H-1B Visa Chief Executive Officer Jobs
Chief Executive Officer roles can qualify for H-1B visa sponsorship when the position requires a bachelor's degree or higher in a directly related specialty field. Large multinationals, private equity-backed firms, and venture-funded startups are the most active sponsors. The H-1B cap applies, so timing your job search around the April lottery window matters.
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INTRODUCTION
Chief Executive Officer (CEO) – TrustPoint Hospital
Murfreesboro, Tennessee
Lead one of Middle Tennessee's largest and most clinically complex behavioral health hospitals. TrustPoint Hospital is a 217‑bed facility serving children, adolescents, adults, older adults, and adults with intellectual and developmental disabilities (IDD). As CEO, you will provide strategic, operational, and clinical leadership for a full continuum of care. The organization is mission‑driven and focused on access, quality, and outcomes. Murfreesboro is a growing community in the greater Nashville healthcare market, and TrustPoint is well known for its referral relationships and its commitment to patients with complex needs.
THE OPPORTUNITY
- Lead a high‑acuity, multi‑service hospital with a strong reputation in the community
- Guide one of the few behavioral health hospitals with a dedicated Adult IDD program, and shape its planned expansion, including a future adolescent IDD program
- Build on an established leadership team and well‑developed referral partnerships
- Advance patient safety, quality, regulatory excellence, and workforce stability
- Drive census growth, admissions performance, and operational and financial results
LEADERSHIP SCOPE & IMPACT
- Executive oversight of a 217‑bed inpatient behavioral health hospital with outpatient programming
- Full accountability for operations, financial performance, quality outcomes, regulatory compliance, and medical staff relationships
- Leadership of adult and geriatric, adolescent and child, and adult IDD programs, plus partial hospitalization (PHP) and virtual intensive outpatient (IOP) services
- Strategic responsibility for program development and service line growth
- Direct leadership of a multidisciplinary executive and clinical leadership team
- Focus on admissions and front‑end operations, discharge planning, recruitment and retention, and revenue cycle and expense management
WHAT WE'RE LOOKING FOR
- Seasoned behavioral health CEO who can unite a team around a shared vision
- Hands‑on leader who is engaged in daily operations and keeps the full strategic picture in view
- Balanced clinical and business perspective, with a record of improving quality, compliance, and financial performance
- Collaborative, visible, accountability‑driven leadership style
- Minimum of three years of prior hospital CEO experience
EXECUTIVE BENEFITS & SUPPORT
- Competitive executive compensation with performance‑based incentives
- Comprehensive medical, dental, and vision benefits
- 401(k) with company match
- Generous paid time off and executive scheduling flexibility
- Relocation assistance available, if needed
- Strong operational, clinical, and compliance support through a national behavioral healthcare platform
MISSION & COMMUNITY ALIGNMENT
- Lead an organization dedicated to compassionate, patient‑centered behavioral healthcare
- Advance evidence‑based treatment and a culture of safety, quality, and ethical care
- Serve as a visible advocate for behavioral health services across Middle Tennessee
- Strengthen relationships with community partners, referral sources, health systems, and payors
ABOUT TRUSTPOINT HOSPITAL
TrustPoint Hospital is a 217‑bed behavioral health hospital in Murfreesboro, Tennessee. It provides inpatient psychiatric treatment for children, adolescents, adults, and older adults, along with specialized care for adults with IDD.
Services include:
- Inpatient psychiatric stabilization and treatment
- Adult and geriatric programs
- Adolescent and child programs
- Adult IDD inpatient program, with planned expansion
- Partial Hospitalization (PHP) and virtual Intensive Outpatient Programs (IOP), including adolescent services
- Age‑appropriate programming delivered by a multidisciplinary clinical team
Responsibilities
ENTERPRISE LEADERSHIP & STRATEGY
- Lead the overall operation and performance of the hospital, aligning strategy with Acadia’s mission and values
- Develop and execute strategic business plans, capital plans, and operating budgets in partnership with the governing body and medical staff
- Leverage local market expertise to drive sustainable growth, access, and service line expansion
- Identify opportunities to enhance performance through innovation, analytics, and operational efficiency
FINANCIAL & OPERATIONAL PERFORMANCE
- Deliver consistent achievement of census growth and EBITDA targets
- Oversee fiscal management, payer contracting, and revenue optimization strategies
- Ensure disciplined execution across all operational priorities, balancing short‑term results with long‑term sustainability
QUALITY, SAFETY & REGULATORY EXCELLENCE
- Maintain continuous survey readiness and ensure full compliance with all licensure, accreditation, and regulatory standards
- Champion a culture of safety and accountability, ensuring prompt resolution of patient safety concerns
- Lead performance improvement and QAPI initiatives to drive best‑in‑class patient outcomes and satisfaction
TALENT & CULTURE
- Recruit, develop, and retain a high‑performing leadership team and clinical workforce
- Build a culture rooted in accountability, engagement, and continuous development
- Foster an environment aligned to an employee value proposition that supports caregivers and strengthens retention
MEDICAL STAFF & CLINICAL COLLABORATION
- Partner closely with the Medical Director and medical staff to ensure excellence in clinical care delivery
- Expand service offerings through physician and allied health recruitment
COMMUNITY ENGAGEMENT & BUSINESS DEVELOPMENT
- Serve as the face of the hospital within the community
- Build strong relationships with referral sources, government agencies, and healthcare partners
- Position the hospital as the provider of choice through meaningful engagement and market insight
LEADERSHIP & GOVERNANCE
- Provide clear direction and accountability across the facility
- Lead governing board engagement and reporting
