file a separate H-1B petition, and each position must independently qualify as a specialty occupation. This is relevant for CAOs who hold adjunct governance roles or split responsibilities across a parent company and its subsidiaries. USCIS reviews each petition on its own merits, so the job duties and degree requirements must be documented separately for every employer.
What happens to my H-1B if my CAO role is eliminated or restructured?
Your H-1B status is tied to the specific employer and position described in your approved petition. If the role is eliminated, you have a 60-day grace period to find new sponsorship, change status, or depart. A significant restructuring that changes your core duties may also require an amended petition. Notify your employer's immigration counsel immediately if your reporting structure or job description changes materially.
How does the H-1B prevailing wage requirement affect CAO compensation negotiations?
Your employer's Labor Condition Application locks in a certified wage floor before USCIS adjudicates your petition. They can pay you more than the certified wage but not less. The DOL sets the prevailing wage by SOC code and geographic area, so the same CAO title in San Francisco carries a different floor than in Dallas. Run the OFLC Wage Search for the relevant SOC code before finalizing your offer to understand the minimum your employer is legally required to honor.