H-1B Visa Chief Operating Officer Jobs
Chief Operating Officer roles qualify for H-1B visa sponsorship as specialty occupations requiring at least a bachelor's degree in business, management, or a related field. COO positions draw strong sponsorship activity from mid-size and large employers, particularly in tech, healthcare, and manufacturing, where operational leadership directly ties to business-critical outcomes.
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We are looking for dedicated Director, Clinic Management, Pediatrics Specialties in the Fairfax and Ashburn areas to work in children’s specialties including Inova Children's Hematology/Oncology, Inova Children's Pulmonology, Inova Children’s Gastroenterology, Inova Children’s Neurology and Inova Children’s Orthopedics & Sports Medicine. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits
- Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
- Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
- Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- Work/Life Balance: offering paid time off and paid parental leave.
The Director, Clinic Management plans, organizes, directs and supervises the activities of all assigned physician outpatient practices including patient scheduling, registration, medical records, financial controls, staffing, facility management and reporting/communication of operational and financial outcomes to staff, physicians and Inova Health System management. Maintains effective and responsive relationships with physicians, patients, their families and other providers. Takes ownership of physician outpatient practice operations including budgeting, productivity management for clinical staff/physicians/non-clinical staff, non-salary expense control, cash control and identification of capital needs for the operation.
Job Responsibilities
- Actively seeks out opportunities to share and receive best practice/process improvement initiatives with peers inside and outside of Inova Health System.
- Takes ownership of the completeness and accuracy of all front-end Revenue Cycle functions including registration, referral/authorizations, collection at the time of service, etc.
- Effectively builds ad-hoc and permanent teams to initiate change and influence future improvements.
- Ensures that accurate and complete records of patient visits are maintained and that equipment is safe and in proper working order.
- Establishes, monitors, and manages standards for Patient Access to optimize throughput (i.e. telephone, new and established patient appointments, and waiting room wait times).
- Promotes improvement through positive interactions with physicians and may conduct/participate in training personnel, students, and other staff.
- Demonstrates effective communication skills and discretion in the resolution of conflict among healthcare team members, patients, and families.
- Ensures that site-specific policies and procedures are in place to safeguard cash, checks, charges, or other currency.
- Oversees Physician Outpatient Practice to ensure it is performing effectively, which may include but is not limited to, preparing and implementing business strategy to achieve the organization’s goals, ensuring legal compliance, communicating and collaborating with stakeholders, managing employment decisions and contributions of supporting team members, and managing departmental budget and fiscal success.
Minimum Requirements
- Experience - 3 years healthcare management experience, 5 years of experience in healthcare operations in an ambulatory or hospital setting
- Education - Bachelor’s degree in relevant field (or 4 years of experience in lieu of degree)
Preferred Requirements
- Previous Pediatric Specialists of Virginia (PSV) work experience
Additional Details
- Application deadline: this position will remain posted for 30 days from the original posting date. Applications must be submitted before the posting closes.
- Tentative employment start date: June 2027
Applicants may be considered for current and future opportunities. We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.
Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.
Job Description
We are looking for dedicated Director, Clinic Management, Pediatrics Specialties in the Fairfax and Ashburn areas to work in children’s specialties including Inova Children's Hematology/Oncology, Inova Children's Pulmonology, Inova Children’s Gastroenterology, Inova Children’s Neurology and Inova Children’s Orthopedics & Sports Medicine. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.
Featured Benefits
- Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
- Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
- Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
- Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
- Work/Life Balance: offering paid time off and paid parental leave.
The Director, Clinic Management plans, organizes, directs and supervises the activities of all assigned physician outpatient practices including patient scheduling, registration, medical records, financial controls, staffing, facility management and reporting/communication of operational and financial outcomes to staff, physicians and Inova Health System management. Maintains effective and responsive relationships with physicians, patients, their families and other providers. Takes ownership of physician outpatient practice operations including budgeting, productivity management for clinical staff/physicians/non-clinical staff, non-salary expense control, cash control and identification of capital needs for the operation.
Job Responsibilities
- Actively seeks out opportunities to share and receive best practice/process improvement initiatives with peers inside and outside of Inova Health System.
- Takes ownership of the completeness and accuracy of all front-end Revenue Cycle functions including registration, referral/authorizations, collection at the time of service, etc.
- Effectively builds ad-hoc and permanent teams to initiate change and influence future improvements.
- Ensures that accurate and complete records of patient visits are maintained and that equipment is safe and in proper working order.
- Establishes, monitors, and manages standards for Patient Access to optimize throughput (i.e. telephone, new and established patient appointments, and waiting room wait times).
- Promotes improvement through positive interactions with physicians and may conduct/participate in training personnel, students, and other staff.