- Drive a high‑performance culture grounded in integrity, collaboration, and results
QUALIFICATIONS
REQUIRED EXPERIENCE
- Demonstrated experience operating an acute psychiatric or behavioral health hospital is required; prior CEO experience strongly preferred
- Minimum 3 to 5 years in a CEO role within behavioral health, acute care, or a related healthcare environment
- Proven success in driving financial, quality, regulatory, and operational performance
Education
- Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, Marketing, or a related field
- MBA or MHA strongly preferred
CAPABILITIES
- Deep understanding of hospital operations, behavioral health delivery models, and regulatory requirements
- Strong financial acumen with experience managing budgets, growth strategies, and payer relationships
- Skilled at building and leading high‑performing teams and fostering accountability
- Exceptional communication, relationship‑building, and influencing skills
- Ability to navigate complexity, adapt to change, and lead with a solution‑oriented mindset
- High integrity with the ability to manage sensitive information professionally
WHY THIS ROLE MATTERS
This is more than a leadership position. It is an opportunity to:
- Shape the future of behavioral health care in your community
- Expand access to life‑changing treatment
- Develop exceptional teams and leaders
- Deliver meaningful outcomes for patients and families
If you are a proven healthcare executive with acute psychiatric hospital leadership experience and a passion for advancing care, we invite you to apply. Join us and Lead Care with Light.
We are proud to be an Equal Opportunity Employer. We are committed to creating an inclusive environment where all employees can thrive. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, gender, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, veteran status, or any other characteristic protected by applicable federal, state, or local laws. We believe a diverse workforce strengthens our ability to deliver compassionate care and better serve our patients, their families, and the communities we serve.
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See all 46+ H-1B Visa Chief Executive Officer Jobs
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Chief Executive Officer
Document your specialty occupation credentials early
CEO roles face heightened USCIS scrutiny on specialty occupation grounds. Assemble degree transcripts, board resolutions tying your degree field to executive duties, and any professional licenses before you start applying.
Target cap-exempt employers first
Universities, nonprofits attached to higher education, and qualifying research institutions are exempt from the H-1B lottery. A CEO or president role at one of these organizations lets you file any time without waiting for April registration.
Search verified H-1B sponsors on Migrate Mate
Pull the DOL LCA disclosure data on Migrate Mate to see which companies have filed H-1B petitions for executive-level SOC codes. That filing history confirms an employer has already navigated the specialty occupation argument for senior leadership roles.
Verify the prevailing wage tier before negotiating
Use the OFLC Wage Search to look up the Level IV wage for your target metro area under the CEO SOC code. Your offer must meet or exceed that figure, and knowing it in advance prevents a letter of intent that USCIS will reject.
Prepare a specialty occupation memo for your employer
Most HR teams lack experience defending CEO roles under H-1B specialty occupation rules. Draft a one-page memo explaining how the position requires a directly related bachelor's degree, referencing the O*NET education requirements for the occupation.
Clarify ownership stakes before the petition is filed
USCIS applies an employer-employee control test to CEO petitions. If you hold a significant equity stake, your attorney needs to show the board retains the right to hire, fire, and supervise you. Resolve the ownership structure before the I-129 is submitted.
H-1B Visa Chief Executive Officer: Frequently Asked Questions
Does a Chief Executive Officer role qualify as a specialty occupation for H-1B purposes?
It can, but USCIS reviews CEO petitions more carefully than technical roles. The position must normally require at least a bachelor's degree in a specific field directly related to the duties, not a general business or management background. Employers typically support the petition with a detailed job description, board resolutions, and O*NET education data showing that degree-level specialization is standard for the role.
Which types of employers actively sponsor H-1B visas for Chief Executive Officer positions?
Multinational corporations filling a U.S. subsidiary CEO seat, venture-backed startups appointing a founder with foreign national status, and private equity portfolio companies are the most common sponsors. You can browse employers with verified H-1B LCA filing history for executive-level roles on Migrate Mate, which surfaces DOL disclosure data by occupation code and company.
How does the employer-employee relationship requirement affect CEO H-1B petitions?
USCIS requires that a qualifying employer-employee relationship exist, meaning the petitioning company must retain the right to control your work, including hiring and firing authority. If you're a majority shareholder or the sole director, this becomes difficult to establish. Structuring the board so it holds supervisory authority over the CEO position is the standard fix attorneys use.
Can a Chief Executive Officer use an H-1B transfer to move between companies?
Yes. Under AC21 portability, you can start working for a new employer as soon as the new H-1B petition is filed, provided your current petition has been approved and you've been in valid H-1B status for at least 180 days. The new employer must file a new I-129 and a certified LCA covering the CEO role at the new organization before your first day.
What happens to H-1B status if the sponsoring company is acquired or merges?
If the successor entity assumes all rights and obligations of the original petitioner and your job duties remain the same, your H-1B status continues without a new filing under the successor-in-interest rule. A material change to the role, compensation, or work location requires an amended I-129 petition. USCIS guidance recommends filing the amendment promptly rather than waiting until renewal.