- Demonstrates effective communication skills and discretion in the resolution of conflict among healthcare team members, patients, and families.
- Ensures that site-specific policies and procedures are in place to safeguard cash, checks, charges, or other currency.
- Oversees Physician Outpatient Practice to ensure it is performing effectively, which may include but is not limited to, preparing and implementing business strategy to achieve the organization’s goals, ensuring legal compliance, communicating and collaborating with stakeholders, managing employment decisions and contributions of supporting team members, and managing departmental budget and fiscal success.
Minimum Requirements
- Experience - 3 years healthcare management experience, 5 years of experience in healthcare operations in an ambulatory or hospital setting
- Education - Bachelor’s degree in relevant field (or 4 years of experience in lieu of degree)
Preferred Requirements
- Previous Pediatric Specialists of Virginia (PSV) work experience
Additional Details
- Application deadline: this position will remain posted for 30 days from the original posting date. Applications must be submitted before the posting closes.
- Tentative employment start date: June 2027
Applicants may be considered for current and future opportunities. We are Inova, Northern Virginia’s leading nonprofit healthcare provider. Every day, our 25,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.
Inova Health System is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.
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Get Access To All JobsTips for Finding H-1B Visa Sponsorship in Chief Operating Officer
Verify your degree field supports specialty occupation
COO petitions face RFE risk when the degree field appears unrelated to operations management. Cross-reference your credentials against the O*NET occupation profile for Chief Executives to confirm your educational background aligns with USCIS specialty occupation standards.
Target employers with cap-exempt H-1B filing history
Universities, nonprofits affiliated with research institutions, and government-related entities file H-1B petitions outside the annual cap. COO roles at these organizations skip the lottery entirely, giving you a clear path to sponsorship without the April registration window pressure.
Search verified H-1B sponsors on Migrate Mate
Filter COO openings by employers with confirmed LCA filing history on Migrate Mate. This surfaces companies that have sponsored similar executive roles before, so you're not cold-pitching sponsorship to HR teams unfamiliar with the process.
Negotiate prevailing wage compliance before signing an offer
Your employer's LCA must certify your compensation meets the DOL prevailing wage for your specific location and job zone. Run the OFLC Wage Search for SOC code 11-1021 before finalizing your offer letter to confirm the proposed salary clears the threshold.
Request premium processing for executive-level petitions
USCIS offers 15-business-day adjudication through premium processing. For COO hires, employers typically absorb this cost given seniority, and it eliminates uncertainty during notice periods, board approvals, or investor due diligence tied to leadership transitions.
Document operational scope to satisfy specialty occupation scrutiny
USCIS increasingly audits COO petitions where the role description overlaps with general management. Work with your employer to build a job description that ties day-to-day duties to specific technical or specialized knowledge, not just oversight responsibilities.
H-1B Visa Chief Operating Officer: Frequently Asked Questions
Does a Chief Operating Officer role qualify as a specialty occupation for H-1B purposes?
Yes, provided the role requires at least a bachelor's degree in a specific field such as business administration, operations management, or engineering. USCIS applies heightened scrutiny to executive titles because the duties can appear general. Your employer's petition needs to connect the COO's specific responsibilities to a directly related degree field, not just business broadly.
Which industries most actively sponsor H-1B visas for COO positions?
Technology, healthcare systems, manufacturing, and financial services file the highest volume of H-1B LCAs for senior operations roles. These sectors have complex, cross-functional operations that justify specialized executive leadership. You can identify employers with active sponsorship history for COO-level roles by searching Migrate Mate, which filters by verified LCA filings.
Can an H-1B holder change employers to take a COO role mid-petition year?
Yes. H-1B portability lets you start working for a new employer as soon as the new I-129 petition is filed, not after it's approved, as long as your previous H-1B was approved and you haven't been out of status. Your new employer files the petition and you can transition immediately, which matters when a COO offer moves quickly through board approval.
How does the H-1B cap lottery affect executive-level candidates seeking COO roles?
COO roles at for-profit employers are cap-subject, meaning your employer must register you in USCIS's annual lottery each March. Cap-exempt employers including universities, nonprofit research institutions, and affiliated entities are not subject to the lottery. If you're targeting for-profit companies, the annual cap deadline and lottery selection rate are factors to plan your job search timeline around.
What documentation does an employer typically need to sponsor an H-1B for a COO?
Your employer files a certified LCA with DOL, then submits Form I-129 to USCIS with supporting evidence that the COO role qualifies as a specialty occupation. That evidence includes a detailed job description, organizational chart showing where the COO sits, and documentation of the business need for a degree-level hire. Your own credentials, transcripts, and any equivalency evaluations are submitted alongside.